Commercial Jobs in Ridgeland

Description The Senior Product Manager, Commercial Product supports development, delivery, and ... and business partner feedback. (All commercial Product leaders are expected to ... business growth by leveraging existing commercial..

Description The Call Quality Lead monitors and evaluates the quality of inbound and/or outbound Sales calls with Commercial Brokers and Agencies. Documents quality issues and performance measures. The Call Quality Lead ..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..

... sources. Medical Directors will learn Commercial requirements and will understand how ... their daily work. Responsibilities Title: Commercial Medical Director Location: Work At ... throughout all activities. Responsibilities The..

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Ridgeland Mississippi Description Humana is looking for an experienced Healthcare Investigator to join its industry ..

Fraud and Waste Investigator Duties: The candidate collaborates in investigations with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring ..

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Ridgeland Mississippi Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..

... representing financial institutions both in commercial bankruptcy and commercial loan workouts and restructurings and ... with a broad cross-section of commercial properties (including multifamily developments, malls, ... creditors' rights,..

Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in ..

Real Estate Paralegal The candidate's duties include residential and Commercial Closings. Preparing Title Commitments. Ordering Title Reports and Title Searches. Preparing Title Binders. Ordering Title Policies. Associate or Bachelor’s degree or ..

Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Ridgeland Mississippi Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..

Description This role will help drive the transition of Humana IT to a DevSecOps organization. This transition impacts culture, tools, automation, and development practices. In this role you will be on ..

... sources. Medical Directors will learn Commercial requirements and will understand how ... their daily work. Responsibilities Title: Commercial Medical Director Location: Work At ... throughout all activities. Responsibilities The..

Description Would you like the opportunity to bring human care to healthcare? To design business models and solutions that solve some of the most complex challenges facing our federal healthcare system? ..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Job Information Humana Commercial Small Group Health Underwriter 2 in Ridgeland Mississippi Description The Health Underwriter 2 performs complex medical underwriting functions for both new and renewal business in the 2-99 ..

Description Role is open to US Remote This role will include managing a team of DevSecOps engineers, architects, testers, developers, and specialists who build and support our application security orchestration platform. ..

Description The Formulary Operations Management Professional provides clinical and operational leadership for build, maintenance, submission, and updating of formularies and drug lists. The Formulary Operations Management Professional work assignments are varied ..

Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in ..

Description The Value-Based Commercial Innovation Lead supports Humana's Value-Based ... payment programs specifically for the Commercial line of business. How We ... well-being Responsibilities The Value-Based (VB) Commercial Innovation Lead..

Commercial Real Estate Paralegal The candidate will prioritize, manage and follow through on multiple projects in support of attorneys working on complex commercial real estate transactions and closings. Will assist attorneys ..