Contract Healthcare Jobs in Riverton

Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..

Job Information Humana Contract Tools, Education, Processes Professional - ... in Riverton Wyoming Description The Contract Tools, Education, Processes Professional builds ... best in class knowledge. The Contract Tools, Education,..

Job Information Humana Senior Contract Tools, Education, Processes Professional - ... Riverton Wyoming Description The Senior Contract Tools, Education, Processes Professional builds ... in class knowledge. The Senior Contract Tools,..

Description Humana's Service Fund organization is looking for Senior Provider Installation Professional to join the team working from home anywhere in the US. The Senior Provider Installation Professional administers the installation ..

Description Responsibilities If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver ..

Job Information Humana Director, Informatics in Riverton Wyoming Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..

Description The Senior Value-Based Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Analyst works on problems of diverse ..

Job Information Humana CMO - Regional VP, Health Services - Intermountain Region in Riverton Wyoming Description The Regional VP, Health Services relies on medical background and reviews health claims. The Regional ..

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Riverton Wyoming Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..

Job Information Humana Medicare/Medicaid Program Manager -- Remote in Riverton Wyoming Description Humana's Enterprise Shared Services organization is seeking an outstanding cross-functional program leader to join its Business Management team. This ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

... not limited to demographics and contract accuracy. Additional Information - How ... not limited to demographics and contract accuracy. Manages provider directory audits, ... audits, previews credentialing, and utilizes..

Job Information Humana Telephonic Care Manager in Riverton Wyoming Description The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach for Behavioral ..

Job Information Humana Senior Cloud Services Engineer in Riverton Wyoming Description Responsibilities Are you looking for an innovative way to utilize your cloud engineering skills in hybrid cloud environment and support ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..

Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability shine? ..

Description The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Professional 2 work assignments are varied and frequently require interpretation ..

... Senior Provider Contracting Professional communicates contract terms, payment structures, and reimbursement ... and may be involved in contract efforts in Idaho, Utah, and ... and network administration in a..

Description The Senior Market Development Professional provides support to assigned health plan(s) relative to Behavioral Health RFPs, product implementations and operational support. The Senior Market Development Professional work assignments involve moderately ..

Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional ..

Job Information Humana Director, Provider Contracting - Behavioral Health Medicaid in Riverton Wyoming Description The Director, Provider Contracting - Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider ..