Medicaid Finance Jobs in Canton

Description MUST BE BILINGUAL: CHINESE/ENGLISH (written and spoken proficiency)MUST HAVE WA RN LICENSE The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..

Description The Medical/Financial Risk Evaluation Professional 2 is responsible for supporting the development, implementation and monitoring of medical/financial risk. The Medical/Financial Risk Evaluation Professional 2 work assignments are varied and frequently ..

... Intelligence Engineer for the National Medicaid Quality and Risk Adjustment Team ... supports multiple facets of Humana's Medicaid line of business. The National ... line of business. The National..

... Responsibilities R-293086 Network Optimization Lead (Medicaid, Network Contracting) Remote The Network ... The Network Optimization Lead, Louisiana Medicaid, is responsible for driving network ... Louisiana Department of Health of..

Job Information Humana Senior Value-Based Programs Reporting/Data Professional - Louisville, KY or Remote in Canton Ohio Description The Senior Value-Based Programs Reporting/Data Professional builds templates, standard documentation, policy and protocol, and ..

Job Information Humana Provider Contracting Professional 2 - OH Medicaid in Canton Ohio Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health provider contracts under the Ohio Medicaid ..

Job Information Humana Senior Business Intelligence Engineer - Remote in Canton Ohio Description The vision of the Retail Customer Segmentation team is to achieve simpler care (through an enhanced member experience), ..

... for the Ohio Department of Medicaid (ODM) and other agencies such ... other agencies such as the Medicaid Fraud Control Unit (MFCU) and ... activities in Ohio to increase..

... for the Ohio Department of Medicaid (ODM) and other agencies such ... other agencies such as the Medicaid Fraud Control Unit (MFCU) and ... activities in Ohio to increase..

Job Information Humana Senior Provider Contracting Professional - OH Medicaid in Canton Ohio Description The Senior Provider Contracting Professional initiates, negotiates, and executes behavioral health physician, hospital, and/or other provider contracts ..

Job Information Humana Value-Based Strategies - CMS Programs Strategy Lead - Remote in Canton Ohio Description Value-Based Strategies - CMS Programs Strategy Lead will support Humana through successful participation in CMS/CMMI ..

Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..

... for the Ohio Department of Medicaid (ODM) and other agencies such ... other agencies such as the Medicaid Fraud Control Unit (MFCU) and ... activities in Ohio to increase..

... Humana Network Optimization Lead (OH Medicaid) - Remote, Ohio in Canton ... The Network Optimization Lead, Ohio Medicaid, is responsible for driving network ... in the Ohio Department of..

Job Information Humana Senior Provider Engagement Professional in Canton Ohio Description Humana Healthy Horizons Plan in Ohio seeks highly motivated Engagement Professionals to provide end to end provider experience as a ..

Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health provider contracts under the Ohio Medicaid program. The Provider Contracting Professional 2 communicates contract terms, payment structures, and reimbursement ..