Healthcare Provider Network Manager Jobs

... management of psychopharmacology pharmacy benefits manager (PBM) activities, including the establishment ... coverage and services Collaborate with provider relations personnel to ensure high-quality ... care delivered through the BH..

Description Responsibilities Participates in all activities associated with delegated credentialing and recredentialing of providers in the TRICARE East Region, and Humana Government Business subsidiaries' networks. Monitors delegated organizations in processing provider ..

Job Information Humana Manager, Behavioral Provider Contracting - Remote in Cincinnati ... in Cincinnati Ohio Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment ... and recruiting..

... executes physician, hospital, and/or other provider contracts and agreements for an ... and recruiting providers based on network composition and needs. Advises executives ... or more years of progressive..

Job Information Humana Director Medicaid Provider Services (State of OH) in ... Ohio Description The Director Medicaid Provider Services oversees the plan's strategic ... Services oversees the plan's strategic provider..

... improvement throughout health plan operations, provider network and community partnerships to achieve ... by the National Association for Healthcare Quality (NAHQ), Certified QI Associate ... Quality Improvement/Quality Assurance in..

... to improve the beneficiary or provider experience. Assist with new referrals ... to care plan to ensure provider selection and appointment availability; This ... appointment availability; This includes discussing..

Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, ... executes physician, hospital, and/or other provider behavioral health contracts for an ... Medicaid segment. Responsibilities The Director, Provider Contracting- Behavioral..

Description The Health Equity Director is responsible for setting direction and establishing strategy to advance equitable health outcomes for our members in Ohio. To achieve this, the Health Equity Director will ..

... 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 The Director, Provider Contracting- Behavioral Health initiates, negotiates, ... executes physician, hospital, and/or other provider behavioral health contracts for an ... or segment. Responsibilities The Director, Provider Contracting- Behavioral..

Description The Provider Contracting Professional 2 initiates, negotiates, ... initiates, negotiates, and executes dental provider contracts and agreements for an ... that provides health insurance. The Provider Contracting Professional 2..

Description The Director, Provider Reimbursement is responsible for the ... and execution of Humana Military's provider reimbursement methodologies. This leader is ... prospective payment system software, and provider-specific reimbursement factors..

... improvement throughout health plan operations, provider network and community partnerships to achieve ... by the National Association for Healthcare Quality (NAHQ), Certified QI Associate ... Quality Improvement/Quality Assurance in..

Description The Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The Senior Clinical Strategy and Practice Professional ..