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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. ..
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..
... 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..
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 ..
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..
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 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 ..
Job Information Humana VP, Clinical Operations in Indianapolis Indiana Description VP, Clinical Operations and Chief Clinical Officer of Kindred at Home, you will be responsible for planning and creating the ongoing ..
... 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..
Advanced Practice Registered Nurses / Physician Assistants (335) Executive (38) General Nursing (2070) Type Contract (0) Fellowship (0) Full Time (80) Full-time (1) Locum Tenens (0) On Call (0) PRN (0) ..
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 Associate Vice President, Quality Improvement for Healthy Horizons in Indianapolis Indiana Description As a company whose primary focus is on the well-being of its members, Humana is dedicated ..
Description The Senior Value-Based Programs Professional supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs Professional works on problems ..
... multiple service areas and supporting provider installation quality outcomes. The Senior ... include; performing research, issue resolution, provider and market support, claims review ... on PCL processes and policies,..
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 ..
... Market Development Advisor - Medicaid Provider Service Operations in Indianapolis Indiana ... Market Development Advisor - Medicaid Provider Service Operations provides support to ... Market Development Advisor - Medicaid..
Job Information Humana Provider Contracting Executive in Indianapolis Indiana Description The ... in Indianapolis Indiana Description The Provider Contracting Executive works with large health systems ... network management experience including..
Job Information Humana Provider Contracting Executive - National Transplant Network in ... in Indianapolis Indiana Description The Provider Contracting Executive initiates, negotiates, and executes physician, ... executes physician, hospital, and/or..
