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Job Information Humana Manager, Behavioral Provider Contracting in Bridgeport Connecticut Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers and facilities. Analyzes ..
Description The Manager, Provider Contracting manages a team of dental recruiters that initiates, negotiates, and executes dental provider contracts and agreements in alignment with the specialty growth strategy. The manager provider ..
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few powerful teams dedicated to reducing waste and abuse in the health care industry and its impacts on Humana. These teams ..
Job Information Humana Senior Medical/Financial Risk Clinical Professional in Bridgeport Connecticut ... Connecticut Description The Senior Medical/Financial Risk Clinical Professional is responsible for ... implementation and monitoring of medical/financial risk...
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..
... Humana Telephonic Behavioral Health Care Manager in Bridgeport Connecticut Description The ... Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... members. The Behavioral Health Care..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Bridgeport Connecticut ... 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 ..
... ongoing compliance with all FMS risk management initiatives. Provides opportunities for ... all patients. Must complete Clinical Manager training modules and ongoing developmental ... all patients. Must complete Clinical..
Job Information Humana Manager, Behavioral Provider Contracting - Remote in Bridgeport Connecticut Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers and ..
Job Information Humana Technical Product Manager - Remote in Bridgeport Connecticut ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... in Bridgeport Connecticut Description The Healthcare Quality Reporting & Improvement (HQRI) ... that leads Humana's Stars and..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Bridgeport Connecticut Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
... Finance M&A Integration Senior Project Manager in Bridgeport Connecticut Description Humana's ... Finance M&A Integration Senior Project Manager to drive project-oriented duties related ... Finance M&A Integration Senior Project..
Description The Manager, STARS Improvement develops, implements, and ... Stars improvement team. Responsibilities The Manager, STARS Improvement develops the programs ... collaborative relationships with Provider Engagement, Risk Adjustment, and Clinical..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... implement change, while mitigating operational risk. The..
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..
... preference with judicious use of healthcare resources Educates physicians regarding InterQual ... and coordinating patient care for high-risk patients across the healthcare continuum. Ensures the delivery of ... is..
... Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in ... in Bridgeport Connecticut Description The Risk Management Professional 2 identifies and .....
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... in Bridgeport Connecticut Description The Healthcare Quality Reporting & Improvement (HQRI) ... national planning and operations for..
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 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 ..
... every day. The Practice Operations Manager is responsible for managing various ... operating expense and budgets. The manager will work to meet best ... meet best practice operations. The..
