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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..
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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..
Job Information Humana Provider Contracting Professional in Albany New York Description ... Albany New York Description The Provider Contracting Professional 2 Behavioral Health Network role; initiates, ... executes physician, hospital,..
Description The Associate Director, Provider Contracting initiates, negotiates, and executes physician, ... executes physician, hospital, and/or other provider contracts and agreements for an ... health insurance. The Associate Director, Provider..
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..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Albany New York Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with ..
... 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 Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..
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 ..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
Job Information Humana Provider Contracting Professional - Behavioral Health in Albany ... Albany New York Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral ... health physician, hospital,..
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..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
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 ..
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 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 ..
Description The Provider Contracting Professional 2 initiates, negotiates, and executes dental ... initiates, negotiates, and executes dental provider contracts and agreements for an ... that provides health insurance. The Provider..