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Job Information Humana Manager, Behavioral Provider Contracting - Remote ... Green Bay Wisconsin Description The Manager, of Behavioral Health Provider Contracting ... of those associates. Responsibilities The Manager, of Behavioral..
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Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
Job Information Humana UM Medical Director - Conviva in Green ... Green Bay Wisconsin Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
Description The Behavioral Health Medical Director makes determinations regarding prior ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical Directors..
... Humana Medicare Appeals and Grievance Medical Director in Green Bay Wisconsin ... Green Bay Wisconsin Description The Medical Director relies on fundamentals of ... C Line of Business. The..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors Responsibilities The..
Description The Lead Behavioral Health Medical Director oversees the work of ... oversees the work of 2 Medical Directors who conduct clinical case ... themselves. The Lead Behavioral Health Medical..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The Medical..
... Stars and Risk Adjustment National Medical Director in Green Bay Wisconsin ... nationally. This role relies on medical background, business acumen, and industry-standard ... corporate strategic initiatives. Responsibilities The..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..
Description The Medical Director relies on fundamentals of ... and per diem requests. The Medical Director provides medical interpretation and determinations whether services ... some cases) contracts. Responsibilities The Medical..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The Medical..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... daily work. Responsibilities Job..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work. Responsibilities Title:..
Job Information Humana Medical Director - Medicare Pharmacy Appeals ... Green Bay Wisconsin Description The Medical Director relies on clinical background ... reviews Medicare drug requests. The Medical director work..
Description The Medical Director's primary responsibility is the ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of a..
Description The Care Manager, Telephonic Nurse Assistant 2 receives ... from members. The NAL Care Manager, Telephonic Nurse Assistant 2 is ... call center type experience Prior medical knowledge Ability..
Job Information Humana Manager, Utilization Management RN - Remote ... Green Bay Wisconsin Description The Manager, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical services and/or..
