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Description The Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Director, Provider Contracting requires an in-depth ..
... measures the effectiveness of existing business processes and develops sustainable, repeatable ... develops sustainable, repeatable and quantifiable business process improvements. The Director, Process ... Director, Process Improvement researches best..
Description The Senior Product Manager - Fully Insured supports strategy ... - Fully Insured supports strategy development, delivery, and management of the ... portfolio for the Employer Group business. Responsibilities..
Description The Director, Provider Reimbursement is responsible for the leadership, strategy development and execution of Humana Military's provider reimbursement methodologies. This leader is responsible for timely and accurate implementation of Government ..
Description The Lead Product Manager for Specialty products leads all ... Position Overview The Lead Product Manager Leads all phases of the ... products and uses customer and business partner..
... 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..
... vendors, as needed. Humana Government Business government contract requires U.S. citizenship ... to support trend opportunities or business needs. Includes documenting and delivering ... Care Management operational leaders, lead..
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 ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... schedules and goals. Responsibilities The Manager, Utilization Management Nursing..
... leads transformations and experience improvement development for Humana's digital member portal ... portal. Connect member needs with business value propositions and development feasibility. Simplify complex problems and ... users..
... Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while ... hospice and palliative care pharmacy business acquired by Humana in 2021. ... nation's largest full-service pharmacy benefits..
... Clinical Analytics and Trend Program Manager in Albany New York Description ... Practice Lead builds strategies for development, engagement, best clinical practices and ... Clinical Analytics & Trend Program..
... broad, advanced product experience and business acumen. Responsibilities As the Director ... Management, you will drive the development of strategic, high-performing transformational clinical ... lifecycle, user and buyer experiences,..
... as a focus on collaborative business relationships, value based care, population ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
... execution to deliver longer term business value. Can possess specialized knowledge ... possess specialized knowledge of Software Development Life Cycle (SDLC) and Information ... Required Qualifications Bachelor's Degree in..
Description Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will assess, plan, coordinate, implement, ... Care Management Team, the care manager..
Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... schedules and goals. Responsibilities The Manager, Care Management oversees..
... lean startup, and agile product development methodologies. Responsibilities As a Product ... methodologies. Responsibilities As a Product Manager for Whole Person Health here ... ideal candidate has experience in..
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 ..
... clinical operations delivery, Preauthorization List development and governance, Mental Health Parity, ... processes are in place; Support development of national clinical staffing models ... *Bachelor's Degree in health or..
... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care..
Description The Senior Product Manager conceives of, develops, delivers, and ... customer use. The Senior Product Manager work assignments involve moderately complex ... factors. Responsibilities The Senior Product Manager will..