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... Division of Hospitals, a comprehensive network of hospitals, outpatient surgery and ... a complete continuum of specialized healthcare programs that meet the healthcare needs of residents and businesses .....
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... with large system migrations in healthcare, and if you have experience ... Software implementation experience in the healthcare industry Experienced and adept with ... by delivering personalized, simplified, whole-person..
Description The RN, Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The RN, ..
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..
... Well-Being and Engagement Collaborate and network with other Sr. Market Development ... that work well for us Network with CNFL Provider Engagement Project Manager and attend meetings with Market..
Job Information Humana Associate Director Utilization Management in Tampa Florida Description Come join our team. We are looking for an Associate Director, Utilization Management to utilize clinical nursing skills to support ..
... Advantage (YHA) is a Humana-owned Healthcare Management Company dedicated to improving ... to the member's primary care provider to be included in the ... medical records and support the..
Job Information Humana Manager, Behavioral Provider Contracting - Remote in Tampa ... in Tampa Florida Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment ... and recruiting..
Job Information Humana Manager, Behavioral Provider Contracting in Tampa Florida Description ... in Tampa Florida 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..
Description The Manager, Provider Contracting manages a team of ... initiates, negotiates, and executes dental provider contracts and agreements in alignment ... the specialty growth strategy. The manager provider contracting..
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 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 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 Director, Provider Contracting initiates, negotiates, and executes ... executes physician, hospital, and/or other provider contracts and agreements for an ... provides health insurance. The Director, Provider Contracting requires..
... affordability, health system transformation, including provider network, compliance with regulatory mandates, growth ... affordability, health system transformation, including provider network, compliance with regulatory mandates, growth ... in coordination with..
... 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..
... Organization influencing three key areas: Provider Relations, Clinical Outcomes, and Medical ... value-based innovation and pilots with network providers across the Southeast Division ... representing market specific input and..
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 ..
