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Description Responsibilities The Associate Director for ACD Audit , at ... ACD Audit , at the director of the Director of Payment Integrity, will create ... optimizing operational processes. 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 Associate Director ensures compliance with governmental requirements for Medicaid. ... requirements for Medicaid. The Associate Director develops and implements compliance program oversight and monitoring plans, ... as needed..
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..
... Job Description Summary The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Description The Medical..
Job Information Humana Medical Director - Florida Medicaid in Dover ... Dover Delaware Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
Job Information Humana Medical Director - Texas in Dover Delaware ... Dover Delaware Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and..
Job Information Humana UM Medical Director - Conviva in Dover Delaware ... Dover Delaware Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..
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 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 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 ... per diem requests. The Medical Director provides medical interpretation and determinations ... cases) contracts. Responsibilities The Medical Director provides medical..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... within a context of regulatory compliance, and work is assisted by ... include national clinical guidelines, Humana contract..
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 Medical Director - National Medicare Team in ... Dover Delaware 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..
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'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 Dover Delaware Description ... in Dover Delaware Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
... Medicare Appeals and Grievance Medical Director in Dover Delaware Description The ... Dover Delaware Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..
