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Description The Senior Provider Contracting Professional - Hospital Systems initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Senior Contracting Professional - Hospital Systems work assignments involve ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Jacksonville Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor Management ..
Job Information Humana Physician Contracting Executive in Jacksonville Florida Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Executive works ..
Overview Do you have a noticeable passion for results?You're bold, empathetic, and very resourceful, especially when results are at stake. You have what it takes: a competitive drive coupled with the ..
... The mission of the Physician Performance Insights team is to empower ... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality affordable..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
Job ID 21000LJWAvailable Openings 1 PURPOSE AND SCOPE: Ensure the provision of quality patient care to all hospitalized patients in the most efficient manner in accordance with company policy. Provides direct ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
Description The Grievances & Appeals Professional 2 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Jacksonville Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
... Information Humana Senior Corporate Strategy Analyst in Jacksonville Florida Description Humana's ... Responsibilities The Senior Corporate Strategy Analyst role is modeled after top-tier ... Data Science, Data Analytics, etc.)..
Job Information Humana Corporate Strategy Consultant in Jacksonville Florida Description Humana's Corporate Stragtegy team is a high-performing organization that works closely with Humana's senior leaders to help chart the course for ..
Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
... clinicians to promote more effective performance and delivery of quality home ... direct care clinicians. Evaluates their performance relative to job goals and ... action through the utilization of..
Job Information Humana Corporate Strategist in Jacksonville Florida Description Humana's Corporate Strategy team is a high-performing organization that works closely with Humana's senior leaders to help chart the course for the ..
... encounter data, submission requirements and performance metrics per regulatory and health ... for error resolution, follow-up and performance monitoring. Participate in resolving encounter ... Qualifications Bachelor's degree in a..
Description The Healthcare Financial Analyst collects, analyzes, and reports on ... Central Region is seeking a Healthcare Financial Analyst to partner closely with our ... complex analytics and reporting. The..
Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
... relationships with physicians, providers and healthcare systems in order to support ... and improve financial and quality performance within the contracted working relationship ... across such areas as financial..
