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Description We are seeking a driven individual to support the Stars program to positively impact HEDIS performance through delivery of strategic initiatives and operational excellence. The role will support the preventive ..
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 ..
Job Information Humana Senior Contract Tools, Education, Processes Professional - ... New York Description The Senior Contract Tools, Education, Processes Professional builds ... in class knowledge. The Senior Contract Tools,..
... market contracting teams to influence specialist contract terms that align with Service ... in close coordination with PCP Contract Load, Capitation Rates, Payments, and ... Adjustments teams to ensure..
Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead will analyze business requirements, provide research and regulatory interpretation, and advise internal business units and external business partners in ..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Job Information Humana Medical Director - Florida Medicaid in Albany New York Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
... Agency Labor, Department of Title Contract Management Specialist 1/Trainee 1/2 - Albany Occupational ... titles approved for transfer to Contract Management Specialist 1 is available through Civil ... the..
Job Information Humana Compliance Professional 2 - Medicaid in Albany New York Description Responsibilities Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. ..
Contact Agency People With Developmental Disabilities, Office for Title Human Resources Specialist 1 Occupational Category Administrative or General Management Salary Grade 18 Bargaining Unit M/C - Management / Confidential (Unrepresented) Salary ..
Job Information Humana UM Medical Director - Conviva in Albany New York Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Description Job Description Summary 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 ..
Description The National Delegation Oversight and Support (NDOS) Associate Director role within the Value Based Strategies team, will collaborate with our Operational Risk Management, Delegation Compliance, various functional business owners (such ..
Job Information Humana Medical Director - National Medicare Team in Albany New York Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work ..
Description The Value-Based Programs Strategy Lead supports the creation of complex value-based programs. The Value-Based Programs Lead provides strategic advice and guidance to functional team(s) related to value-based vendor and specialty ..
... Agency Health, Department of Title Contract Management Specialist 1 - Item 63532 Occupational ... or contingent-permanent status as a Contract Management Specialist 1; OR Active list candidate ... Civil..
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 ..
... fill a CMC Regulatory Sciences Specialist position, this position is responsible ... development for clinical trial applications, marketing applications, amendments, post approval variations ... area and cross functional teams,..
... Agency Health, Department of Title Contract Management Specialist 1- 63532 Occupational Category Financial, ... or contingent-permanent status as a Contract Management Specialist 1; OR Active list candidate ... Civil..
Description The Pharmacy Development Specialist will be responsible for qualifying ... Responsibilities Summary The Business Development Specialist will be responsible for managing ... territory Coordinate sales campaigns with marketing for..
