Healthcare Resource Network Jobs in Lancaster

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 ... Software implementation experience in the healthcare industry Experienced and adept with ... by delivering personalized, simplified, whole-person..

Job Information Humana Social Worker - Telephonic Behavioral Health in Lancaster South Carolina Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs ..

Description SeniorBridge/Humana is seeking a Care Management Support Assistant. This professional contributes to the successful administration of home care by providing administrative support in new and existing Home Care markets. This ..

... with Field Operations to address network inadequacy, and document barriers to ... with leaders for collaboration with network & non-network partners. Coordinate and track outcome ... Electronic Questionnaire for..

... Relations Executive is responsible for network provider training, education, and provider ... of Contracting, assists in provider network development and provider contracting strategies ... strategies to ensure a sufficient..

Description The Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer ..

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 ..

Job Information Humana Manager, Behavioral Provider Contracting - Remote in Lancaster South Carolina Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers ..

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 ..

Description The Senior Application Architect designs and develops IT applications architecture solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments involve ..

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 ..

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 We are seeking a talented Principal, Cloud Platform Architect to lead our journey of Tech Modernization as we migrate strategic workloads to the public cloud environments. The ideal candidate for ..

... acumen to solve for the healthcare challenges of today. The Clinical ... low value care and related healthcare resource waste, with a focus on ... news and reports in..

... Relations Executive is responsible for network provider training, education, and provider ... of Contracting, assists in provider network development and provider contracting strategies ... strategies to ensure a sufficient..

Description The Senior Provider Relations Professional is responsible for day to day front line network provider relationship management for Humana's South Carolina Medicaid plan through provider contracting, provider training, education, and ..

Description The Senior Provider Relations Professional is responsible for day to day front line network provider relationship management for Humana's South Carolina Medicaid plan through provider contracting, provider training, education, and ..

Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..

... 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..