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... data, provider directories, and/or contract management The Network Operations Coordinator (NOC) ... a variety of other network management projects. The NOC works within ... within several complex provider data..
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... will be responsible for the management and manipulation of quality data ... analysis results / recommendations to management in a timely, consistent, and ... the Senior Data and Reporting..
... Humana Responsibilities The Director, Clinical Management Strategy and Implementation, must be ... a primary focus on care management into an ongoing strategic design ... ensure organizational goals for care..
Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... insurance. The Senior Provider Contracting Professional work assignments involve moderately complex ... Assignment: Humana Behavioral Health Location: WAH..
... will take ownership of Medicare risk adjustment programs that fit best ... clinical best practices in the risk adjustment methodology, understanding clinical suspects ... advanced understanding of the HCC..
... Texas Description The Senior Product Management Professional/Technical Product Manager (TPM) must be ... into the marketplace and ongoing management. The TPM role has an ... systems. Responsibilities The Senior..
... a Senior Finance Acquisition Integration Professional to drive project-oriented duties related ... the Senior Finance Acquisition Integration Professional, you will collaborate and facilitate ... The Senior Finance Acquisition Integration..
... you an experienced mainframe storage professional seeking opportunities to have significant ... including the evaluation of impact, risk, and scheduling of all changes ... the area of mainframe storage..
Description The Risk Management Professional 2 a critical member within Humana's ... member within Humana's Third Party Risk Management Program (TPRM), a 2nd Line ... our program by implementing vendor..
... accounts. The Large Group Underwriter 2 work assignments are varied and ... Review customer data and assess risk, providing accurate case documentation and ... and sound decisions Evaluate financial..
... Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in ... Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... insurance. The Senior Provider Contracting..
Description The Associate Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Associate Director, Provider Contracting requires a solid understanding of how organization capabilities ..
... Provider Services Market Rollout Senior Professional provides support to the implementation ... market rollout end-to-end. The senior professional requires an in-depth understanding of ... performance 3 years of project..
... Humana Manager, Fraud and Waste-Remote US in San Antonio Texas Description ... well-being. We also provide excellent professional development & continued education. Required ... field Prior experience with corporate..
