- Humana (Jefferson City, MO)
- …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
- Centene Corporation (Jefferson City, MO)
- …interpretation of proposed and promulgated laws, provides counsel with regards to grievances , appeals and provider dispute resolution, risk adjustment, benefits, ... Prescription Drug Plans and an understanding of risk adjustment, Stars, broker/sales, grievances and appeals , utilization management, dual eligible special needs… more