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The healthcare consultant will perform the following responsibilities: Conduct analysis of health plan and provider functional areas to identify impacts, opportunities and risks related to the implementation of ICD-10, create high ..
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Description The Director, Provider Contracting initiates, negotiates, and executes ... executes physician, hospital, and/or other provider contracts and agreements for an ... provides health insurance. The Director, Provider Contracting requires..
Job Information Humana Manager, Behavioral Provider Contracting in Washington District Of ... The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment ... The Manager, of Behavioral Health Provider..
Description The Provider Contracting Professional 2 initiates, negotiates, ... initiates, negotiates, and executes dental provider contracts and agreements for an ... that provides health insurance. The Provider Contracting Professional 2..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, ... executes physician, hospital, and/or other provider behavioral health contracts for an ... or segment. Responsibilities The Director, Provider Contracting- Behavioral..
Job ID 210008YLAvailable Openings 1Position Specific Information This position is offering a $2,000 sign-on bonus for the right person!! PURPOSE AND SCOPE:Organizes the care and follow up for late stage CKD ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
Description The Provider Contracting Professional 2 initiates, negotiates, ... executes physician, hospital, and/or other provider contracts and agreements for an ... that provides health insurance. The Provider Contracting Professional 2..
Description The Director, Provider Reimbursement is responsible for the ... and execution of Humana Military's provider reimbursement methodologies. This leader is ... prospective payment system software, and provider-specific reimbursement factors..
... the eBusiness team, drivers of provider self-service adoption through education and ... electronic transactions the Availity secure provider portal, Watson Voice, EDI, etc. ... Voice, EDI, etc. As a..
Job Information Humana Provider Contracting Professional - Behavioral Health ... District Of Columbia Description The Provider Contracting Professional 2 initiates, negotiates, ... health physician, hospital, and/or other provider contracts and..
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 ..
Job Information Humana Provider Contracting Professional in Washington District ... District Of Columbia Description The Provider Contracting Professional 2 Behavioral Health ... executes physician, hospital, and/or other provider contracts and..
Description The Senior Provider Contracting Professional initiates, negotiates, and ... executes physician, hospital, and/or other provider contracts and agreements for an ... provides health insurance. The Senior Provider Contracting Professional..
Job Information Humana Manager, Behavioral Provider Contracting - Remote in Washington ... The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment ... The Manager, of Behavioral Health Provider..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, ... executes physician, hospital, and/or other provider behavioral health contracts for an ... Medicaid segment. Responsibilities The Director, Provider Contracting- Behavioral..
Description The Provider Contracting Executive initiates, negotiates, and ... executes physician, hospital, and/or other provider contracts and agreements for an ... that provides health insurance. The Provider Contracting Executive works..
Description The Senior Provider Engagement, Clinical Professional develops and ... relationships with physicians, providers and healthcare systems in order to support ... the health plan. The Senior Provider Engagement, Clinical..
Description The Manager, Provider Contracting manages a team of dental recruiters that initiates, negotiates, and executes dental provider contracts and agreements in alignment with the specialty growth strategy. The manager provider ..
