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Director, Contracting & Network Development','1199846','!*!Position Purpose: Oversee activities of the provider contracting, network development and/or provider relations functions and aid in formulating and administering organizational policies and procedures.Oversee provider contracting activities ..
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SYSTEM EXECUTIVE DIRECTOR PHYSICIAN REVENUE CYCLE','EXE0015B','!*!This position is employed by NC Health ... employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a ... is not a State employed..
HEALTHCARE DATA ANALYST - HOSPITAL QUALITY ... - HOSPITAL QUALITY AND INNOVATION','OTH01PXK','!*!This position may involve support of various ... meeting deliverables and expectations. This position is part of the UNC..
MEDICAL DIRECTOR FAMILY PRACTICE - VIRTUAL CARE','OTH01Q6A','!*!Purpose: ... - VIRTUAL CARE','OTH01Q6A','!*!Purpose: The Medical Director of UNC Health’s Virtual Services ... about transforming the future of healthcare. This position partners with..
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..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Charlotte North ... North Carolina Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
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 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..
... join the team as Market Director Clinical Professional Development!n nThis position will provide leadership for clinical ... stock purchase program.n nJob Summary:nThis position is responsible for enhancing professional .....
HCS DIRECTOR PATIENT ACCESS - MEDICAID ELIGIBILITY','OTH01Q2C','!*!Manage Medicaid eligibility enrollment of all Medicaid programs statewide. Reviews work of eligibility review staff for quality assurance. Plans, develops, implements and monitors comprehensive Medicaid ..
Description The Director, Health Services utilizes clinical nursing ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... segment. Responsibilities The SC Medicaid Director, uses clinical knowledge,..
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 ..
EXECUTIVE MEDICAL DIRECTOR - UNC PHYSICIANS NETWORK TRIANGLE ... NETWORK TRIANGLE WEST','ALL00001','!*!The Executive Medical Director supports the Chief Medical Officer ... Physicians Network. As Executive Medical Director, this position provides..
Job Description DAY CARE-Classified Job Qualification Minimum Experience/Requirements: Candidates must be at least 18-years old and have relevant work experience for the position. Continuing or Temporary: Continuing Level of Benefits: Partial ..
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 ..
... treatments in collaboration with the Director. Plans, coordinates and acts as ... policies, and confers with the Director and Human Resources regarding the ... Staff By-Laws. Responsible for strong..
Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
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..
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 ..
DIRECTOR ACUTE CARE AT HOME - ... AT HOME - VIRTUAL CARE','OTH01Q7C','!*!The Director of UNC Health’s Acute Care ... program is a dynamic, experienced healthcare administrator/operations leader passionate about transforming..
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..
... 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..