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Description The Senior Policy Governance Professional policy Governance is the combination of Compliance processes established and executed that are reflected in the organization's structure and how it is managed and led ..
... with large system migrations in healthcare, and if you have experience ... Health Plan (165,000 members, 1000 associates) with a passion for serving ... Software implementation experience in the..
Description MUST BE BILINGUAL: CHINESE/ENGLISH (written and spoken proficiency)MUST HAVE WA RN LICENSE The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..
Let me share a little bit more about Brookdale Goodlettsville. They are part of Brookdale Senior Living - The largest owner and operator of senior living communities in the United States. ..
... May assist with identifying and recruiting providers based on network composition ... and network administration in a healthcare company or healthcare system Medicaid behavioral health contracting ... leadership experience..
... take charge of their own healthcare decisions. Provide guidance and clinical ... week until 7 p.m. required Associates working in the state of ... following policy applies ONLY to..
... salaried positions. Assists with Pharmacy recruiting from entry level to professional ... 3 years of full life-cycle recruiting experience in a metrics driven ... VSP), Variable staffing pool Humana..
Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ..
Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..
Description MUST BE BI-LINGUAL: KOREAN/ENGLISH (written and spoken proficiency)MUST HAVE WA RN LICENSE The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..
Job Information Humana Manager, Behavioral Provider Contracting - Remote in Brentwood Tennessee Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers and ..
Description The Behavioral Health Care Coordinator, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction ..
... with university graduate and professional recruiting. The Senior Recruiter work assignments ... 7 years of full life-cycle recruiting experience in a metrics driven ... a metrics driven environment Prior..
... in pursuing a career in healthcare, but not sure where to ... to fulfill our mission: our associates. We offer career growth opportunities ... vision, retirement, and generous PTO...
Description The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied ..
Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work ..
Job Information Humana Social Worker - Telephonic Behavioral Health in Chattanooga Tennessee Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and ..
Job Information Humana Provider Contracting Professional in Brentwood Tennessee Description The Provider Contracting Professional 2 Behavioral Health Network role; initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
