- Humana (Indianapolis, IN)
- …Director relies on medical background and reviews 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 about the… more
- Elevance Health (Indianapolis, IN)
- …will be considered.** **The Strategy Director ** supports Government Business Grievances & Appeals and Government Business Enrollment Billing. In this ... for this role. + Business knowledge in Government Health Benefits to include Grievances & Appeals and/or Enrollment Billing preferred. + Master's degree… more
- Highmark Health (Indianapolis, IN)
- …medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances , and other reviews as assigned. Compose clear ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more