Healthcare Contract Specialist Jobs

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 ..

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

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 ..

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 ..

Job Information Humana FP&A Lead, Medicaid Market in Indianapolis Indiana Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..

Job Information Humana Medical Director - Florida Medicaid in Indianapolis Indiana Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Work type: Full Time Faculty Location: Indianapolis, IN Categories: Faculty - Nursing, Faculty General Description of Position: Has responsibility for two or more programs, campuses or academic initiatives. Manage all elements ..

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 ..

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 UM Medical Director - Conviva in Indianapolis Indiana Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

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 ..

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 ..

Job Information Humana Medicare Appeals and Grievance Medical Director in Indianapolis Indiana Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..

Job Information Humana Medical Director - National Medicare Team in Indianapolis Indiana Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..

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 Senior Provider Contracting Professional - TRICARE Behavioral Health in Indianapolis Indiana Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is responsible ..

Work type: Full Time Faculty Location: Indianapolis, IN Categories: Faculty - Nursing, Faculty General Description of Position: Manage all elements of the designated academic program, including enrollment management, program administration, instructional ..

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, ..

Executive (234) General Nursing (2) Hospitality, Facility, Environmental Support (891) Operations (287) Type Contract (0) Fellowship (0) Full Time (179) Locum Tenens (0) Part Time (28) Partnership (0) Per Diem (0) ..

Work type: Part Time Hourly Location: Systems Office - Indianapolis, IN Categories: Other General Description of Position: The test administrator will administer practical (skills) and ‘written’ CNA, QMA, and Insulin Administration ..

... 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 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 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 ..