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Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... for a Senior Business Systems Analyst to join working remote anywhere ... US! The Senior Business Systems Analyst performs analysis of business, process ... specifications. The Senior Business Systems..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in San Juan Puerto Rico Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of ..
Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..
Job Information Humana UM Medical Director - Conviva in San Juan Puerto Rico Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in San Juan Puerto Rico Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work ..
Job Information Humana Senior Vendor Management Professional in San Juan Puerto Rico Description The Senior Vendor Management Professional works as liaison between vendors and organization. The Senior Vendor Management Professional work ..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in San Juan Puerto Rico Description The Associate Director, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic ..
Job Information Humana Medical Director - Florida Medicaid in San Juan Puerto Rico Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
Job Information Humana Medical Director - S. Florida in San Juan Puerto Rico Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..