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Humana is committed to putting health first – for our teammates, our customers and our company
Updated
The Corporate Medical Director relies on medical background and reviews health claims. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial.
Humana Clinical Contracting Team is looking for a medical director with utilization management process skills. This MD will provide legal representation for Humana at pre-litigation, case reviews and litigation. The MD would have an interest in policy, process and CMS regulation enforcement.
The MD will have had prior experience in public speaking, strong communication skills and high organization. This position will be required to provide depositions on Humana’s behalf and possibility of defending in the court room.
The MD will also support the Clinical Contracting Team to align on best practices, standardization in clinical contract clauses. Use of data analytics are key in determining trend outcomes with MD decisions making and understanding the audit process.
This position will work closely with the following Humana Enterprise Partners: Regulatory Compliance, legal, clinical risk, provider contrac...
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Remote🇺🇸Added 8h ago
Strategic Field Reimbursement Manager
GSK is a global biopharma company focused on developing and manufacturing vaccines, specialty and general medicines.
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Remote🇺🇸Added 8h ago
Strategic Field Reimbursement Manager
GSK is a global biopharma company focused on developing and manufacturing vaccines, specialty and general medicines.
REST
Remote🇺🇸Added 8h ago
Strategic Field Reimbursement Manager
GSK is a global biopharma company focused on developing and manufacturing vaccines, specialty and general medicines.
REST
Remote🇺🇸Added 8h ago
Strategic Field Reimbursement Manager
GSK is a global biopharma company focused on developing and manufacturing vaccines, specialty and general medicines.
REST
Remote🇺🇸Added 8h ago
Strategic Field Reimbursement Manager
GSK is a global biopharma company focused on developing and manufacturing vaccines, specialty and general medicines.
REST