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... Director's primary responsibility is the review of medical authorizations or claims ... within a context of regulatory compliance, and work is assisted by ... Medical Director's work includes computer-based..
Job Information Humana Regional VP, Group Market Operations - North in Louisville Kentucky Description The Regional Vice President, Employer Group Market Operations, will provide leadership and direction in the areas of ..
Job Information Humana Regional VP, Group Market Operations - South in Louisville Kentucky Description The Regional Vice President, Employer Group Market Operations - South, will provide leadership and direction in the ..
Description The Director, Compensation develops, implements, and administers compensation programs. The Director, Compensation requires an in-depth understanding of how organization capabilities interrelate across the function or segment. Responsibilities The Director, Compensation ..
Job Information Humana Medical Director of Long Term Care, Florida in Louisville Kentucky Description The Long Term Care Medical Director supports the Long Term Care program in meeting optimal member outcomes, ..
Job Information Humana Corporate Medical Director, Healthcare Quality Reporting & Improvement in Louisville Kentucky Description The Corporate Medical Director for Healthcare Quality Reporting and Improvement (HQRI) relies on medical background and ..
... the organization in community and marketing events. Develop and maintain compliance with the departmental and physician ... develop and recommend strategies for compliance with regulatory requirements. Develop and .....
Description The Director, Group Market Operations partners with the assigned Group Market Presidents on cost of care and profitable growth management, risk management and operations. The Market Operations Director requires an ..
... works with the Chief Medical Officer (CMO)/Medical Director to review PA requests. The Prior Authorization ... facilitate proper care management activities. Review PA requests for home health ... the..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Topura America Fastener, Inc. was originally established as TWN Fastener, Inc. in 1987 through the efforts of Topura Co., Ltd., John Wagner Associates, Inc., and Nissho Iwai Corporation (Metal One Corporation) ..
Assistant Corporate Counsel The candidate will analyze, review, and draft commercial construction related contracts (including customer construction contracts, subcontracts, consultant agreements, design agreements, equipment and material purchase orders, real estate and ..
At Farm Credit Mid-America, we believe people are our strongest asset. We are consistently looking to hire individuals from a wide range of experience and skills who have a desire to ..