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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 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 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 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 relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors Responsibilities The Medical Director actively uses..
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 .....
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..
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..
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 Director, Informatics in Green Bay Wisconsin ... Green Bay Wisconsin Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
Job Information Humana Director, State Government Affairs in Green Bay Wisconsin ... Green Bay Wisconsin Description The Director of State Government Affairs will be the regional ... as Humana's representative/liaison..
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 medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities Humana Government Business's (HGB)..
Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... Coast hours. Responsibilities The Medical Director provides medical..
... Medicare Appeals and Grievance Medical Director in Green Bay Wisconsin Description ... Bay Wisconsin Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Bay Wisconsin Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..
Description The Medical Director relies on fundamentals of CMS ... per diem requests. The Medical Director provides medical interpretation and determinations ... cases) contracts. Responsibilities The Medical Director provides medical..
Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... work. Responsibilities Title: Commercial Medical Director Location: Work..
Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... work. Responsibilities Job Title: Medical Director Location: Work..
... The Lead Behavioral Health Medical Director oversees the work of 2 ... The Lead Behavioral Health Medical Director may also lead specific functional ... Directors. Responsibilities The Lead Medical..
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..
