- Humana (Columbus, OH)
- …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 ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more
- Humana (Columbus, OH)
- …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 ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions regarding the appropriateness and… more
- Trinity Health (Columbus, OH)
- … and Grievance Coordinator is responsible for the processing and resolution of appeals , grievances and disputes from members and providers **What You Will ... preparation of case files and review with clinical colleagues. + Screen all incoming grievances , appeals and provider claim dispute to ensure they are within… more