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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...
... 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..
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..
United Healthcare Community and State's Sales Markets are key ... Representative, you'll utilize innovative strategies and programs to ensure access to ... care coverage for the underserved and impact millions..
... 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,..
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 Washington District Of ... is seeking an AVP to lead its Provider Support team and associate's..
... 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 Senior Risk Management Professional - Third Party Risk Management-Remote, US in Washington District Of ... Of Columbia 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..
