Provider contracting humana
Webb7 dec. 2024 · An “independent relationship” exists when Humana directs its members to see a specific provider, including all practitioners whom a member can select as a primary care provider, to provide care under Humana’s medical benefit. “Organizational providers” me ans providers described as hospitals or other healthcare facilities. WebbR-290711 Provider Contracting Professional 2 – Hybrid/Home (30% Travel Hernando/Pasco Counties) FL Required Qualifications. Bachelor's degree or 2+ years MA (Medicare Advantage) experience in Network Contracting; ... From a Humana’s office located at 4925 Independence Pkwy Tampa, Fl. 33634. Suite 100;
Provider contracting humana
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WebbThe Provider Contracting Executive communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes the financial impact(s) of contracts and terms. Maintains contracts and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. WebbApply now for Corporate jobs with Humana - a leader in health.
WebbThe estimated total pay for a Provider Contracting Representative at Humana is $46,680 per year. This number represents the median, which is the midpoint of the ranges from … WebbApply to Humana’s medical network If you are eligible to use our online application, follow the directions below: Step 1: Review this important information Key information about contracting with Humana Step 2: Go to the following page and fill out the form. Humana …
WebbTRICARE East providers get information on referrals, eligibility, claims and more. Get the latest information on claims payments for providers using Silicon Valley Bank and Signature Bank TRICARE will not be adopting 340B adjustments and will not pursue retroactive claims payments based on the 9/28/22 US Supreme Court decision about … Webb18 juli 2024 · Average salaries for Humana Contracting Professional: $61,626. Humana salary trends based on salaries posted anonymously by Humana employees. Sign In. …
Webb13 apr. 2016 · Medical Providers. Care Coordination. Humana Health Plan Sanctions. Care Coordination. Integrated Health Homes. ... Managed Care Contracts. Managed Care Program Policies. MCO Subcontractors List. MCO Claims Processing Reports. MCO Accreditation Status Report. Provider Relations Contacts.
WebbThe Centers for Medicare and Medicaid Services (CMS) has again rated KelseyCare Advantage as one of who nation’s highest-quality Medicare Edge plans. Available the seventh consecutive year, KelseyCare Advantage has achieved any entire rating of 5-out-of-5 stars as part of CMS’ annual reviews of 507 eligible Medicare Advantage plans … pyspin pythonWebb10 mars 2024 · Shelly Spiva has been working as a Provider Contracting Professional at Humana for 10 years. Humana is part of the Insurance industry, and located in Kentucky, United States. Humana Location 500 W Main St, Louisville, Kentucky, 40202, United States Description Read More Industry Insurance Discover more about Humana Org Chart - … pysqliteWebbDirector, Provider Contracting - Overland Park Humana Apply now for Corporate jobs with Humana - a leader in health. Apply now for Corporate jobs with Humana - a leader in … pysqlWebbThe Senior Provider Contracting Professional communicates contract terms, payment structures, and reimbursement rates to providers. Providing a comprehensive hospital network to consumers in the behavioral health arena and executing on Humana's consumer-focused business strategy demands constant negotiation with a variety of … pysqlite2 installWebbHumana Mar 2024 - Present 2 months. Provider Partner DentaQuest Jul 2024 - ... Provider Contracting Professional II at Humana Northwestern University pysqlite2 jupyterWebbrequirements, Humana may, at the discretion of its credentialing and contracting representative, request additional documentation. An applicant’s failure to respond fully, … pysra kottkeWebbThe Provider Contracting Professional initiates, negotiates, and executes physician value based provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional works assignments which are varied and frequently require interpretation and independent determination of the appropriate … pysqm