Healthcare Risk Manager Jobs

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

Description Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..

Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..

Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..

... Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in ... Fargo North Dakota Description The Risk Management Professional 2 identifies and .....

Job Information Humana Director of Public Policy in Fargo North Dakota Description The Director of Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy ..

Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward resources appropriate for the ..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

Job Information Humana Medical Director of Trend Analytics in Fargo North Dakota Description Humana's ECM organization is seeking a Medical Director of Trend Analytics. As a clinical trend leader you will ..

Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in Fargo North Dakota Description The Director, Behavioral Health (BH) Network and Market Strategy will insure that the appropriate providers ..

... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... Fargo North Dakota Description The Healthcare Quality Reporting & Improvement (HQRI) ... that leads Humana's Stars and..

... Finance M&A Integration Senior Project Manager in Fargo North Dakota Description ... Finance M&A Integration Senior Project Manager to drive project-oriented duties related ... Finance M&A Integration Senior Project..

Job Information Humana Director, State Public Policy in Fargo North Dakota Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public ..

Job Information Humana Senior Medical/Financial Risk Clinical Professional in Fargo North ... Dakota Description The Senior Medical/Financial Risk Clinical Professional is responsible for ... implementation and monitoring of medical/financial risk...

... Humana Telephonic Behavioral Health Care Manager in Fargo North Dakota Description ... Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... members. The Behavioral Health Care..

Description The Risk Management Professional 2 a critical ... member within Humana's Third Party Risk Management Program (TPRM), a 2nd ... our program by implementing vendor risk management practices and..

... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... Fargo North Dakota Description The Healthcare Quality Reporting & Improvement (HQRI) ... national planning and operations for..

... the mission of a leading healthcare company committed to improving the ... possess working knowledge of contemporary healthcare technologies and have a proven ... strategic objectives in keeping with..

Job Information Humana Medicare/Medicaid Program Manager -- Remote in Fargo North ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..

Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..

Description The Manager, Risk Adjustment oversees coding educators and ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific guidelines ... schedules and goals. Responsibilities The Manager, Risk..

Description The Risk Management Professional 2 a critical ... member within Humana's Third Party Risk Management Program (TPRM), a 2nd ... our program by implementing vendor risk management practices and..

Job Information Humana Manager, Fraud and Waste-Remote US in ... Fargo North Dakota Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..