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... 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..
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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 Charlotte North ... North Carolina Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
Job Information Humana Regional VP, Health Services (Mid-Atlantic Region) in Charlotte North Carolina Description The Regional VP, Health Services relies on medical background and reviews health claims. The Regional VP, Health ..
... & Taylor is seeking a Director of Risk Management to manage ... General Counsel. A Risk Management Director is responsible for ensuring the ... operational risks. The Risk Management..
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 ..