- Humana (Albany, NY)
- **Become 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... management review organization such as Medicare Advantage, managed Medicaid , or Commercial health insurance + Experience with national… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse...+ Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Must be passionate… more
- Humana (Albany, NY)
- …lead Medical Directors performing utilization management for inpatient authorizations training medical director team to assist and facilitate new hires and ... look at appeals rate with denials and overturns. Deliver the upmost consistent medical director decision making. + _Internal Operations and Technology_ _:_… more
- Centene Corporation (Queens, NY)
- …a fresh perspective on workplace flexibility. **Position Purpose:** The Senior Director , Healthcare Analytics leads analytic service delivery by aligning strategic ... of tools and capabilities and appropriate deployment of supporting analytic teams. The director serves in a leadership function spanning the needs of multiple health… more
- Centene Corporation (New York, NY)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... perspective on workplace flexibility. **Position Purpose:** Assist the Vice President of Medical Affairs to direct and coordinate the medical affairs functions… more
- Humana (Albany, NY)
- …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 understanding of how...ongoing interruptions to protect member PHI / HIPAA information \#LI- remote Travel: While this is a remote … more
- Humana (Albany, NY)
- …of our caring community and help us put health first** The Associate Director , Business Intelligence solves complex business problems and issues using data from ... and external sources to provide insight to decision-makers. The Associate Director , Business Intelligence requires a solid understanding of how organization… more
- Humana (Albany, NY)
- …and help us put health first** We're looking for an experienced and passionate Associate Director of AI Engineering to lead a team focused on building the agentic AI ... to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
- Humana (Albany, NY)
- …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, ... Occasional travel to Humana offices may be required. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
- Humana (Albany, NY)
- …to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more