Healthcare Operations Jobs

Requisition Number: 60408   Company Name: The Davey Tree Expert Company  Service Line: 1RES - Kent-Residential & Commercial Services  Employment Type: Regular  Job Type: Full Time  Education Level Required: High School Diploma ..

Job Information Humana Nurse Advice Line Telephonic Nurse 2 in Indianapolis Indiana Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..

... Services for National Medicaid Clinical Operations utilizes clinical skills to support ... grow, the National Medicaid Clinical Operations team is expanding our shared ... Services for National Medicaid Clinical..

Job Information Humana Senior Product Management Professional / Release Train Engineer in Indianapolis Indiana Description The Senior Product Management Professional / Release Train Engineer must be able to lead, plan and ..

Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..

Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..

Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..

Job Information Humana Manager, Behavioral Provider Contracting - Remote in Indianapolis Indiana Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers and ..

Job ID 21000J0GAvailable Openings 2Position Specific Information Sign On Bonus: $1,500 for Dialysis Experience 1420 N Senate Ave, Ste 100, Indianapolis, 46202 PURPOSE AND SCOPE: Functions as part of the hemodialysis ..

Job ID 21000GL9Available Openings 2Position Specific Information No experience necessary! We offer paid training. 1225 W 86TH ST Indianapolis, IN 46260DescriptionProvide your personal attention and kindness, professional insight, and a generosity ..

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 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 ..

... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With a history of transformation ... about solving big problems in..

Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..

Description Responsibilities This role within the Autism Care Demonstration (ACD) Team, will work closely with Care Management leaders and Subject Matter Experts in the areas of Case Management, Utilization Management and ..

Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future. Within Strategy Operations, you will ..

Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Indianapolis Indiana Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the ..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Indianapolis Indiana Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

... and services. Partners closely with operations, vendors, customer success teams and/or ... insights Bachelor's degree in Business, Healthcare Administration or other related fields ... 50 market leader in integrated..

Description The Network Operations Lead maintains provider relations to support customer service activities through data integrity management and gathering of provider claims data needed for service operations. The Network Operations Lead ..

Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..

Job Information Humana Compliance Lead - Illinois Medicaid in Indianapolis Indiana Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ..