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The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to substantial.
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Become a part of our caring community and help us put health first
The Utilization Management Nurse 2 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 varied and frequently require interpretation and independent determination o...
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Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid Market (iCare) team. The UM Coordinator provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Join this dedicated team and lead change in how health car...
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The Enterprise and Specialty Clinical Strategy team employs a rigorous process to set specific clinical priorities for the enterprise. They identify the greatest sources of value and lead a multi-disciplinary process to identify opportunities for enhanced clinical outcomes, cost control, quality, and member experience. As a m...
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Humana is seeking a Quality Audit/Improvement Professional who will audit and monitor quality improvement programs for Humana’s Indiana Pathways and LTSS program. The Quality Improvement Professional’s work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of...
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The Director, PCO Strategy Advancement works closely with the Divisional President, Divisional CMO and Growth Leader to help orchestrate the operation of the Primary Care Organization and provide support that allows them to focus on the most important aspects of leading Primary Care strategy for Humana. This role is a strateg...
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Humana’s Corporate Marketing organization is looking for a Senior Product Owner to join the Marketing Regulatory and Operational Communications (MROC) team. If you are ready to join the team of professionals responsible for Humana’s success in delivering messaging to members through print, email, SMS/Text, VAT, etc., the...
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The Azure & AKS Operations Lead position will oversee Azure/AKS operations to ensure the environments health, stability, manage the daily cloud-based systems utilizing Azure and AKS cloud platforms to ensure the availability, performance and scalability of cloud based systems. The Lead is an expert in 24/7 operations with hig...
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As the Manager of Network Performance, you will lead a team of Network Performance Professionals dedicated to improving provider performance and enhancing Stars ratings. Your role is pivotal in fostering a collaborative and supportive environment where your team can thrive. By building and maintaining strong relationships wit...
