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Description The Manager, Clinical Compliance and Risk serves ... state and federal legislative and regulatory guidelines, support internal and external ... is audit ready. Responsibilities The manager leads a team..
Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... you succeed, we succeed! The Manager, Care Management oversees..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..
... applicable federal, state, and designated regulatory agency rules and regulations. Manages ... management in the selection and engagement of architects, engineers and contractors ... working environment that fosters employee..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Job Information Tyson Foods Mgr HR in Springdale Arkansas At Tyson Foods, the safety of our team members is our top priority. For that reason, successful applicants for this position must ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Rogers Arkansas Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
Job Details: Job Purpose/Summary: The Global Wellbeing Leader will be a key leader for initiatives that drive improvements in health and physical wellbeing of employees and their families. They will serve ..
Job Information Tyson Foods Senior Manager - Corporate Communications in Springdale ... Arkansas Job Details: The Senior Manager Corporate Communications is a dynamic ... approaches to communications and employee engagement...
SUMMARY: This position is responsible for performing a variety of technical and professional job responsibilities related to the management of food safety and quality expectations at Tyson Foods’ contract manufacturers. Specific ..
Description The Manager, Membership and Plan Services (MPS) ... Where you Come In The Manager, MPS Risk Management will: Design, ... knowledge of the legal and regulatory environment, as it..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Description This role will strengthen our Insurance Product Delivery Management Team to drive end-to-end Insurance Product projects cooperating closely with our Product Strategy, Enablement, Finance, IT, Compliance and Sales / Account ..
Job Information Humana Director, Technology Risk Management in Rogers Arkansas Description The Director, Technology Risk Management is responsible for developing and managing effective technology risk management processes and for performing technology ..
Description Humana's Associate Vice President (AVP), Technology and Cybersecurity Risk works closely with all areas of Enterprise Information Protection (EIP), Internal Audit, Enterprise Risk Management, business units, regulatory agencies, and industry ..
Description The Director, IT Compliance audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information systems ..
Job Information Tyson Foods Mgr HR II in Springdale Arkansas At Tyson Foods, the safety of our team members is our top priority. For that reason, successful applicants for this position ..