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Description The Senior Product Management Professional monitors performance and recommends schedule changes, cost adjustments, or resource additions. Investigates facts and develops solutions to problems during the design and planning phases. Provides ..
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... Advantage (YHA) is a Humana-owned Healthcare Management Company dedicated to improving ... Responsibilities The Care Management Support Professional contributes to administration of the ... improvement. The Care Management Support..
... The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge ... The Utilization Management Behavioral Health Professional 2 work assignments are varied ... The Utilization Management Behavioral Health..
Description The Clinical Data and Reporting Professional 2 generates ad hoc reports and regular datasets and reporting for clinical leadership decision making. The Clinical Data and Reporting Professional 2 also pulls ..
Description The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied ..
... Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, ... Senior Clinical Strategy and Practice Professional work assignments involve moderately complex ... Responsibilities The Senior Behavioral Health..
Description The Financial Analytics Professional 2 manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Financial Analytics Professional 2 work assignments are ..
Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
Description The Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization Behavioral ..
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 Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..
Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... insurance. The Senior Provider Contracting Professional work assignments involve moderately complex ... USA) The Senior Provider Contracting Professional..
... Senior Claims Research & Resolution Professional manages claims operations that involve ... Senior Claims Research & Resolution Professional work assignments involve moderately complex ... Senior Claims Research & Resolution..
Description The Senior Quality Improvement Professional will focus organizational efforts on ... improvement. The Senior Quality Improvement Professional work assignments involve moderately complex ... Responsibilities The Senior Quality Improvement Professional..
Job Information Humana Provider Contracting Professional - Behavioral Health in Indianapolis Indiana Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health physician, hospital, and/or other provider contracts and ..
Description The Senior Program Delivery Professional strategically identifies, develops, and implements programs that influence providers, members or market leadership towards value-based relationships and/or improved quality metrics. The Senior Program Delivery Professional ..
Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the ..
Job Information Humana Senior Accreditation Professional in Indianapolis Indiana Description The ... Indiana Description The Senior Accreditation Professional works in a team environment ... Home Anywhere The Senior Accreditation Professional..
Description The Senior Quality Improvement Professional will focus organizational efforts on ... quality improvement. Senior Quality Improvement Professional work assignments involve moderately complex ... Responsibilities The Senior Quality Improvement Professional..
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 Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
