- Humana (Austin, TX)
- …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
- Humana (Austin, TX)
- …CDT terminology and current professional standards o Review and resolve provider and member grievances and appeals o Provide and advance the clinical vision for ... and other states. This is accomplished by analysis and adjudication of claims, appeals , and potential quality of care issues. The Dental Director - Texas assists… more