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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 ..
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Description Location: Work from Home KY Medicaid Medical Director - The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given ..
Description The Director, Financial Planning and Analysis - Medicare Supplement collects, analyzes and reports on various Med Supp market data to connect financial outcomes with operational effectiveness. The Director, Financial Planning ..
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 ..
Description As the Director, Sales Product -Employer Group you will be ... and executing upon the sales product strategy & enablement plans across ... enable the portfolio of Group Product..
Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..
Description The Director, Internal Audit develops, plans and evaluates internal audit programs for the organization's accounting and statistical records and the activities of various departments to ensure compliance with the organization's ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
... significance in the Employer Group Regional Teams, Sales Practices, Product, Actuary and Underwriting areas, as ... the Group Segment: Actuary, Underwriting, Product, Group Regions, Sales Enablement, Large ... Communication..
Job Information Humana Regional VP, Group Market Operations - ... in Louisville Kentucky Description The Regional Vice President, Employer Group Market ... The role interfaces regularly with regional and corporate..
Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..
Description Your Home Advantage (YHA) is a Humana-owned Healthcare Management Company dedicated to improving clinical and quality outcomes by bridging the gap between the physician's office and the member's home. YHA ..
Description The Account Manager is responsible for managing and ... with hospice clients. The Account Manager works to ensure that Enclara ... extended service offerings. The Account Manager works in..
