Healthcare Operations Jobs in Ridgeland

Description The Consumer Service Operations Lead is responsible for the ... functions area. The Consumer Service Operations Lead works on problems of ... substantial. Responsibilities The Consumer Service Operations Lead..

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..

Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... leadership and external exposure with healthcare providers in OH,..

Job ID 21000LRFAvailable Openings 1 PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of ..

Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..

Job Information Humana Network Operations Lead - Behavioral Health/Medicaid in ... Ridgeland Mississippi Description The Network Operations Lead maintains provider relations to ... claims data needed for service operations. The..

... in Ridgeland Mississippi Description The Healthcare Quality Reporting & Improvement (HQRI) ... to Humana's national planning and operations for Risk Adjustment, Stars, and ... national provider education strategy and..

... the advancement of Medicaid Clinical Operations and Programs. Responsibilities Responsibilities of ... a clinical environment or within healthcare operations 5 or more years Healthcare or Managed Care leadership experience,..

Job Information Humana Enterprise Risk Management Lead-US-Remote in Ridgeland Mississippi Description The Sales Conduct Risk Management Lead a critical member of Humana's Third Party Risk Management Program (TPRM), a 2nd Line ..

Job Information Humana Senior Strategy & Program Development Professional (Remote) in Ridgeland Mississippi Description Responsibilities Humana's Corporate Marketing team is looking for a Senior Strategy & Program Development Professional to join ..

Job ID 21000LRGAvailable Openings 1PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigned ..

Job Information Centerwell Nurse Practitioner, Implementation and Training Team in Ridgeland Mississippi Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's ..

Job Information Humana Medicare/Medicaid Program Manager -- Remote in Ridgeland Mississippi Description Humana's Enterprise Shared Services organization is seeking an outstanding cross-functional program leader to join its Business Management team. This ..

Description The Senior Compensation Professional develops, implements, and administers compensation programs. The Senior Compensation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..

Job ID 21000MK0Available Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..

Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical Management and PCO-IPU Operations teams. ..

Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Ridgeland Mississippi Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..

Job Information Humana VP, Clinical Operations in Ridgeland Mississippi Description VP, ... Ridgeland Mississippi Description VP, Clinical Operations and Chief Clinical Officer of ... of the Home Health clinical operations...

... and execute strategic transformation. 'Strategy Operations' is one of a three ... Strategy Planning functions. The Strategy Operations team provides consulting services to ... the other teams in Strategy..

... behavioral health care strategy and/or operations. The Behavioral Health Medical Director ... and clinical guidance for Medical Operations and Market Operations Develop comprehensive care programs for ... programmatic requirements..

... Advisor - Medicaid Provider Service Operations in Ridgeland Mississippi Description The ... Advisor - Medicaid Provider Service Operations provides support to assigned health ... to Medicaid Group product implementation,..