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Job Information Humana Manager, Behavioral Provider Contracting - Remote in Newport ... The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment ... The Manager, of Behavioral Health Provider..
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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 ..
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 Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Psychiatric RN (Per Diem) ASU (Per Diem) Location: Providence,RI RN's needed to staff our 16 bed Acute Stabilization Unit in Providence, RI. We are seeking an empathetic, caring and energetic RN's ..
Master’s Level Clinician, 3 Day Work Week - BH Link (Full Time) Location: East Providence, RI BH Link is looking for a highly motivated individual to join our team as a ..
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..
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..
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, ... initiates, negotiates, and executes dental provider contracts and agreements for an ... that provides health insurance. The Provider Contracting Professional 2..
Job Information Humana Provider Contracting Professional - Behavioral Health ... Newport Rhode Island Description The Provider Contracting Professional 2 initiates, negotiates, ... health 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..
RN - $3,000 SIGN-ON BONUS - ASU- 3-day work week! (Full Time) Location: Providence,RI We hire new graduates! Flexible schedule and 3-day work week offered now for a Psychiatric RN at ..
Foster Care Coordinator (Part Time) Location: Providence,RI Responsibilities of our Treatment Foster Care Coordinator are responsible to help recruit and train families for foster children in Rhode Island. Must take initiative ..
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 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..
Job Information Humana Provider Contracting Professional in Newport Rhode ... Newport Rhode Island Description The Provider Contracting Professional 2 Behavioral Health ... executes physician, hospital, and/or other provider contracts and..
Job Description Are you looking for a career with purpose, growth and opportunity? This this a full time position 40 hour work week, Monday through friday from 8:00am - 6:00pm, no ..
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 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 ..