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Director of Equity Duties: Directing, coordinating ... to equal opportunity investigations and compliance efforts. Be a key contributor ... a manner that is in compliance with local, state and federal..
Description The Director, Market Leadership manages the development, ... of a health plan. The Director, Market Leadership requires an in-depth ... function or segment. Responsibilities The Director, Market Leadership (COO)..
... 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 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 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 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 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 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 .....
... direction of the Assistant Finance Director, the Finance Manager performs a ... The classification assists the Finance Director and/or Assistant Finance Director in overall financial management of ... payroll..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Ohio license. Responsibilities The Medical Director actively uses..
... and procedures to determine ongoing compliance Perform trading and best execution ... and enhancement of a full-scale compliance program Ability to work independently ... more experience in financial industry..
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 ... for position. 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 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 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 Director, Informatics in Cincinnati Ohio Description ... in Cincinnati Ohio Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
Description The Contract Administrator (Compliance Lead) ensures compliance with governmental requirements. The Compliance Lead works on problems of ... moderate to substantial. Responsibilities The Contract Administrator (Compliance Lead) will provide..
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..