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Description The Provider Contracting Professional 2 initiates, negotiates, and executes ... executes physician, hospital, and/or other provider contracts and agreements for an ... that provides health insurance. The Provider Contracting..
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... 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 ... by our comprehensive contract. Visit..
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 Provider Contracting Professional 2 - Behavioral Health/Medicaid in Torrance California Description The ... in Torrance California Description The Provider Contracting Professional 2 initiates, negotiates, and executes .....
Contract Managed Care Analyst, Revenue Cycle - FT/Days (8hr) - Fountain Valley','MEM007220','!*!At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our ..
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 Medical Director - Florida Medicaid in Torrance California Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
... Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home ... Description The Senior Process Improvement Professional analyzes, and measures the effectiveness ... improvements. The Senior..
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 ..
... RESPONSIBLE FOR Reporting to the Provider Relations Manager, you will: Lead ... Manager, you will: Lead recruitment, contracting, training and relationship management for ... Provide support for additional new..
Description The Senior Professional, Medicaid Network Strategy will be accountable ... development of Humana Healthy Horizon's (Medicaid) network and provider strategy for its growth markets. ... related to access to..
We are looking for our next Health Services Officer (HSO) to lead in our Health Services Division. This position is available in our Merced, Salinas or Scotts Valley office. In order ..
... Medical Directors will learn KY Medicaid requirements, and will understand how ... related to care of a Medicaid population (TANF and expansion populations). ... industry including Medicare Advantage, Managed..
... well-being. We also provide excellent professional development & continued education Responsibilities ... continued education Responsibilities The Senior Provider Installation Professional provides support to provider accounts by responding to inquiries..
... Medical Directors will learn Medicare, Medicaid, and Commercial requirements and will ... or upon request of the provider treating the member Supports and ... clinical and market leaders in..
Description The Senior Market Development Professional provides support to assigned health ... support. The Senior Market Development Professional work assignments involve moderately complex ... Responsibilities The Senior Market Development Professional..
... Senior Contract Tools, Education, Processes Professional - Remote in Torrance California ... Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy ... Senior Contract Tools, Education, Processes..
... join the Alliance as the Provider Services Director, leading the Provider Services Department. This role can ... Direct strategic planning for the Provider Services Department, including fiscal and .....
We have an opportunity to join the Alliance as the Quality Improvement and Population Health Director, leading the Quality Improvement and Population Health Department. PURPOSEFUL WORK Central California Alliance for Health ..
