5 yrs required
Fort Wayne, IN, United States
Senior Risk Management Professional
The candidate will identify and analyze potential sources of loss to minimize risk for Medicare Appeals. Work assignments involve moderately complex to complex issues where the analysis of situations requires an in-depth evaluation of Medicare regulations. Assess and communicate information regarding business risks with functions across the organization, particularly as it relates to Medicare Appeal requirements. Make decisions on moderately complex to complex issues regarding technical approach for project components. Collaborate with operations and medical directors. Exercise considerable latitude in determining objectives and approaches to assignments. High school diploma or equivalent is required. Should have Bachelor's degree or 2 years of prior Maximus work experience. An MBA or J.D. degree would be preferred. Experience with Medicare's Independent Review Entity is needed. Experience in Managed Care is preferred. Experience presenting data and cases to Senior Leadership is an asset.
Ref. #: R-220631
500 West Main Street
United States 40202
Website : http://www.humana.com