Medical Director, Medicare Grievances
HumanaFull Time
Senior (5 to 8 years)
Key technologies and capabilities for this role
Common questions about this position
Yes, this position is eligible for a $5,000.00 Sign-On Bonus, though restrictions apply.
The position is located in Spirit Lake, IA, with rotating days/evenings/nights/weekends shifts from 7:00AM-7:00PM and 7:00PM-7:00AM.
Candidates need a current Iowa RN license and certifications in BLS, ACLS, PALS, and Adult/Child Abuse Mandatory Reporter. An associate degree or above in nursing is required, with one-year hospital nursing experience preferred.
The organization emphasizes a multi-disciplinary team built on Compassion, Hospitality, and Stewardship, with a positive work environment focused on delivering excellent care and practicing their mission and values daily.
Benefits include a potential $5,000 sign-on bonus, eligibility for the Student Loan Repayment Program, and Paid Time Off (PTO) available on Day 1.
Pharmacy Benefit Management services provider
Abarca Health provides Pharmacy Benefit Management (PBM) services, focusing on flexible and user-friendly solutions for health plans, employers, and government programs like Medicare and Medicaid. Its main product, the Darwin platform, allows clients to quickly implement and modify benefit designs while ensuring compliance with regulations. Abarca Health manages over $5.3 billion in drug spend and processes 100 million prescription claims annually, offering additional services like home delivery for prescriptions. The company's goal is to deliver exceptional service and innovative solutions in the PBM market.