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... processing operations and systems. The Director, Claims Oversight plays a vital ... relate to claims. Responsibilities The Director, Claims Quality Audit will oversee ... exceptional results to the TRICARE..
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... will report directly to the Director of Value-Based Strategies - CMS ... Bachelor's Degree 5 years in healthcare management, consultation, or similar role ... in Business, Public Health, or..
Description As the Director, Sales Product -Employer Group you will be responsible for defining and executing upon the sales product strategy & enablement plans across specific local markets and lines of ..
Description The Director of Health Services for National ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... the clinical delivery process. The Director of Health Services..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Phoenix Arizona ... Phoenix Arizona Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
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 Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
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 ..
FT/40hrs. This position is responsible for the training, support, and supervision of a team of Wraparound Facilitators, Child and Family Specialists, and Parent Partners. They are responsible for attending County Wraparound ..
Description Humana is seeking an experienced management professional to lead an interactive team with broad exposure and scope within Humana. This position will work and collaborate with leaders across the Humana ..
Description As the Associate Director, IT Project Management, you will ... your background and experience in program management to lead and manage ... our Medicare segment. The Associate Director is..
Job Description Health and Fitness Specialist - Certified Personal Trainer Responsible for providing a safe and effective exercise environment for club Members/Guests through supervision of exercise programs, education of the Members/Guests ..
Job Description $2000 Sign-On Bonus for qualified new hires! The Licensed Vocational Nurse (LVN)/ Licensed Practical Nurse (LPN) in expanded scope clinics is an integral part of the clinic team inside ..
We are located in Mesa off Baseline and Higley WE OFFER COMPETITIVE PAY and FLEXIBLE HOURS Sante of Mesa offers an excellent benefits package to include medical, dental, vision, pet, disability, ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Who We Are: Santé was founded in 2008 on the premise of reshaping the way our guests and patients receive care, challenging the status quo, raising standards and changing opinions. Unsurpassed ..
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..
... Advantage (YHA) is a Humana-owned Healthcare Management Company dedicated to improving ... to supplement Humana's Health Assessment Program. The summary of the IHWA ... for necessary follow-up care. This..
Job Information Humana Physician - CenterWell - Atlanta, GA - College Park in Tempe Arizona Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a ..
We are hiring for all shifts and PT or FT! Who We Are: Santé was founded in 2008 on the premise of reshaping the way our guests and patients receive care, ..
Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..
Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director, Utilization Management Nursing requires a ... clinical delivery process. The Associate Director, Utilization Management..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
