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Job Information Humana Senior Provider Contracting Professional - Remote ... Huntington West Virginia Description The Senior Provider Contracting Professional initiates, negotiates, ... Professional initiates, negotiates, and executes physician, hospital, and/or..
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Job Information Humana Senior Provider Contracting Professional - Remote ... Morgantown West Virginia Description The Senior Provider Contracting Professional initiates, negotiates, ... Professional initiates, negotiates, and executes physician, hospital, and/or..
Description The Physician Performance Insights team's mission is ... that enables objective evaluation of physician performance related to our two ... Responsibilities Humana is seeking a Senior Data Scientist (Senior..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in ... Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who ... company's Medicaid Stars Program. The Senior Stars..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Description The Senior Value-Based Analyst supports successful value-based ... and achieving path-to-value goals. The Senior Value-Based Analyst works on problems ... moderate to substantial. Responsibilities The Senior Value-Based Analyst advises..
Description Senior Compliance Professional ensures compliance with ... to Medicaid State reporting. The Senior Compliance Professional work assignments involve ... of variable factors. Responsibilities The Senior Compliance Professional researches compliance..
Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Humana's Wisconsin Medicaid Market ..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Charleston West Virginia Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives ..
Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization ..
... company with deep and multi-faceted physician and provider relationships, the Office ... the Provider team seeks a Physician Strategy Lead who will lead ... key process domains: (1) seeking/gathering..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
Description The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to determine the appropriate solution in order to conduct or facilitate training courses for organization employees ..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK ... is looking for an experienced Senior Healthcare Investigator to join its ... to join Humana's SIU. The Senior Fraud and..
Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana. Responsibilities ..
