• Medicare Grievances

    Humana (Salem, OR)
    …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The Corporate ... diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
    Humana (01/07/25)
    - Save Job - Related Jobs - Block Source
  • Delegation and Quality Oversight Manager

    CareOregon (Portland, OR)
    …of subcontracted entities, fraud waste and abuse prevention planning and investigations, grievances , hearings and appeals , corporate risk assessment and ... tracking, documentation, collection, file maintenance, reporting and resolution of the hearings, appeals and grievances processes. + Develop and lead Health… more
    CareOregon (12/17/24)
    - Save Job - Related Jobs - Block Source