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... works within a framework of compliance expectations leading to significant variabilities ... responsible for the member's safety and advocacy outcome as part of ... facilitate access to the member..
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Description The Business Intelligence Lead solves complex business problems and issues using data from internal ... issues using data from internal and external sources to provide insight ... to decision-makers...
Description The Behavioral Health Parity Compliance Lead will play an integral role ... integral role in the oversight and management of our Mental Health Parity ... of our Mental Health..
... Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Birmingham Alabama Description ... is seeking an AVP to lead its Provider Support team and associate's..
... Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that ... communicates contract terms, payment structures, and reimbursement rates to..
... Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that ... on problems of diverse scope and complexity ranging from..
... factors. Responsibilities Location: work at home anywhere The Senior Clinical Delegation ... Vendor Oversight builds relationships with and provides clinical and operational oversight for third party ... technical approach..
Job ID 21000J5VAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, ... FMCNA’s mission, vision, core values and customer service philosophy. Adheres to ... philosophy. Adheres to the FMCNA Compliance..
... purpose is to provide care management program support resources to physicians, ... resources to physicians, physician groups, and integrated healthcare delivery systems throughout ... caring for family, friends, finances,..
Job ID 21000G0RAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, ... FMCNA’s mission, vision, core values and customer service philosophy. Adheres to ... philosophy. Adheres to the FMCNA Compliance..
Job Information Humana Senior Risk Management Professional - Third Party Risk Management-Remote, US in Birmingham Alabama Description ... Birmingham Alabama Description The Senior Risk Management Professional a critical member within..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... contribute to Humana's national planning and operations for Risk Adjustment, Stars, and Interoperability. Specifically, this role will..
... for federal government agencies, payers, and providers. At Signature, our mission ... health of our clients' business and making the lives of the ... values of Passion, Courage, Integrity..