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Job Information Humana Manager, Behavioral Provider Contracting - Remote in Montpelier ... in Montpelier Vermont Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment ... and recruiting..
... 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 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..
Job Information Humana Provider Contracting Professional 2 - Behavioral ... in Montpelier Vermont Description The Provider Contracting Professional 2 initiates, negotiates, ... hospital, and/or other Behavioral Health provider contracts and..
Job Information Humana Manager of Fraud and Abuse Data ... Montpelier Vermont Description Responsibilities The Manager of Fraud and Abuse Data ... related efforts with Claims Oversight, Provider Network Operations,..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Montpelier Vermont Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..
... Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in ... The Director, Behavioral Health (BH) Network and Market Strategy will insure ... with business development teams and..
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..
... 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 Care Manager, Telephonic Nurse Assistant 2 receives ... from members. The NAL Care Manager, Telephonic Nurse Assistant 2 is ... is able guide members to in-network providers, answer..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
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 ..
Job Information Humana Network Operations Lead - Behavioral Health/Medicaid ... in Montpelier Vermont Description The Network Operations Lead maintains provider relations to support customer service ... integrity management and gathering..
... 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..
Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..
Description As the Head of Primary Care Recruiting in Humana's Primary Care Organization, you will be responsible for developing and engaging your team and educating the business around the Talent Acquisition ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
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 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..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... of the strategy inclusive of..
