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Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
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... successful candidate will have an advanced understanding of the HCC risk ... from HCC documentation, coding and provider education experience. An ideal candidate ... have the ability look at..
Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
... a primary care medical group practice with centers open or opening ... are a value based care provider focused on quality of care ... care team consists of doctors,..
Job Description $2000 Sign-On Bonus for qualified new hires! The Licensed Vocational Nurse (LVN)/ Licensed Practical Nurse (LPN) in expanded scope clinics is an integral part of the clinic team inside ..
... Description The Clinical Strategy and Practice Lead builds strategies for development, ... enterprise. The Clinical Strategy and Practice Lead works on problems of ... accountability Role Desirables MBA or..