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Job Information Humana Senior Contract Tools, Education, Processes Professional - ... Birmingham Alabama Description The Senior Contract Tools, Education, Processes Professional builds ... in class knowledge. The Senior Contract Tools,..
Allied Health (159) Executive (1) General Nursing (6) Mental Health/Social Services (2) Nursing Support (7) Operations (11) Physicians/Surgeons (24) Type Contract (0) Fellowship (0) Full Time (18) Locum Tenens (0) Part ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
... market contracting teams to influence specialist contract terms that align with Service ... in close coordination with PCP Contract Load, Capitation Rates, Payments, and ... Adjustments teams to ensure..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Allied Health (165) Executive (1) General Nursing (6) Mental Health/Social Services (1) Nursing Support (6) Operations (11) Physicians/Surgeons (24) Psychology (1) Type Contract (0) Fellowship (0) Full Time (20) Locum Tenens ..
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 ..
Job Information Humana FP&A Lead, Medicaid Market in Birmingham Alabama Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
Job Information Humana Senior Provider Contracting Professional - TRICARE Behavioral Health in Birmingham Alabama Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is responsible ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Birmingham Alabama Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
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, ..
Job Information Kindred at Home Healthcare Account Executive in Birmingham Alabama ... Alabama As a Home Health Specialist , you will: Call on ... line extensions and proposal or contract..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
