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Description The Lead Medical Director relies on medical background and reviews health claims. ... reviews health claims. The Lead Medical Director requires a solid understanding of ... across department(s). Responsibilities..
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Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
... Responsibilities Title : Clinical Trend Medical Director Assignment: Enterprise Clinical Management, Clinical ... is seeking a Clinical Trend Medical Director. As a clinical trend leader ... that will positively..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team uses advanced scientific techniques, ..
Description iCare is seeking an Associate Director, Medicaid Care Management who will lead teams of healthcare professionals responsible for care management for BadgerCare Plus and SSI Medicaid programs. The Associate Director, ..
Description The Medical Director relies on fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The..
Description iCare is seeking an Associate Director, Medicare Care Management who will lead teams of healthcare professionals responsible for care management. The Associate Director, Medicare Care Management role requires a solid ..
Job Information Humana Director, State Public Policy in Green Bay Wisconsin Description The Director of State Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public ..
Description The Medical Director relies on fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... East Coast hours. Responsibilities The..
We are seeking a Regional Medical Director at Aspirus Medford Hospital in ... in Medford, Wisconsin. The Regional Medical Director will have the responsibility of ... physicians and administration. rnThe..
We Are Hiring Job Title: Regional Clinical Director Surgical Services Department: Surgical Services Administration Location: Ascension Hospitals - All Saints, St. Francis and Franklin City, State: Racine, St. Francis and Franklin, ..
Job Information Humana Director of Public Policy in Green Bay Wisconsin Description The Director of Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy ..
... Humana Medicare Appeals and Grievance Medical Director in Green Bay Wisconsin Description ... Green Bay Wisconsin Description The Medical Director relies on fundamentals of CMS ... C Line of..
Details Department: Nursing Education Schedule: Full-time days Location: Home base in Greater Milwaukee area, will travel to hospitals within WI Benefits Paid time off (PTO)Various health insurance options & wellness plansRetirement ..
Description The Lead Behavioral Health Medical Director oversees the work of 2 ... oversees the work of 2 Medical Directors who conduct clinical case ... themselves. The Lead Behavioral Health..
Description The Medical Director relies on fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Green ... Bay Wisconsin Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical..
Description The Director, Pharmacy Clinical Pipeline oversees the ... Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking ... and finance teams. Responsibilities The Director, Pharmacy Pipeline requires..
Description The Medical Director relies on fundamentals of CMS ... and per diem requests. The Medical Director provides medical interpretation and determinations whether services ... some cases) contracts. Responsibilities The..