• Grievances and Appeals Corporate

    Humana (Columbus, OH)
    **Become a part of our caring community and help us put health first** The Corporate Medical Director provides medical interpretation and decisions about ... factors and determining the best course of action. The Corporate Medical Director provides ...residency + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis… more
    Humana (01/18/26)
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  • Medical Director Medicaid

    Humana (Columbus, OH)
    …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
    Humana (01/18/26)
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  • Director , External Communications

    Humana (Columbus, OH)
    …a part of our caring community and help us put health first** The Director , Corporate Communications develops and coordinates lines of communication outside the ... organization. The Director , Corporate Communications requires an in-depth understanding...experience in Media relations **Preferred Qualifications** + Medicaid or Medicare experience **Additional Information** To ensure Home or Hybrid… more
    Humana (01/15/26)
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  • Director , Home Health Grievances & Appeals

    CenterWell (Columbus, OH)
    …a part of our caring community and help us put health first** The Director Denials Management provides leadership for the audit, appeal and review process to ... Manages the Denials Management data analytics, denial and appeal process. The Director , Home Health Grievances & Appeals assists members, via phone or face… more
    CenterWell (01/08/26)
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  • Insurance Strategy Consultant

    Humana (Columbus, OH)
    …segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you ... subject matter experts, members of Humana's executive Management Team, and corporate , functional, and business unit leaders. Recent example projects include… more
    Humana (01/13/26)
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  • Nurse Practitioner - Advanced Illness Management

    Gentiva (Akron, OH)
    …diagnosis, treatment, consultation, and follow-up under the direction of the Palliative Medical Director or Primary Care physician. **As a Nurse Practitioner, ... tests within the scope of professional practice. Order treatments and durable medical equipment as indicated. + Communicate clinical findings to the PSC Physician… more
    Gentiva (12/12/25)
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