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Description The Director, Actuarial Pricing is responsible for ... standard and custom benefits. The Director, Actuarial Pricing requires an in-depth ... help shape Humana Strategy. This Director will lead a..
... Center (YNHTC) Services, the Transplant Director is responsible for the direct ... clinically. In addition, the Transplant Director will assist in the development ... the transplant team. The Transplant..
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Description The Compliance Lead ensures compliance with governmental requirements and works ... include: Responsible for effectiveness of compliance program which includes metrics, reporting, ... process improvements and automation to compliance..
Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... sources. Medical Directors will learn Medicare and Medicare..
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..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Bridgeport Connecticut Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
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 ... work. Responsibilities Title: Commercial Medical Director Location: Work..
Description The Medical Director relies on fundamentals of CMS ... relies on fundamentals of CMS Medicare Guidance on following and reviewing ... per diem requests. The Medical Director provides medical..
Description The Medical Director relies on fundamentals of CMS ... relies on fundamentals of CMS Medicare Guidance on following and reviewing ... following and reviewing appeals for Medicare Part C..
Description The Director, Market Development provides support to ... and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. ... federal contract application submissions...
... is seeking an Associate Marketing Director - Retail to join the ... and media strategy for Humana Medicare Advantage. As the Associate Marketing ... Advantage. As the Associate Marketing..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Bridgeport Connecticut ... Bridgeport Connecticut Description The Medical Director relies on clinical background and ... on clinical background and reviews..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... within a context of regulatory compliance, and work is assisted by ... sources. Medical Directors will learn Medicare,..
... As the Resolution Team Operations Director, you will be accountable for ... Responsibilities In this role, the Director will: Provide strategic direction and ... all operational goals, including regulatory..
... Job Description Summary The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Description The Medical..
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 provides medical..
Description The Director, Health Services Nursing serves as ... building out clinical capabilities. The Director will be responsible for driving ... and financial stewardship Responsibilities The Director, Utilization Management Behavioral..
Description Humana is an $80 billion (Fortune 41) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
