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Description The Senior Claims Research & Resolution Professional works with operational teams, vendors, providers, and members in the processing of claims. Strong analytical skills focusing on accuracy and attention to detail. ..
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Description The Provider Contracting Executive initiates, negotiates, and executes physician, ... executes physician, hospital, and/or other provider contracts and agreements for an ... that provides health insurance. The Provider Contracting..
... The Network Operations Lead maintains provider relations to support customer service ... integrity management and gathering of provider claims data needed for service ... Operations Lead manages behavioral health..
Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..
Description The Director, Population Health Strategy is responsible for improving the quality of care and outcomes while managing costs for a defined group of people. The Director, Population Health Strategy requires ..
... Market Development Advisor - Medicaid Provider Service Operations in Cincinnati Ohio ... Market Development Advisor - Medicaid Provider Service Operations provides support to ... Market Development Advisor - Medicaid..
Description The Hospital Contracting Executive initiates, negotiates, and executes physician, ... executes physician, hospital, and/or other provider contracts and agreements for an ... provides health insurance. The Hospital Contracting Executive..
... Health. Responsibilities will include maintaining provider relations to support customer service ... integrity management and gathering of provider claims data needed for service ... Operations Lead manages behavioral health..
Job Information Humana Provider Contracting Executive - National Transplant Network in ... in Cincinnati Ohio Description The Provider Contracting Executive initiates, negotiates, and executes physician, ... executes physician, hospital, and/or..
Job Information Humana Provider Contracting Executive in Cincinnati Ohio Description The ... in Cincinnati Ohio Description The Provider Contracting Executive works with large health systems ... network management experience including..
... The Network Operations Lead maintains provider relations to support customer service ... integrity management and gathering of provider claims data needed for service ... The Network Operations Lead manages..
Job Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in Cincinnati Ohio Description As a company whose primary focus is on the well-being of its members, Humana is dedicated ..
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 ..
Job Information Humana VP, Clinical Operations in Cincinnati Ohio Description VP, Clinical Operations and Chief Clinical Officer of Kindred at Home, you will be responsible for planning and creating the ongoing ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, ... executes physician, hospital, and/or other provider contracts. The Provider Contracting Executive works on problems of diverse ... moderate to..
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 ..
Job Information Humana Provider Engagement Executive - Behavioral Health in Cincinnati ... Ohio Description The Behavioral Health Provider Engagement Executive utilizes their knowledge and skills ... health plan. The Behavioral..
