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Job Description: This position focuses on prior authorization review and processing in computer systems, follow- ups, calling doctor offices, computer skills, data entry, and working on the phone. This position takes ..
Description The Director, Provider Reimbursement is responsible for the ... and execution of Humana Military's provider reimbursement methodologies. This leader is ... prospective payment system software, and provider-specific reimbursement factors..
Description The Provider Contracting Professional 2 initiates, negotiates, and executes physician, ... executes physician, hospital, and/or other provider contracts and agreements for an ... that provides health insurance. The Provider..
Description Responsibilities This position will maintain the Humana Military ACD website Autism Center of Excellence (CoE); ensuring educational information is current and relevant to training needs in addition to analyzing and ..
Job Information Humana Provider Contracting Professional - Behavioral Health in Chicago ... in Chicago Illinois Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral ... health physician, hospital,..
Description The Market Development Professional 2 provides support to assigned health ... application submissions. The Market Development Professional 2 work assignments are varied and ... action. Responsibilities The Market Development..
Description The Payment Integrity Professional 2 uses technology and data mining, ... financial recovery. The Payment Integrity Professional 2 work assignments are varied and ... medical coding reviewer to handle..
Job Information Humana Provider Contracting Professional in Chicago Illinois Description The ... in Chicago Illinois Description The Provider Contracting Professional 2 Behavioral Health Network role; initiates, ... executes physician, hospital,..
Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical ... beneficiaries' session notes to the provider's claims to determine whether all ... local team as needed for provider..
Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... executes physician, hospital, and/or other provider contracts and agreements for an ... provides health insurance. The Senior Provider..
Job Information Humana Provider Engagement Executive I-SNP - WAH ... in Chicago Illinois Description The Provider Engagement Executive I-SNP develops and ... with the health plan. The Provider Engagement Executive..
Description Responsibilities The Autism Care Demonstration (ACD) Senior Learning Design Professional analyzes content, organizes content, designs solutions, and writes storyboards, scripts, performance support, newsletters and notification letters. Analyzes learning needs and ..
... planning. Understands own work area professional concepts/standards, regulations, strategies and operating ... guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. The ... plus a minimum of two..
Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term ... the health plan. The Senior Provider Engagement, Clinical Professional work assignments involve moderately complex ... variable factors...
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 ..
