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Contract Specialist / Procurement Analyst, GS 11-13 Duties: The Be responsible for the full range of pre-award functions involving procurements (including assistance agreements), typically involving technical services or programs of research ..
... 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 ..
... Humana Provider Data Management & Contract Load Professional in Portland Maine ... Description Provider Data Management & Contract Load Professional 2 is responsible ... The Provider Data Management &..
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 ..
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 ..
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, ..
Job Information Humana Senior Compliance Professional - Medicaid in Portland Maine Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional's work assignments involve moderately complex to ..
... 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..
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 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 ..
Job Information Humana Credentialing Assistant 3/Government Business - Work at Home in Portland Maine Description The Credentialing Assistant 3 obtains and reviews documentation to determine status in a health plan. The ..
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 Contract Services team is part of ... reduce risk. Responsibilities The Senior Contract Management Professional is an experienced ... as the primary and/or secondary Contract Manager aligned to..
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 ..
Type of Requisition: Regular Clearance Level Must Be Able to Obtain: Confidential Public Trust/Other Required: Other Job Family: Customer Service Are you an excellent problem solver? Are you passionate about people? ..
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 ..
... TRICARE East Managed Care Support Contract. The CEBO team performs enrollment ... information collection within policies and contract performance metrics defined within our ... performance metrics defined within our..
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 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 ..
Job Information Humana Director, Informatics in Portland Maine Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
... 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..
