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Assistant General Counsel Duties: Provides advice to University departments and offices pertaining to various legal issues and obligations that may affect the University including, compliance with state and federal regulations, risk ..
... 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..
... with vendors, as needed. Humana Government Business government contract requires U.S. citizenship for this ... used Our Department of Defense Contract requires U.S. citizenship for this ... Successfully receive..
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 Director, Informatics in Ridgeland Mississippi Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
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 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 ..
Assistant Counsel - Government Services Duties: Reviews and provides legal advice regarding Requests for Proposal/Qualifications and responses to same. Prepares legal documents, including contracts and legal memoranda. Reviews and responses 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 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 ..
... 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..
Job Information Humana Senior Provider Contracting Professional - TRICARE Behavioral Health in Ridgeland Mississippi Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is responsible ..
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 ..
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 ..
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 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 ..
... Humana Provider Data Management & Contract Load Professional in Ridgeland Mississippi ... Description Provider Data Management & Contract Load Professional 2 is responsible ... The Provider Data Management &..
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 Credentialing Assistant 3/Government Business - Work at Home in Ridgeland Mississippi Description The Credentialing Assistant 3 obtains and reviews documentation to determine status in a health plan. The ..
... 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 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 ..