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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 ..
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... State Agency relationships to support business compliance with contractual requirements, establishing ... contractual compliance measures. Lead the development of procedures and administrative policies ... capacity to support and inform..
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..
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 ..
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 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 ..
... 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..
... 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..
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..
... 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..
... 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..
... 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..
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..
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..
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..
... 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..
... Clinical Analytics and Trend Program Manager in Lancaster South Carolina Description ... Practice Lead builds strategies for development, engagement, best clinical practices and ... Clinical Analytics & Trend Program..
... 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..
Description Healthcare is rapidly changing, and our ... able to work closely with business leaders in Care Management to ... outcome metrics aligned to driving business and strategic goals of..
... 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..
... 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,..
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 ..
