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Provider Contracting Executive

Humana, Inc.
Washington
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Become a part of our caring community The Provider Contracting Executive ...
Details
Summary
About the job:
executes physician, hospital, and other provider contracts and agreements for organizations that provide health insurance. The Provider Contracting Executive will support the Nevada and Hawaii market and works on problems of diverse scope and complexity ranging from moderate to substantial, reporting directly to the Provider Contracting Director. Duties and Responsibilities: - You will prepare and communicate contract terms, payment structures, and reimbursement rates to providers. - Analyze the financial impact of...
Location:
Washington
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Humana, Inc.
Certifications / Licenses:
Petroleum Safety Training
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Provider Contracting Executive

Humana, Inc.
Oregon
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Become a part of our caring community The Provider Contracting Executive ...
Details
Summary
About the job:
executes physician, hospital, and other provider contracts and agreements for organizations that provide health insurance. The Provider Contracting Executive will support the Nevada and Hawaii market and works on problems of diverse scope and complexity ranging from moderate to substantial, reporting directly to the Provider Contracting Director. Duties and Responsibilities: - You will prepare and communicate contract terms, payment structures, and reimbursement rates to providers. - Analyze the financial impact of...
Location:
Oregon
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Humana, Inc.
Certifications / Licenses:
Petroleum Safety Training
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Provider Contracting Executive

Humana, Inc.
Colorado
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Become a part of our caring community The Provider Contracting Executive ...
Details
Summary
About the job:
executes physician, hospital, and other provider contracts and agreements for organizations that provide health insurance. The Provider Contracting Executive will support the Nevada and Hawaii market and works on problems of diverse scope and complexity ranging from moderate to substantial, reporting directly to the Provider Contracting Director. Duties and Responsibilities: - You will prepare and communicate contract terms, payment structures, and reimbursement rates to providers. - Analyze the financial impact of...
Location:
Colorado
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Humana, Inc.
Certifications / Licenses:
Petroleum Safety Training
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Associate Vice President, Service Simplification

Humana, Inc.
Kentucky
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Become a part of our caring community The Associate VP, Automation ...
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Summary
About the job:
Engineering identifies and implements solutions (hardware and software) for improvement of the high-quality automation infrastructure. The Associate VP, Automation Engineering requires a in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide. The Associate VP, Automation Engineering designs, programs, simulates, and tests automated processes, and is responsible for detailed design specifications and other documents. Decisions are typically related to intradepartmental...
Location:
Kentucky
Job Type:
Full-Time
Permanent
Occupation:
Computer and Information Systems Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Humana, Inc.
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Care Coach - Transition Coordinator LPN

Humana, Inc.
Oklahoma
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Become a part of our caring community The Telephonic Care Coach 1, in a ...
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Summary
About the job:
telephonic environment, evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Telephonic Care Coach 1 work assignments are often straightforward and of moderate complexity. The Telephonic Care Coach 1 employs a variety of strategies, approaches and techniques to support a member's optimal wellness state by coordinating services and resources. Identify and...
Location:
Oklahoma
Job Type:
Full-Time
Permanent
Occupation:
Licensed Practical and Licensed Vocational Nurses
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Humana, Inc.
Certifications / Licenses:
Licensed Practical Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Insurance Product Management Principal - Supplemental Benefits Operations

Humana, Inc.
Kentucky
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Become a part of our caring community The Supplemental Benefits Operations ...
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Summary
About the job:
(SBO) team within Humana’s Enterprise Growth organization manages Medicare Mandatory Supplemental Benefits (MSBs) that meaningfully shape member experience, operational performance, and regulatory outcomes. This role serves as a Principal Individual Contributor and the Director’s primary thought partner and execution lead for the Humana Spending Account Card, a highly strategic, member centric supplemental benefit. Location: strong preference for Louisville, KY but open to remote Reporting to the Director of...
Location:
Kentucky
Job Type:
Full-Time
Permanent
Occupation:
Project Management Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Humana, Inc.
Certifications / Licenses:
Cadastral Mapping Specialist
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Case Manager- Madison

Humana, Inc.
Reedsburg, WI
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Become a part of our caring community Join the Humana team in this exciting ...
Details
Summary
About the job:
role as a Case Manager. Reporting to the Manager of Care Management Support, you will provide care coordination, support, and education to members enrolled Medicaid, BadgerCare, SSI. You will work from home but will also be required to and visit your members in their home or community setting throughout the south-central Wisconsin area (approximately 50% travel). Responsibilities: - Conduct comprehensive Medicaid-required psychosocial and functional assessments as part of the care management process to identify member...
Location:
Reedsburg, WI
Job Type:
Full-Time
Permanent
Occupation:
Social and Human Service Assistants
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
From:
Humana, Inc.
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Technology Lead-Finance

Humana, Inc.
Kentucky
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Become a part of our caring community The Business Informatics Shared ...
Details
Summary
About the job:
Services (BISS) Team is focused on optimizing the execution, investments, strategy, application experience, project delivery, and governance between the corporate technology and business teams, primarily in support of enterprise Finance. The BISS team has extensive and broad enterprise data experience that is frequently engaged to support efforts outside of Finance. Position Summary: The Technology Implementation Lead is responsible for gathering and documenting business system and functional requirements, influencing...
Location:
Kentucky
Job Type:
Full-Time
Permanent
Occupation:
Project Management Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Humana, Inc.
Certifications / Licenses:
Certified Public Accountant
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Utilization Management Nurse

Humana, Inc.
Louisiana
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Become a part of our caring community The Utilization Management Nurse 2 ...
Details
Summary
About the job:
uses 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 varied and frequently require interpretation and independent determination of the appropriate courses of action. This role uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate...
Location:
Louisiana
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
Humana, Inc.
Certifications / Licenses:
Certified Registered Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Care Coach - Dane County, WI

Humana, Inc.
Madison, WI
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Become a part of our caring community Humana/iCare is looking for a Care ...
Details
Summary
About the job:
Coach to join the growing Dane County team in the Family Care Partnership (FCP) program. You will report to the Manager of Care Management Support and will work as part of the Interdisciplinary Team (IDT). You will collaborate with members and their families with identifying service needs including medical, social, rehabilitation, vocational, and education. You will provide care management services through the FCP program including assessment, service plan development, ongoing care coordination, quality assurance and...
Location:
Madison, WI
Job Type:
Full-Time
Permanent
Occupation:
Rehabilitation Counselors
Career Level / Education:
Master's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Humana, Inc.
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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