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Temporary Attorney The candidate should be a Bar certified disability attorney interested in contract work for Social Security hearings. Must have 1 year of experience representing clients at hearings...
... TRICARE line of business. Meet contract deliverables and performance guarantees while ... HGB / Humana brand Meet contract deliverables and contract performance guarantees at a 99% ... leading operational..
Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Billings Montana Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; applies ..
Description CenterWell Pharmacy is seeking a pharmacy contracting professional to solicit and maintain network agreements for all pharmacy lines of business. The pharmacy contracting professional 2 will be responsible for contracting ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
... changes that assure compliance with contract obligations. Maintains relationships with government agencies. Coordinates site visits for ... regard to regulatory requirements and government contract administration Lead the communication of..
... with requirements of the TRICARE contract. Prepare, scan, and stage for ... through the Department according to government contract requirement or appropriate requester including ... File medical records according..
Job Information Humana Director, Informatics in Billings Montana Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
... Humana Provider Data Management & Contract Load Professional in Billings Montana ... Description Provider Data Management & Contract Load Professional 2 is responsible ... The Provider Data Management &..
Description The Consumer Experience Professional 2 ensures optimized interaction between a company and members. The Consumer Experience Professional 2 work assignments are varied and frequently require interpretation and independent determination of ..
Contract Specialist/Administrator/Negotiator, Procurement Analyst (Supervisory/Non/Lead), GS 11-15 Duties: The candidate will be responsible for the procurement of highly specialized equipment, components and systems for high-rise buildings and their operating systems, the ..
Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
Job Information Humana Credentialing Assistant 3/Government Business - Work at Home in Billings Montana Description The Credentialing Assistant 3 obtains and reviews documentation to determine status in a health plan. The ..
Description Humana is seeking a pharmacy contracting professional to solicit and maintain network agreements for all pharmacy lines of business. The pharmacy contracting professional 2 will be responsible for contracting efforts ..
Description The Associate Director, Infrastructure Engineering scope of responsibility includes ensuring the technical foundation for Virtualization, Operating Systems, Security, and support of cloud environments. Develops the organization's infrastructure and Obsolescence plans, ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
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 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 Director, Provider Reimbursement is responsible for the leadership, strategy development and execution of Humana Military's provider reimbursement methodologies. This leader is responsible for timely and accurate implementation of Government ..
Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional ..
Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability shine? ..
