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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..
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 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..
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..
... Overland Park Kansas 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..
... 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 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 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 of IT Category Management will ... FY19 and beyond. Drive corporate compliance to the preferred-supplier program via ... Opportunity Employer It is our policy to recruit,..
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..
u003cpu003eu003cstrongu003eKEY ACCOUNTABILITIES:u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eManages LPM escalation process, including risk identification, in depth, customized analysis and presentation of creative solutions for improving overall profitability of client/matters.u003c/liu003enu003cliu003ePrepare and deliver recommendations to shareholders, senior management and ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Overland Park Kansas ... Overland Park Kansas Description The Associate Director, Compliance Nursing reviews utilization management activities ... fraud, waste, and..
:text,ActualValueFromSolar:null},{QuestionName:Job Description,AnswerValue:u003cp dir=ltr\u003eu003cstrongu003ePREFERRED QUALIFICATIONSu003c/strongu003eu003c/pu003eu003cul dir=ltr\u003eu003cliu003eCulinary degree preferred.u003c/liu003eu003cliu003eOne year “line” experience in a high-volume kitchen.u003c/liu003eu003cliu003eOne year experience in kitchen operations and execution.u003c/liu003eu003cliu003eCertified as a ServSafe instructor and proctor.u003c/liu003eu003cliu003eKitchen and food safety training ..
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..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
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..
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 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 Responsibilities The Associate Director for ACD Audit , at ... ACD Audit , at the director of the Director of Payment Integrity, will create ... as optimizing operational processes...
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,..