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... building provider relationships and expanding business opportunities. Prior business “ownership” and operating experience within ... and their impact on payer/provider business models is required, as is ... the continuum..
... will be responsible for the development and management of positive, long-term ... excellence. Decisions and responsibilities include development of effective DCE/participating provider relationships, ... between DCE and participating providers,..
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 ..
... broad, advanced product experience and business acumen. Responsibilities As the Director ... Management, you will drive the development of strategic, high-performing transformational clinical ... lifecycle, user and buyer experiences,..
... Clinical Analytics and Trend Program Manager in Honolulu Hawaii Description The ... Practice Lead builds strategies for development, engagement, best clinical practices and ... Clinical Analytics & Trend Program..
... execution to deliver longer term business value. Can possess specialized knowledge ... possess specialized knowledge of Software Development Life Cycle (SDLC) and Information ... Required Qualifications Bachelor's Degree in..
... clinical operations delivery, Preauthorization List development and governance, Mental Health Parity, ... processes are in place; Support development of national clinical staffing models ... *Bachelor's Degree in health or..
Description The Wellness Coach 2 supports health promotion and disease prevention and care management services. The Wellness Coach 2 work assignments are varied and frequently require interpretation and independent determination of ..
... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care..