- Humana (Indianapolis, IN)
- …and regulations across Humana Specialty and Military products. The Director manages dedicated compliance teams of associates who oversee compliance ... Compliance to develop and implement compliance programs for Humana's Specialty and Military products and contracts. The Director is responsible for … more
- Humana (Indianapolis, IN)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
- Humana (Indianapolis, IN)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
- Humana (Indianapolis, IN)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Indianapolis, IN)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... at the Inpatient level. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national clinical… more
- Humana (Indianapolis, IN)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD… more
- Humana (Indianapolis, IN)
- …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …responsibility for the Psychologists (GS-11, GS-12 or GS-13), integrated into the specialty areas, as well as, the Social Work therapists/staff and psychometrists as ... required by the Medical Center, VISN and VACO, ensuring compliance with appropriate accrediting bodies such as Joint Commission....(CPA) at the time the program was completed. The specialty area of the degree must be consistent with… more
- Rhythm Pharmaceuticals (Indianapolis, IN)
- …for all approved indications. In Stage 1, this position will report to the National Director , ADMs, and in Stage 2, will transition to report to a US Field Sales ... Director . Responsibilities and Duties + Execute disease education to...with high levels of commitment and efficiency, including Healthcare Compliance training, expense reports and other assignments by established… more