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... Information Humana Manager, Behavioral Provider Contracting - Remote in Aberdeen South ... 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 Aberdeen South Dakota ... South Dakota Description The Provider Contracting Professional 2 Behavioral Health Network ... agreements to include Medicare gap closing/contracting Responsibilities..
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 Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
Description Responsibilities This position will maintain the Humana Military ACD website Autism Center of Excellence (CoE); ensuring educational information is current and relevant to training needs in addition to analyzing and ..
Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the ..
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 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 ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Aberdeen South Dakota Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with ..
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 ..
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..
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 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,..
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 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 Responsibilities The Autism Care Demonstration (ACD) Senior Learning Design Professional analyzes content, organizes content, designs solutions, and writes storyboards, scripts, performance support, newsletters and notification letters. Analyzes learning needs and ..
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 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..
Job Information Humana Provider Contracting Professional - Behavioral Health in Aberdeen South Dakota Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health physician, hospital, and/or other provider contracts ..
Description The Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The Senior Clinical Strategy and Practice Professional ..
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 ..
