Government Contract Management Jobs

... to the Vice President, Medical Management Operations and serves as a ... functions related to HGB's Care Management programs to include predictive models, ... corresponding support. Also leads Utilization..

Description The Care Management Support Assistant 3 contributes to ... contributes to administration of care management. Provides non-clinical support to the ... wellbeing of members. The Care Management Support Assistant..

... by virtue of our TRICARE contract in which we provide healthcare ... leader to join the Humana Government Business (HGB) team as Associate ... a renewal of the TRICARE..

Job Information Humana Provider Data Management & Contract Load Professional in Jersey City ... New Jersey Description Provider Data Management & Contract Load Professional 2 is responsible ... provider accounts...

Description The Utilization Management Behavioral Health Professional 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... of action. Responsibilities The Utilization Management Behavioral Health..

Description Responsibilities The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism ..

... plans for the scope of management that are aligned with the ... best practices for strategy and management. Also includes ensuring professional development ... working in Military Treatment Facilities,..

Assistant General Counsel, Commercial The candidate works efficiently and collaboratively with in-house business and technology personnel, primarily through the negotiation of transactions and contracts, but also when providing counsel on complex ..

Description Responsibilities The Utilization Management Nurse 2 will be responsible ... quality and clinical compliance with contract requirements as outlined in the ... codes. Our Department of Defense Contract requires..

... Responsibilities Our Department of Defense Contract requires U.S. citizenship for this ... Provide security systems and tools management related to the cloud technologies ... Qualifications Our Department of Defense..

... highly specialized professional associates. Our Government contract requires US CItizenship for this ... Engineering initiatives Team building and management Required Qualifications: Our Government contract requires US Citizenship for this..

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 ..

... Duties: Manage a team of contract managers and maintain involvement with ... and iterate on the existing contract playbook and form agreements. Provide ... support to internal stakeholders during..

Description Responsibilities The Care Management Support Assistant 2- ACD Referral ... involves processing referrals into medical management system with emphasis on accuracy ... answer provider/beneficiary inquiries. The Care Management Support..

... Medicaid Group product implementation, operations, contract compliance, and federal contract application submissions. The Market Development ... Department of Medicaid Managed Care Contract. Ensures that assigned health plans ... Department..

Job Information Humana Manager, Compliance - Agent Investigation Unit in Jersey City New Jersey Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and ..

Job Information Humana Senior Compliance Professional (PBM & Pharmacy) in Jersey City New Jersey Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve ..

Job Information Humana Senior Compliance Professional, Specialty Compliance in Jersey City New Jersey Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional works assignments involving moderately ..

Job Information Humana Senior Technology Implementation Professional (Remote-Nationwide) in Jersey City New Jersey Description The Senior Technology Implementation Professional delivers new technological solutions to meet business needs within a specified scope ..

... includes data entry into medical management system, assigning an appropriate provider, ... diagnoses and/or referral requiring Case Management, and pend to appropriate point ... discretion. Our Department of Defense..

... and possible participation in care management. The clinical scenarios predominantly arise ... health, or disease or care management. Medical Directors support Humana values, ... in teams focusing on quality..

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 ..

Job Information Humana Vendor Management Lead (Remote US) in Jersey ... looking for an experienced Vendor Management Lead to join working remote ... in the US. The Vendor Management Lead..