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Director, Contracting & Network Development','1199846','!*!Position Purpose: Oversee activities of the provider contracting, network development and/or provider relations functions and aid in formulating and administering organizational policies and procedures.Oversee provider contracting activities ..
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RN PATIENT SERVICES MANAGER III - UNC UROLOGY SUPPORT SERVICES','NUR00RAP','!*! Patient Services Manager III– Urology Clinic Come join our team in the Urology Department. Duties include the following : ensuring that ..
... WA RN LICENSE The Care Manager, Telephonic Nurse 2 , in ... being of members. The Care Manager, Telephonic Nurse 2 work assignments ... of action. Responsibilities The Care..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... that our members receive quality..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of ..
HCS DIRECTOR PATIENT ACCESS - MEDICAID ELIGIBILITY','OTH01Q2C','!*!Manage Medicaid eligibility enrollment of all Medicaid programs statewide. Reviews work of eligibility review staff for quality assurance. Plans, develops, implements and monitors comprehensive Medicaid ..
HCS DIRECTOR INFORMATION TECHNOLOGY - CLINICAL APPLICATIONS','INF003C0','!*!Responsible for the overall planning, organizing, and execution of all Information Technology functions for the health system as it relates to Clinical Applications used in ..
Description The Large Group Medical Underwriter computes rates for both renewing and prospective moderate to complex group accounts. The Large Group Underwriter 2 work assignments are varied and frequently require interpretation ..
Job Information Humana Manager, Behavioral Provider Contracting - Remote in Charlotte North Carolina Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers ..
EXECUTIVE MEDICAL DIRECTOR - UNC PHYSICIANS NETWORK TRIANGLE WEST','ALL00001','!*!The Executive Medical Director supports the Chief Medical Officer (CMO) for UNC Physicians Network. As Executive Medical Director, this position provides professional guidance ..
DIRECTOR PERFORMANCE IMPROVEMENT - PERFORMANCE IMPROVEMENT/PATIENT SAFETY','OTH01PLI','!*!Responsible for overseeing and directing the development, management, and implementation of the organization's quality improvement strategy in partnership with the senior leadership team. Ensures alignment ..
Description Responsibilities This role within the Autism Care Demonstration (ACD) Team, will work closely with Care Management leaders and Subject Matter Experts in the areas of Case Management, Utilization Management and ..
Job specifications are intended to present a descriptive list of the range of duties performed by employees. Specifications are not intended to reflect all duties performed within the job. SUMMARY Bering ..
Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates new product ideas, enhance existing products or strategic product extensions, and translates research discoveries into marketable products. This ..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..
Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..
RN PATIENT SERVICES MANAGER III - CHILDREN'S HEMATOLOGY/ONCOLOGY/BMTU AND INTERMEDIATE CARE','NUR00RCT','!*!RN Patient Services Manager III- Children's Hematology/Oncology/BMTU and Intermediate CareThis is a full time, exempt position that is eligible for State ..
... program is a dynamic, experienced healthcare administrator/operations leader passionate about transforming ... about transforming the future of healthcare. As the lead Acute Care ... intent of helping transform how..
Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..
RN PATIENT SERVICES MANAGER I - UNC COVID VACCINE CLINIC','NUR00RJ8','!*!Job Summary:This position is responsible for: ensuring that appropriate care and services are available to patients and families, ensuring adequate and appropriate ..
