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... support Humana in assuming financial risk for Original Medicare beneficiaries through ... responsible for the development and management of positive, long-term relationships with ... will report directly to the..
... Advantage (YHA) is a Humana-owned Healthcare Management Company dedicated to improving clinical ... Advantage members who are at risk of excessive utilization of future ... within the business including..
Description The Supervisor, Care Management Support contributes to administration of ... contributes to administration of care management. Provides non-clinical support to the ... of members. The Supervisor, Care Management Support..
Job Information Humana Director, Behavioral Health Network & Market ... Colorado Springs Colorado Description The Director, Behavioral Health (BH) Network and ... model design (full or partial risk, PPPM, upside..
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... Colorado Springs Colorado Description The Healthcare Quality Reporting & Improvement (HQRI) ... that leads Humana's Stars and..
... according to CMS and ICD-10 risk adjustment coding guidelines. In this ... also taking ownership of Medicare risk adjustment programs that fit best ... clinical best practices in the..
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few powerful ... that report to this Associate director will assist in identifying 'NEW' ... those areas. As the Associate..
Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... Responsibilities Key Responsibilities Leverage product management expertise to create simple, personalized ... the moment of need for..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in Colorado Springs Colorado Description ... Colorado Springs Colorado Description The Healthcare Quality Reporting & Improvement (HQRI) ... national..
Description The Director, Health Services Nursing serves as ... for Humana Behavioral Health Utilization Management Inpatient services - including all ... building out clinical capabilities. The Director will be responsible..
... 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..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... Vice President, Home Care Product..
Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..
Job Information Humana Director, Medicaid Strategic Solutions in Colorado ... the mission of a leading healthcare company committed to improving the ... structured problem solving, and project management rigor. We..
Job Information Humana Sr Medicare Risk Adjustment Coding & Documentation Improvement ... Springs Colorado Description Sr Medicare Risk Adjustment Coding & Documentation Improvement ... clinical best practices in the risk..
Description Humana's Enterprise Clinical Management team needs your clinical, business ... acumen to solve for the healthcare challenges of today. The Clinical ... organization is seeking a Medical Director of..
Description As the Associate Director, IT Project Management, you will use your background ... background and experience in program management to lead and manage a ... our Medicare segment. The..
... 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..
Description The Vendor Quality Medical Director will manage clinical vendor quality ... Responsibilities A full time Medical Director to manage clinical vendor quality ... for inpatient and outpatient utilization management..
