Systems Healthcare Jobs

At Bristol Myers Squibb, we are inspired by a single vision - transforming patients' lives through science.In oncology, hematology, immunology and cardiovascular disease - and one of the most diverse and ..

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

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 ..

Job Information Humana Social Worker - Telephonic Behavioral Health-SNP- WAH Nationwide in Fargo North Dakota Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates ..

Job Information Humana Clinical Recruiter 2 - VSP in Fargo North Dakota Description The Clinical Recruiter 2 interviews prospective employees for hourly and salaried positions. Assists with Pharmacy recruiting from entry ..

... look for a Senior Business Systems Analyst to join working remote ... the US! The Senior Business Systems Analyst performs analysis of business, ... requirement specifications. The Senior Business..

Description The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work ..

Job Information Humana Provider Contracting Professional - Behavioral Health in Fargo North Dakota Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health physician, hospital, and/or other provider contracts ..

Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..

Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..

Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..

Job Information Humana Provider Contracting Professional in Fargo North Dakota Description The Provider Contracting Professional 2 Behavioral Health Network role; initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..

Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..

Job Information Humana Telephonic Care Coach -WAH Nationwide in Fargo North Dakota Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or ..

Job Information Humana Social Worker - Telephonic Behavioral Health- WAH Nationwide in Fargo North Dakota Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Job Information Humana Social Worker-MSW and licensure required- Telephonic Behavioral Health-SNP- WAH Nationwide in Fargo North Dakota Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses ..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Fargo North Dakota Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and ..

Description The Senior Product Manager conceives of, develops, delivers, and manages products for customer use. The Senior Product Manager work assignments involve moderately complex to complex issues where the analysis of ..

Description The Clinical Data and Reporting Professional 2 generates ad hoc reports and regular datasets and reporting for clinical leadership decision making. The Clinical Data and Reporting Professional 2 also pulls ..

Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the ..

... and network administration in a healthcare company or healthcare system Medicaid behavioral health contracting ... groups, ancillary providers and hospital systems. Proficiency in analyzing, understanding and ... well when..

Job Information Humana Sr. Clinical Recruiter - VSP( Variable Staffing Pool) in Fargo North Dakota Description The Senior Recruiter interviews prospective employees for hourly and salaried positions. Assists with university graduate ..