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Description The Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Director, Provider Contracting requires an in-depth ..
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... State Agency relationships to support business compliance with contractual requirements, establishing ... contractual compliance measures. Lead the development of procedures and administrative policies ... capacity to support and inform..
... not limited to: Supports the development and implementation of quality improvement ... building Experience working with cross-functional business areas Role Desirables Bachelor's Degree ... degree Advanced degree in a..
... 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 Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for claims reserve valuation, financial forecasting, and strategic and operational decisions within ..
... leads transformations and experience improvement development for Humana's digital member portal ... portal. Connect member needs with business value propositions and development feasibility. Simplify complex problems and ... users..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Lancaster South Carolina Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with ..
... products and uses customer and business partner feedback to evaluate product ... the Employer Segment from concept development through delivery. You will also ... Specialty Leadership Collaborates on the..
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 ..
... is Humana's wholly-owned home care business acquired in 2012. We're passionate ... recruiting, and screening qualified home healthcare applicants within an assigned territory. ... supervision, assists in the implementation,..
... as a focus on collaborative business relationships, value based care, population ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
... - Fully Insured supports strategy development, delivery, and management of the ... portfolio for the Employer Group business. Responsibilities The Senior Product Manager ... framework, and uses customer and..
... Manager will work side-by-side with business partners to assist in the ... They will work with the development team to ensure the right ... ideal candidate has experience in..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..
... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With a history of transformation ... about solving big problems in..
... 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 Medical Coding Auditor Supervisor handles a combination of tasks, including extracting clinical information from a variety of medical records and assigning appropriate procedural terminology and medical codes (e.g., ICD-10-CM, ..
Description The Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The Senior Clinical Strategy and Practice Professional ..
... 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..
... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... President, Strategy Advancement for our..
... provide guidance and collaborate with business partners and leadership on these ... assesses and communicates information regarding actuarial/business risks across the organization. Provides ... certifying actuaries, executives, and non-actuarial..
