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Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Title: Medical Director Location: Work..
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Description As the Director, Sales Product -Employer Group you ... Enterprise Clinical Operating Model. This position is full-time with preference of ... to meet you. Responsibilities The Director, Sales Product..
Description Humana is seeking an experienced management professional to lead an interactive team with broad exposure and scope within Humana. This position will work and collaborate with leaders across the Humana ..
Description Responsibilities The Associate Director for ACD Audit , at ... ACD Audit , at the director of the Director of Payment Integrity, will create ... optimizing operational processes. The..
Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..
... under the direction of the Director of Business Development for the ... campuses and ambulatory sites. The position will be responsible for building ... and generating analytic reports. The..
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, ..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..
... introduction into the marketplace. Responsibilities Position Overview The Lead Product Manager ... introduction into the marketplace. The position focuses on meeting specialty growth ... Manager works alongside the The..
... and professionals, every day. This position reports to a Yale New ... the Chief Quality Officer. The position has responsibility and accountability for ... (e.g., CAP, Workout), and/or other..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..
... Humana is a Fortune 60 healthcare company with a history of ... our diverse lines of business position us to serve millions of ... top place to work in..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Bridgeport Connecticut ... Bridgeport Connecticut Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... President, Strategy Advancement for our..
Level Management Job Location LISA - WISH Program - Plainville, CT Position Type Full Time Education Level Bachelors Degree Travel Percentage License Required Job Shift Various Shift Hours Job Description Are ..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of ..
... requires U.S. citizenship for this position . 75% Quality Monitoring Audits. ... assigned by Supervisor, Manager and/or Director. 5% Utilizes established reporting and ... with the purpose of the..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
Description The Director of Product Management for Clinical ... business acumen. Responsibilities As the Director of Product Management for Clinical ... Humana will unlock new markets, position products vs. competitors..
Description Humana is seeking a Director of Strategy with significant strategy consulting experience to manage and deliver strategy projects and analysis on behalf of our Medicare Prescription Drug Plan business. You'll ..
Description The Director, Provider Reimbursement is responsible for ... team of associates. Responsibilities The Director, Provider Reimbursement develops and executes ... collaboration with other leaders, this Director will develop and..