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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 ..
Description The Director, Health Services utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health Services requires an in-depth understanding ..
Description Humana is a Fortune 60 healthcare company with a history of successful innovation and reinvention, with over 50 years as a proven leader and innovator in the health and wellness ..
Description Responsibilities The Director, Provider Contracting initiates, negotiates, and executes physician, hospital, ancillary and/or other provider contracts and agreements for an organization that provides health insurance. The Director, Provider Contracting requires ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Lancaster South ... South Carolina Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
Job Information Humana Director, State Public Policy in Lancaster South Carolina Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public ..
Description The Director, Physician Leadership relies on medical background and reviews health claims. The Director, Physician Leadership requires an in-depth understanding of how organization capabilities interrelate across the function or segment. ..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
Description The Director, Medical Coding extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Director, Medical ..
Job Information Humana Director, Contract Tools, Education, Processes (remote ... Lancaster South Carolina Description The Director, Contract Tools, Education, Processes manages ... best in class knowledge. The Director, Contract Tools,..
Job Information Humana Director, Informatics in Lancaster South Carolina ... Lancaster South Carolina Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
Job Information Humana Director, Medicaid Strategic Solutions in Lancaster South Carolina Description Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy & Optimization Organization in order to support ..
Director of ICU Are you looking for an opportunity with a leading healthcare provider dedicated to the growth and development of an amazing team? We are looking for a Director of ..
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 ..
Job Information Humana Director, Behavioral Health Strategy in Lancaster South Carolina Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Lancaster South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..
Description The Director, Corporate Communications develops and coordinates lines of communication outside the department. The Director, Corporate Communications requires an in-depth understanding of how organization capabilities interrelate across the function or ..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
Job Information Humana Director of Public Policy in Lancaster South Carolina Description The Director of Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy ..
Description The Director, Process Improvement analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Director, Process Improvement requires an in-depth understanding ..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in Lancaster South Carolina Description The Director, Behavioral Health (BH) Network and Market Strategy will insure that the appropriate providers ..
