Director Claims Oversight Jobs in Washington

... 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..

... 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 The Director of Health Services for National ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... the clinical delivery process. The Director of Health Services..

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 Washington District ... Of Columbia 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 Washington District Of Columbia Description The Regional VP, Health Services relies on medical background and reviews health claims. The Regional VP, ..

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 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 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 Regional VP, Health Services (Mid-Atlantic Region) in Bethesda Maryland Description The Regional VP, Health Services relies on medical background and reviews health claims. The Regional VP, Health Services ..

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 ..

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

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 ..