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... processing operations and systems. The Director, Claims Oversight plays a vital ... and requests received from the Government as they relate to claims. ... relate to claims. Responsibilities The..
Description The Director, Provider Reimbursement is responsible for ... timely and accurate implementation of Government supplied or directed fee schedules, ... team of associates. Responsibilities The Director, Provider Reimbursement develops..
Description The Compliance Lead ensures compliance with governmental requirements and works ... include: Responsible for effectiveness of compliance program which includes metrics, reporting, ... process improvements and automation to compliance..
Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities Humana Government..
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's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... of health. Responsibilities The Medical Director actively uses..
Job Information Humana Medical Director - Texas in Colorado Springs ... Springs Colorado Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
Job Information Humana Director, State Government Affairs in Colorado Springs Colorado ... Colorado Springs Colorado Description The Director of State Government Affairs will be the regional ... as Humana's representative/liaison..
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 provides medical..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities Humana Government Business's (HGB)..
Job Information Humana Director, Informatics in Colorado Springs Colorado ... Colorado Springs Colorado Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director's work includes..
Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... and Sunday. Responsibilities The Medical Director provides medical..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Springs Colorado Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..
... Medicare Appeals and Grievance Medical Director in Colorado Springs Colorado Description ... Springs Colorado Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..
Job Information Humana UM Medical Director - Conviva in Colorado Springs ... Springs Colorado Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..
Job Information Humana Medical Director - Florida Medicaid in Colorado ... Springs Colorado Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director..
Description The Director, IT Compliance audits the most complex new ... information systems procedures are in compliance with corporate standards. The Director, IT Compliance requires an in-depth understanding of .....
Job Information Humana Medical Director - National Medicare Team in ... Springs Colorado Description The Medical Director relies on medical background and ... requests for services. The Medical Director work..
Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... rotating basis Responsibilities The Medical Director provides medical..
