- Humana (Lansing, MI)
- …a part of our caring community and help us put health first** The Associate Director , Technology Solutions devises an effective strategy for executing and ... delivering on IT business initiatives. The Associate Director , Technology Solutions requires a solid...data integrity, and security through rigorous governance and proactive compliance practices. + Build a best-in-class Finance data and… more
- Humana (Lansing, MI)
- …of healthcare through strategic interoperability and seamless data connectivity. As the Associate Director of Enablement - Interoperability, you will lead a ... **Digital Vendor Manuals** to capture vendor relationships, contractual standards, compliance , quality expectations, payment models, and renewal timelines. **Marketing… more
- Humana (Lansing, MI)
- …community and help us put health first** Humana is seeking a forward-thinking Associate Director for Human Resources Technology to join our HRIT leadership ... across our systems to deliver a modern, data-driven, and scalable associate experience. **KEY RESPONSIBILITIES** + Develop and execute a forward-looking HR… more
- Humana (Lansing, MI)
- …of good security practices. **_Key Accountabilities_** **25% - 1. Manage Technology Compliance for TRICARE Contract** + Serve as a trusted advisor and representative ... Team for all activities related to the TRICARE Contract Compliance requirements as well as Contract Changes and requests....designed to achieve and maintain a high level of associate engagement. + Work with HR and IT leadership… more
- Humana (Lansing, MI)
- …community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral ... Health Medical Director work assignments involve moderately complex to complex issues...authorized. All work occurs within a context of regulatory compliance and work is assisted by diverse resources which… more
- Humana (Lansing, MI)
- …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 (Lansing, MI)
- …a part of our caring community and help us put health first** The Director , Health Equity Strategy (Population Health Management Director ) is responsible for ... scientific principles and support equitable, whole-person care for Enrollees. The Director Health Equity Strategy (Population Health Management Director ) will… more
- Humana (Lansing, MI)
- …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 provides medical interpretation and decisions about the appropriateness of services… more
- CenterWell (Lansing, MI)
- …part of our caring community and help us put health first** The National Director , Care Integration Strategy & Program will be responsible for the end-to-end program ... readmission reduction, and other clinical programs as determined. The National Director , Care Integration Strategy & Program is a critical leadership role… more
- Humana (Lansing, MI)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues...policy. All work occurs within a context of regulatory compliance and work is assisted by diverse resources, included… more
- Humana (Lansing, MI)
- …is committed to advancing the employment experience and vitality of the associate community. Through offerings anchored in a whole-person view of human well-being, ... are seeking an accomplished healthcare physician leader for the newly-created role of Director , Physician Leadership. In this role, you will be a key enterprise… more
- Humana (Lansing, MI)
- …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 (Lansing, MI)
- …and help us put health first** We are seeking a seasoned and strategic Director , Tax Accounting to lead our tax accounting and reporting function within a complex, ... tax provisions under ASC 740 and SSAP 101, ensuring accuracy and compliance with US GAAP and statutory accounting principles. + Oversee tax-related disclosures… more
- Humana (Lansing, MI)
- …diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, directs, and monitors ... the practice of Pharmacy and implements changes as necessary to maintain compliance supporting both the business and public relations strategies. + Develops… more
- Humana (Lansing, MI)
- …part of our caring community and help us put health first** The Director , Strategy Advancement is a senior leader within CenterWell's Experience Transformation team, ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Lansing, MI)
- …and objectives, and improves performance. This role reports directly to the Associate Vice President of Product Security **Responsibilities** : * Manages team of ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Lansing, MI)
- …Plan (DSNP) Contract terms. + Works in conjunction with the Quality Improvement Director to develop quantifiable metrics that can track and evaluate the results of ... contract changes or updates. + Provides oversight to ensure Humana maintains compliance with MDHHS, National Committee for Quality Assurance (NCQA), Department of… more
- Humana (Lansing, MI)
- …projects from concept to execution **Additional Information** This role reports to the Director of Strategy, works collaboratively with members of rest of the team, ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more