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Description The Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Director, Provider Contracting requires an in-depth ..
Description The Director, Provider Reimbursement is responsible for the leadership, ... execution of Humana Military's provider reimbursement methodologies. This leader is responsible ... payment system software, and provider-specific reimbursement factors..
Job Information Humana Manager, Behavioral Provider Contracting - Remote ... in Indianapolis Indiana Description The Manager, of Behavioral Health Provider Contracting ... contract terms, payment structures, and reimbursement rates to..
Description Humana Healthy Horizons in Indiana is seeking Provider Claims Educators (Medicaid) who will be responsible for: conducting root cause analyses of claims data to track and trend claims denials or ..
Oncology Business Director Developing innovative therapies is one of the most challenging, most essential, and personally rewarding fields in science. This is the most exciting time to be a part of ..
Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional ..
... and support to the Clinical Manager(s). Works in conjunction with the ... and supervision to the Clinical Manager(s) to promote more effective performance ... with Sales Directors and Account..
Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..
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 ..
Job Information Humana Manager, Utilization Management RN - Remote ... in Indianapolis Indiana Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Job Information Centerwell RN Clinical Manager Home Health Full Time in ... in Avon Indiana The Clinical Manager coordinates and oversees all direct ... raise the bar on home healthcare..
... Home Health Registered Nurse Case Manager in Avon Indiana As a ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Indianapolis Indiana Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Job Information Humana Director, Contract Tools, Education, Processes (remote Eastern time zone) in Indianapolis Indiana Description The Director, Contract Tools, Education, Processes manages templates, standard documentation, policy and protocol, case studies, ..
Job Information Centerwell RN Clinical Manager in Avon Indiana The Clinical ... in Avon Indiana The Clinical Manager coordinates and oversees all direct ... raise the bar on home healthcare..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..
Description The Senior Quality Compliance Nurse (RN) utilizes quality improvement methodology and works collaboratively with departmental and interdisciplinary teams to monitor quality, outcomes, and compliance processes. This role works with physicians/physician ..
... 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..
... at Home Registered Nurse Case Manager Full Time in Indianapolis Indiana ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical..
Job Information Humana Manager, Utilization Management Nursing - Medicare ... in Indianapolis Indiana Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
... at Home Registered Nurse Case Manager PRN in Avon Indiana As ... as directed by the Clinical Manager. Confer with physician in developing ... with physician orders, under Clinical..
