Healthcare Resource Network Jobs

Job Information Humana Social Worker - Telephonic Behavioral Health in Albany New York Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs ..

Description SeniorBridge is Humana's wholly owned home care business acquired in 2012. At SeniorBridge, we're passionate about helping families and loved ones find solutions that make life better, with greater peace ..

Job Information Humana Manager, Behavioral Provider Contracting - Remote in Albany New York Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers ..

Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..

Admin / Clerical (188) Advanced Practice Registered Nurses / Physician Assistants (339) Allied Health (3185) Executive (81) Operations (252) Physicians/Surgeons (1354) Quality/Risk Management (19) Type Contract (1) Fellowship (0) Full Time ..

... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Albany New York Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the ..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own.Connect with your goals and change liveswith ..

Job Information Humana Manager, Pharmacy and Medical Trend in Albany New York Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and ..

Title: Quality Assurance Analyst Location: Albany, NY. Local candidates only. Candidates who do not reside in the Albany, NY area will not be considered for the position. This position has a ..

... for one of the leading healthcare organizations. Reporting to Director of ... by delivering personalized, simplified, whole-person healthcare experiences. The Associate Director, Full ... development, back-end development, database integrations,..

Title: Project Manager Duration: through 2/28/2024 Location: Albany HYBRID work schedule will be determined with client based on evolving project needs This Project Manager role will focus on developing and utilizing ..

Job Code 2170181 Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ..

Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..

... Tools, Education and Process for Network Language Resource Group is responsible for analyzing ... internal support to all provider network contracting associates, leaders, and provider ... Qualifications Bachelor's Degree..

Job Information Humana Medical Director of Long Term Care, Florida in Albany New York Description The Long Term Care Medical Director supports the Long Term Care program in meeting optimal member ..

... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..

Description The Senior Professional, Medicaid Network Strategy will be accountable for ... of Humana Healthy Horizon's (Medicaid) network and provider strategy for its ... to identify, interpret, and produce network..

... is able guide members to in-network providers, answer general benefit questions, ... education; offer support with managing network participation by using your knowledge ... degree in business or related..

Job Information Humana Senior Market Development Professional - Behavioral Health/Medicaid in Albany New York Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to ..

Description Are you passionate about discovering opportunities to improve coding efficiencies and mentoring application developers in proper coding techniques for mainframe programs? Do you have a solid Cobol, DB2, and CICS ..

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 ..