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Description Responsibilities The Senior Market/Industry Insights Professional delivers clinical/medical policy insight and information to both internal and external customers for Humana Government Business (HGB). The Senior Market/Industry Insights Professional will draft ..
Description Responsibilities The Senior Clinical Insights Professional delivers clinical policy insight and information to both internal and external customers for Humana Government Business (HGB). The Senior Clinical Insights Professional will draft ..
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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... contractual requirements within the state's Medicaid guidelines. Duties include training, enrolling, ... contractual requirements within the state's Medicaid guidelinesCreate care plans based on ... services to referral sourcesParticipate in..
... 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..
... 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..
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 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..
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..
... Humana Care Coach - Kentucky Medicaid in Bristol Tennessee Description The ... planning. Understands own work area professional concepts/standards, regulations, strategies and operating ... guided by precedent and/or documented..
... 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..
Job Information Humana Medical Director - Florida Medicaid in Brentwood Tennessee Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
... Senior Contract Tools, Education, Processes Professional - Remote in Brentwood Tennessee ... Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy ... Senior Contract Tools, Education, Processes..
... Humana Care Coach - Kentucky Medicaid in Kingsport Tennessee Description The ... planning. Understands own work area professional concepts/standards, regulations, strategies and operating ... guided by precedent and/or documented..
... 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..
... Humana Care Coach - Kentucky Medicaid in Clarksville Tennessee Description The ... planning. Understands own work area professional concepts/standards, regulations, strategies and operating ... guided by precedent and/or documented..
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..
... Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, ... Senior Clinical Strategy and Practice Professional work assignments involve moderately complex ... Responsibilities The Senior Behavioral Health..
Job Information Humana Provider Contracting Professional 2 - Behavioral Health/Medicaid in Brentwood Tennessee Description The ... in Brentwood Tennessee Description The Provider Contracting Professional 2 initiates, negotiates, and executes .....
Description The Senior Compliance Professional ensures compliance with governmental requirements, ... of CenterWell Primary Care Organization provider clinics including serving as a ... care programs. The Senior Compliance Professional work..
Description The CCM Compliance Professional 2 ensures compliance with governmental ... contractual requirements. The CCM Compliance Professional 2 work assignments are varied ... action. Responsibilities The CCM Compliance Professional 2..
