- Humana (Indianapolis, IN)
- …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 (Indianapolis, IN)
- …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
- Elevance Health (Indianapolis, IN)
- …Vendors (Vision, Dental, Transportation) strongly preferred + Experience with Medicaid and Medicare grievances and appeals processes + Experience with ... issue management for multiple states and for Medicaid and Medicare lines of business. **How You Will Make an...partners. + Monitors vendor performance to ensure compliance with corporate , state, federal and regulatory requirements. + Develops and… more