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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 ..
... 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 ..
... 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..
... background, health plan expertise and professional relationships to create, implement and ... Assist with network development and provider contracting with various providers and ancillary ... conversations with inpatient facilities..
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..
... Senior Contract Tools, Education, Processes Professional - Remote in Glen Allen ... Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy ... Senior Contract Tools, Education, Processes..
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..
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..
... 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..
... position of Regional Vice President, Provider Experience. The Regional Vice President ... foster the development of strategic provider relationships for all product lines ... . This position will develop..
Job Information Humana Medical Director - Florida Medicaid in Glen Allen Virginia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
... 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 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 ..
... 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 Glen Allen Virginia Description ... Glen Allen Virginia Description The Provider Contracting Professional 2 initiates, negotiates, and executes .....
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..
