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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..
u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental ..
Job Information Humana Director, Informatics in Portland Maine Description ... in Portland Maine Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
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..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Portland Maine Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..
Job Information Humana Medical Director - Florida Medicaid in Portland ... Portland Maine 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..
Job Information Humana Medical Director - National Medicare Team in ... Portland Maine Description The Medical Director relies on medical background and ... requests for services. The Medical Director work..
Job Information Microsoft Corporation AMERS Regional Director E2E Program Management in Portland Oregon Cloud Operations Innovation (CO I) is the team behind one of the world’s largest Cloud Infrastructures, responsible for ..
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..
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 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 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..
... Medicare Appeals and Grievance Medical Director in Portland Maine Description The ... Portland Maine Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..
Job Information Humana Medical Director - Texas in Portland Maine ... Portland Maine Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
... facilities and operations are in compliance with all laws and regulations. ... for success: As a program director, you should have expertise collaborating ... dynamic operations, familiarity with environmental..
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 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..
Job Information Humana UM Medical Director - Conviva in Portland Maine ... Portland Maine Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..
Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead will analyze business requirements, ... in a manner that minimizes compliance risk exposure for the Company. ... day-to-day..
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..