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Job Information Humana Manager, Behavioral Provider Contracting - Remote in Portland ... in Portland Maine Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment ... and recruiting..
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..
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..
... performs regular maintenance testing, informing lead/manager of need for outside repair ... Current American Heart Association (AHA) Healthcare Provider Basic Life Support (BLS) certification ... in Oregon** As the..
Job Information Humana Provider Contracting Professional 2 - Behavioral ... in Portland Maine Description The Provider Contracting Professional 2 initiates, negotiates, ... hospital, and/or other Behavioral Health provider contracts and..
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 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..
... 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..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Portland Maine Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..
... Simulation reports to the Regional Manager of Clinical Orientation and Development. ... and developing the preceptor, clinical manager, and resident/fellow relationship triad. This ... Oversee the learner, preceptor, and..
... Tools, Education and Process for Network Language Resource Group is responsible ... for analyzing and improving current provider contracting templates, processes and standardization. ... provide internal support to all..
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 ..
... Nurse License upon hire. National Provider BLS - American Heart Association ... Washington Territory. As the largest healthcare system and largest private employer ... neonatal intensive care. Our not-for-profit..
... 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 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..
... Review charts and adjusts daily provider schedules to ensure accuracy in ... experience in customer service or healthcare registration Satisfactory completion of college ... and third party payor experience..
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..
Job Information Humana Network Operations Lead - Behavioral Health/Medicaid ... in Portland Maine Description The Network Operations Lead maintains provider relations to support customer service ... integrity management and gathering..
... is calling a Clinical Case Manager (LCSW) - Utilization Review Quality ... are seeking a Clinical Case Manager (LCSW) - Utilization Review Quality ... factors that impact a person's..
... 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..