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... Information Humana Manager, Behavioral Provider Contracting - Remote in Billings Montana ... Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, ... Manager, of Behavioral Health Provider..
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Description The Provider Contracting Professional 2 initiates, negotiates, and ... provides health insurance. The Provider Contracting Professional 2 work assignments are ... of action. Responsibilities The Provider Contracting Professional 2..
Job Information Humana Provider Contracting Professional in Billings Montana Description ... Billings Montana Description The Provider Contracting Professional 2 Behavioral Health Network ... agreements to include Medicare gap closing/contracting Responsibilities..
Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for final distribution all medical records ..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..
Description The Senior Provider Contracting Professional initiates, negotiates, and executes ... health insurance. The Senior Provider Contracting Professional work assignments involve moderately ... (anywhere USA) The Senior Provider Contracting Professional..
The RIIC at the University of Montana is looking for a Knowledge Translation Coordinator to join our team. Knowledge translation (KT) refers to strategies that move research into practice by improving ..
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 Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, ... segment. Responsibilities The Director, Provider Contracting- Behavioral Health Medicaid communicates contract ... Degree 5 plus years provider contracting experience,..
As a Recruitment Specialist you will be joining our UM Human Resource Services (HRS) recruitment team and the larger HRS team. Our team is made up of light-hearted, lively, hardworking, and ..
Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management Pharmacist work assignments involve moderately ..
Description The Provider Contracting Executive initiates, negotiates, and executes ... provides health insurance. The Provider Contracting Executive works on problems of ... to substantial. Responsibilities The Provider Contracting Executive communicates..
Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and ... segment. Responsibilities The Director, Provider Contracting- Behavioral Health communicates contract terms, ... Degree 5 plus years provider contracting experience,..
Description The Provider Contracting Executive initiates, negotiates, and executes ... provides health insurance. The Provider Contracting Executive works on problems of ... to substantial. Responsibilities The Provider Contracting Executive is..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description The Pharmaceutical Manufacturer Relations Executive ensures the Pharmacy trade strategy aligns with formularies and the desired health outcomes of patients. The Pharmaceutical Manufacturer Relations Executive works on problems of diverse ..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
Job Information Humana Provider Contracting Professional - Behavioral Health in Billings Montana Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health physician, hospital, and/or other provider contracts and ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Billings Montana Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the ..
Description The Hospital Contracting Executive initiates, negotiates, and executes ... provides health insurance. The Hospital Contracting Executive works on problems of ... to substantial. Responsibilities The Hospital Contracting Executive communicates..
