- Humana (Topeka, KS)
- …Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within ... Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease... population, or condition type. May also engage in grievance and appeals reviews. Some medical directors… more
- Humana (Topeka, KS)
- …assigned market, member population, or condition type. May also engage in grievance and appeals reviews. Some medical directors may join a centralized team ... Director, depending on size of region or line of business . The Medical Director conducts Utilization Management of the...from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information **Scheduled Weekly Hours** 40… more
- Humana (Topeka, KS)
- …assigned market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational ... to understand Humana processes with a focus on collaborative business relationships. The ideal candidate will have a high...to Public Health, Population Health, analytics, and use of business metrics. + Experience working with Case managers or… more