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... caring for family, friends, finances, and personal life goals. It's about ... At Family Physicians Group (FPG) and Partners in Primary Care (PIPC), ... people everywhere, including our associates,..
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Description The Compliance Lead (Medicaid Contract Administrator) ensures compliance with governmental requirements, works on ... on problems of diverse scope and complexity ranging from moderate to ... from moderate to..
... 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..
Description Responsibilities The Quality Improvement Lead provides strategic leadership for Humana's ... in alignment with organizational quality and population health goals and ensuring compliance with all contract, state, and federal..
... Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Lancaster South Carolina ... is seeking an AVP to lead its Provider Support team and associate's..
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..
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..
... 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,..
... authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests ... technical approach for project components, and work is performed without direction...
Job Information Humana Compliance Lead - Illinois Medicaid in Lancaster ... Lancaster South Carolina Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of..
... 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..
... to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, ... uses clinical knowledge, communication skills, and independent critical thinking skills towards .....
Job Information Humana Senior Risk Management Professional - Third Party Risk Management-Remote, US in Lancaster South Carolina ... South Carolina Description The Senior Risk Management Professional a critical member within..
... 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..
... 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..
