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... the East Region. While the contract is responsible for processing claims ... processing operations and systems. The Director, Claims Oversight plays a vital ... performance meets and exceeds 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..
... | Profitability & Analytics - Government Contracts | Manager in Atlanta ... | Profitability & Analytics - Government Contracts Advisory | Manager As ... – Profitability & Analytics -..
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..
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 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)..
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 ... Responsibilities Job Profile The Medical Director actively uses..
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..
... 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 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 ... 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..
Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... include national clinical guidelines, Humana contract language, Humana..
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..
... Medicare Appeals and Grievance Medical Director in Atlanta Georgia Description The ... Atlanta Georgia Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..
Job Information Humana Director, Informatics in Atlanta Georgia Description ... in Atlanta Georgia Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
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 fundamentals of CMS ... per diem requests. The Medical Director provides medical interpretation and determinations ... cases) contracts. Responsibilities The Medical Director provides medical..
