Medical Director, Medicare Grievances
HumanaFull Time
Senior (5 to 8 years)
ONeill, Nebraska, United States
Key technologies and capabilities for this role
Common questions about this position
The pay range is $24.00 - $48.00, with actual pay rate dependent upon experience.
This is an on-site position at Avera St Anthony's Hospital with rotating 12-hour shifts.
An active Licensed Practical Nurse (LPN) license from the Board of Nursing in the state of practice is required upon hire.
It's a multidisciplinary team environment built with compassion, focusing on Moving Health Forward, with emphasis on values like compassion, hospitality, stewardship, and CARE standards.
Candidates should have an active LPN license, commitment to Avera's mission and values, ability to work rotating shifts, and skills in team collaboration, patient assessment, and care coordination.
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.