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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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Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... insurance. The Senior Provider Contracting Professional work assignments involve moderately complex ... Responsibilities The Senior Provider Contracting Professional..
... 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..
... 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..
... 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 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..
... 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 Dallas Texas Description The ... well-being. We also provide excellent professional development & continued education. Required ... field Prior experience with corporate..
... 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..
... Humana Manager, Fraud and Waste-Remote US in Houston Texas Description The ... well-being. We also provide excellent professional development & continued education. Required ... field Prior experience with corporate..
... 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..
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 ..
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..
... 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..
... Follows established guidelines/procedures. Responsibilities About Us Healthcare isn't just about health ... and more productive in their professional and personal lives. We encourage ... diet, general health and stress..
Description Responsibilities About Us At Conviva Care Solutions, we ... Conviva Care Solutions is a management services organization representing nearly 300 ... help coordinate and evaluate the management of patients..
... Humana Manager, Fraud and Waste-Remote US in Austin Texas Description The ... well-being. We also provide excellent professional development & continued education. Required ... field Prior experience with corporate..
... 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..
