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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..
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... 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 Transplant 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..
... 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 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 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 Provider Contracting Executive in Louisville Kentucky Description The ... in Louisville Kentucky Description The Provider Contracting Executive works with large health systems ... network management experience including..
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 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 ..
... 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..
Description The Director HEDIS Production and Quality Analytics takes the lead in driving success for key quality measures development and analytic reporting functions that support Humana Military clinical quality strategies, including ..
Description The Medical Director is a leadership position that leverages medical expertise, understanding of the TRICARE business, and managed care to support and lead on both clinical programs as well as ..
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 Associate Vice President, Quality Improvement for Healthy Horizons in Louisville Kentucky Description As a company whose primary focus is on the well-being of its members, Humana is dedicated ..
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 Senior Value-Based Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Analyst works on problems of diverse ..
... 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 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..
... Market Development Advisor - Medicaid Provider Service Operations in Louisville Kentucky ... Market Development Advisor - Medicaid Provider Service Operations provides support to ... Market Development Advisor - Medicaid..
Job Information Humana Provider Contracting Executive - National Transplant Network in ... in Louisville Kentucky Description The Provider Contracting Executive initiates, negotiates, and executes physician, ... executes physician, hospital, and/or..
Job Information Humana VP, Clinical Operations in Louisville Kentucky Description VP, Clinical Operations and Chief Clinical Officer of Kindred at Home, you will be responsible for planning and creating the ongoing ..