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Description Responsibilities The Associate Director, Actuarial Pricing establishes market level ... rate filings, including attesting to compliance with state and federal rating ... Opportunity Employer It is our policy to..
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Description The Lead Medical Director relies on medical background and ... health claims. The Lead Medical Director requires a solid understanding of ... department(s). Responsibilities The Lead Medical Director provides..
Description Reports directly to the Vice President, Medical Management Operations and serves as a member of the HGB Executive Committee. Leads functions related to HGB's Care Management programs to include predictive ..
Description The Director, Provider Reimbursement is responsible for ... team of associates. Responsibilities The Director, Provider Reimbursement develops and executes ... include the development of reimbursement policy and processes and..
Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... work. Responsibilities Title: Commercial Medical Director Location: Work..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Title: Medical Director Location: Work..
... Fargo North Dakota Description The Associate VP, Enterprise Architecture translates business ... solutions and architectural roadmaps. The Associate VP, Enterprise Architecture requires a ... segments and/or enterprise-wide. Responsibilities The..
Description The Director, Market Development provides support to ... Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. ... federal contract application submissions. The Director, Market Development requires..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Fargo North Dakota ... Fargo North Dakota Description The Associate Director, Compliance Nursing reviews utilization management activities ... fraud, waste, and..
... promises to key stakeholders. The policy of Humana is to maintain ... associates Lead GMS Risk & Compliance so that the objectives established ... Humana ERM (Enterprise Risk Management)..
Description The Associate Director will lead the Application Modernization ... deliver on end-to-end execution. The Associate Director requires a solid understanding of ... software engineering delivery experience. The Associate Director..
Description The Associate Director, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Associate Director, Utilization Management Nursing requires a ... the clinical delivery process. The Associate Director,..
Description The Associate Director, Cyber Data Protection Management develops ... e-commerce and web-based systems. The Associate Director, Cyber Data Protection Management requires ... capabilities interrelate across department(s). Responsibilities Associate Director,..
Description Humana is an $80 billion (Fortune 41) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director actively uses..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..
