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Description The Senior Vendor Management Professional with Humana manages a diverse scope of complex vendor projects in collaboration with all areas of Claims Cost Mgt (CCM) in an effort to reduce ..
Description The Supervisor, Provider Engagement develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working ..
Job Information Humana Senior Contract Tools, Education, Processes Professional - ... Riverton Wyoming Description The Senior Contract Tools, Education, Processes Professional builds ... in class knowledge. The Senior Contract Tools,..
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 ..
Allied Health (1) Executive (81) General Nursing (2247) Nursing Support (144) Operations (311) Quality/Risk Management (20) Type Contract (0) Fellowship (0) Full Time (423) Locum Tenens (0) Part Time (13) Partnership ..
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 ..
Admin / Clerical (16) Advanced Practice Registered Nurses / Physician Assistants (3) Allied Health (32) Clinical Research (1) Dentistry (2) Executive (51) General Nursing (63) Hospitality, Facility, Environmental Support (3) Mental ..
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, ..
Job Information Humana CMO - Regional VP, Health Services - Intermountain Region in Riverton Wyoming Description The Regional VP, Health Services relies on medical background and reviews health claims. The Regional ..