- Humana (Austin, TX)
- …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, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Humana (Austin, TX)
- …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, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Molina Healthcare (Fort Worth, TX)
- …BH peer reviews and appeals * Supports BH committees for quality compliance . * Implements clinical practice guidelines and medical necessity review criteria * ... Tracks all clinical programs for BH quality compliance with NCQA and CMS * Assists with the...EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in… more
- MUFG (Irving, TX)
- …process documentation for GFCD IM Reporting & Analysis Team processes. + Support the Director , GFCD and Americas Compliance Issues Management and the Director ... VP and the team in leading the coordination and delivery of financial crimes compliance issues program in accordance with the Global Financial Crimes Compliance … more
- MUFG (Irving, TX)
- …matter expertise regarding Issues Management policy, standard, and procedures. + Support the Director , GFCD and Americas Compliance Issues Management and the ... President (AVP) role in the Global Financial Crimes Division ("GFCD") and Americas Compliance function of MUFG Bank, Ltd. will report to the Vice President, Americas… more
- MUFG (Irving, TX)
- …will provide more details. Reporting into the one of the team manager under Director DTO-Americas , this new position has been created for the purpose of ... designing, analyzing, testing and/or validating BSA/AML models, and/or OFAC sanctions screening models. + Familiarity implementing, testing or evaluating performance… more