Director Claims Oversight Jobs in Louisville

... contract is responsible for processing claims for more than 6 million ... than 6 million members, the claims processing and financial management functions ... to an external vendor. The..

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 ..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Louisville Kentucky ... Louisville Kentucky Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..

Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..

Description The Director HEDIS Production and Quality Analytics ... process from regulatory entities. Provides oversight and leadership over both QI ... product line business decisions. Provides oversight to development of..

Description Lead Humana's Medicare Prescription Drug Plan (PDP) components including products, strategy and business partnerships. Understand business drivers and consumers and expand future opportunity. Responsibilities Humana is seeking a PDP leader ..

Description The AVP, Business Technology Solutions Implementation will oversees various system programs of a highly complex nature to deliver new technological solutions to meet business needs within a specified scope while ..

Description As a member of the company's Executive Council, the Tricare Program Leader (TPL) is the senior executive leader responsible for overseeing the cost, schedule, and technical performance of all TRICARE-related ..