Healthcare Risk Manager Jobs in Missouri

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

Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..

Description The Risk Management Professional 2 a critical ... member within Humana's Third Party Risk Management Program (TPRM), a 2nd ... our program by implementing vendor risk management practices and..

Description The Manager, Risk Adjustment oversees coding educators and ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific guidelines ... schedules and goals. Responsibilities The Manager, Risk..

Job Information Humana Manager, Fraud and Waste-Remote US in ... Kansas City Missouri Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

Description The Manager, Risk Adjustment oversees coding educators and ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific guidelines ... schedules and goals. Responsibilities The Manager, Risk..

PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality ..

Job Information Humana Medicare/Medicaid Program Manager -- Remote in Springfield Missouri ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..

Due to rapid expansion in all of our clinics, we are offering a $1000 sign-on bonus for Community Support Specialist positions; additional $2,000 sign-on bonus for Qualified Mental Health Professionals. We ..

Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... implement change, while mitigating operational risk. The..

... Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in ... in Springfield Missouri Description The Risk Management Professional 2 identifies and .....

Job Information Humana Manager, Fraud and Waste-Remote US in ... in Springfield Missouri Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... in Springfield Missouri Description The Healthcare Quality Reporting & Improvement (HQRI) ... that leads Humana's Stars and..

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 ..

Job Information Humana Technical Product Manager - Remote in Springfield Missouri ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..

... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... in Springfield Missouri Description The Healthcare Quality Reporting & Improvement (HQRI) ... national planning and operations for..

... ongoing compliance with all FMS risk management initiatives. Provides opportunities for ... all patients. Must complete Clinical Manager training modules and ongoing developmental ... all patients. Must complete Clinical..

Job Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US in Springfield Missouri Description The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless nursing ..

Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... implement change, while mitigating operational risk. The..

... Finance M&A Integration Senior Project Manager in Springfield Missouri Description Humana's ... Finance M&A Integration Senior Project Manager to drive project-oriented duties related ... Finance M&A Integration Senior Project..

Description Humana Healthy Horizons in Louisiana is seeking a Addictionologist/Addiction Services Manager (ASM) who will be responsible for overseeing the development and implementation of Humana Medicaid's Addiction Services in Louisiana, serving ..

Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... implement change, while mitigating operational risk. The..

Job Information Humana Senior Medical/Financial Risk Clinical Professional in Springfield Missouri ... Missouri Description The Senior Medical/Financial Risk Clinical Professional is responsible for ... implementation and monitoring of medical/financial risk...