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Contract Specialist Duties: The candidate performs ... that technical descriptions and appropriate contract clauses are included; develops source ... price reasonableness, adequacy of competition, compliance with solicitation, and probability of..
Contract Specialist/Administrator/Negotiator, Procurement Analyst (Supvy/Non/Lead) - ... determining the appropriate type of contract, establishing milestones, procurement planning, conducting ... resolution of issues related to non-compliance, and the termination process. Developing,..
Job Information Humana Director, Informatics in Riverton Wyoming Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Description Responsibilities The Billing & Enrollment Representative will assist members in a fast-paced inbound call center environment. You will be responsible for: Processing enrollments, payments, address changes or other enrollment related ..
Job Information Humana Medicaid Market Development Advisor - Remote, US in Riverton Wyoming Description The Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group ..
Description The Correspondence Representative 2 performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insurance. Updates, maintains, and reviews fee scheduling and pricing ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Description The Senior IT Compliance Professional audits the most complex ... information systems procedures are in compliance with corporate standards. The Senior ... corporate standards. The Senior IT Compliance Professional..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Riverton ... Riverton Wyoming Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the ... Riverton Wyoming Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental ... and governmental requirements. The..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior..
Contract Specialist, GS 05-15 Duties: The candidate will provide business advice and to perform all pre-award and post-award functions for a wide variety of complex and/or specialized acquisitions, using a wide ..
Job Information Humana Senior Compliance Professional (PBM & Pharmacy) in ... Riverton Wyoming Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
Job Information Humana Senior Compliance Professional (Network & Credentialing) in ... Riverton Wyoming Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
Job Information Humana Senior Cloud Security Engineer (virtual remote) in Riverton Wyoming Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..
Contract Specialist/Administrator/Negotiator, Procurement Analyst (Supervisory/Non/Lead), GS ... determining the appropriate type of contract, establishing milestones, procurement planning, conducting ... resolution of issues related to non-compliance, and the termination process. Developing,..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Riverton Wyoming Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..
... auditing for quality and clinical compliance, and case management. Serve as ... ABA treatment plans for policy compliance. Assist with analysis of necessary ... Review outcome measures to ensure..