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Description The Grievances & Appeals Professional 2 manages client medical denials by ... an appeal is warranted. The Grievances & Appeals Professional 2 work assignments are varied and frequently .....
Description The Associate Director, Grievances & Appeals manages client denials and concerns ... Humana parties. The Associate Director, Grievances & Appeals requires a solid understanding of ... department(s). Responsibilities The..
Description The Quality (Non-Calls) Professional 2 ensures that products meet certain ... of quality. The Quality (Non-Calls) Professional 2 work assignments are varied and frequently ... action. Responsibilities The Quality..
... health claims. The Medical Director work assignments involve moderately complex to ... service should be authorized. All work occurs within a context of ... context of regulatory compliance, and..
