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... building provider relationships and expanding business opportunities. Prior business “ownership” and operating experience within ... and their impact on payer/provider business models is required, as is ... the continuum..
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... will be responsible for the development and management of positive, long-term ... excellence. Decisions and responsibilities include development of effective DCE/participating provider relationships, ... between DCE and participating providers,..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
... execution to deliver longer term business value. Can possess specialized knowledge ... possess specialized knowledge of Software Development Life Cycle (SDLC) and Information ... Required Qualifications Bachelor's Degree in..
Job Title: Caregiver - Home Health Aides ON THE SPOT INTERVIEWS Walk in and speak to any one of our friendly representatives on all immediate job openings. Fill out an application ..
... specialty membership. Responsibilities Drive the development and execution of clinical programs ... drug trends and clinical program development to drive a continuous pipeline ... specialty initiatives. Collaborate with pharmacists,..
Description The Senior Physician Recruiter recruits qualified physicians for medical staff and assists in development of strategic physician recruitment plans. The Senior Physician Recruiter work assignments involve moderately complex to complex ..
Description The Wellness Coach 2 supports health promotion and disease prevention and care management services. The Wellness Coach 2 work assignments are varied and frequently require interpretation and independent determination of ..
... broad, advanced product experience and business acumen. Responsibilities As the Director ... Management, you will drive the development of strategic, high-performing transformational clinical ... lifecycle, user and buyer experiences,..
Description The Director, Provider Reimbursement is responsible for the leadership, strategy development and execution of Humana Military's provider reimbursement methodologies. This leader is responsible for timely and accurate implementation of Government ..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
... Practice Lead builds strategies for development, engagement, best clinical practices and ... Minimum 2 years working in healthcare or a related industry 3 ... with data and analytics Strong..
Job Title: Entry Level - Caregiver - Health Companion ON THE SPOT INTERVIEWS Walk in and speak to any one of our friendly representatives on all immediate job openings. Fill out ..
... clinical operations delivery, Preauthorization List development and governance, Mental Health Parity, ... processes are in place; Support development of national clinical staffing models ... *Bachelor's Degree in health or..
Experienced Caregivers - Caregiving Weekend / Holiday / On Call / $600 Hiring Bonus $300 Referral Bonuses to $16 Hour Home Health Aide $600 Hiring Bonus $300 Referral Bonuses to $16 ..
... direction to identify and address business issues and opportunities related to ... the end-to-end project of strategy development. Required Qualifications Bachelor's degree or ... degree or Advanced Degree in..
... growth opportunities and work with business leaders to prioritize strategic investments ... industry analysis, building high level financial/business modeling, conducting qualitative analysis (e.g. ... services to Humana's lines of..
Experienced Caregivers -Caregiving - Home Health Aide - $600 Hiring Bonus $300 Referral Bonuses to $16 Hour Home Health Aide $600 Hiring Bonus $300 Referral Bonuses to $16 Hour ON THE ..
... digital-first platforms, analytics, and agile development methodologies. An opportunity to join ... lasting, positive changes in the healthcare industry. As a clinical informaticist ... members, be exposed to DH&A's..
Description The Clinical Pharmacy Advisor lead, overseeing Humana Pharmacy and Medical Trend, is a dynamic role within Humana. We are seeking a positive and proactive individual to contribute to a high ..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..