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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 Contract Tools, Education, Processes Lead - ... Aberdeen South Dakota Description The Contract Tools, Education, Processes Lead exercises ... best in class knowledge. The Contract Tools, Education,..
Job Information Humana Senior Contract Tools, Education, Processes Professional - ... South Dakota Description The Senior Contract Tools, Education, Processes Professional builds ... in class knowledge. The Senior Contract Tools,..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description The Senior Market Finance Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The Northeast Region is seeking a Senior ..
Description The Market Finance Professional 2/Data Analyst collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. How we Value You Benefits starting day 1 of ..
Job Information Humana Senior Market Data Professional - Remote in Aberdeen South Dakota Description The Senior Market Data Professional provides support to assigned health plan and/or specialty companies relative to Medicare, ..
Job Information Humana Market Development Analyst - Remote in Aberdeen South Dakota Description The Market Development Analyst provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/Commercial product implementation, ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
... The Provider Contracting Executive communicates contract terms, payment structures, and reimbursement ... settlement arrangements (with finance)Delivers a contract that can be operationalized, and ... be operationalized, and maintained.Collaborates with..
Job Information Humana Senior Value-Based Programs Reporting/Data Professional - Louisville, KY or Remote in Aberdeen South Dakota Description The Senior Value-Based Programs Reporting/Data Professional builds templates, standard documentation, policy and protocol, ..
Description The Healthcare Financial Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The East Central Region is seeking a Healthcare ..
Description The Market Finance Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The Northeast Region is seeking a Market Finance ..
Job Information Humana Senior Program Delivery Professional/ HGB - REMOTE Nationwide in Aberdeen South Dakota Description The Senior Program Delivery Professional strategically identifies, develops, and implements programs that influence providers, members ..
Description The Manager, Compliance - Medicaid State Reporting ensures compliance with governmental requirements. The Manager, Compliance - Medicaid State Reporting works within specific guidelines and procedures; applies advanced technical knowledge to ..
Description The Provider Engagement Professional 1 develops and grows positive, long-term relationships with physicians, providers and dental healthcare systems in order to support and improve financial and quality performance within the ..