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Job Information Humana Care Team Medical Director in Indianapolis Indiana Description The ... in Indianapolis Indiana Description The Care Team Medical Director is responsible for improving the ... for improving..
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Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., ... new brand for a primary care medical group practice with centers open ... and Texas. CenterWell Senior Primary Care..
... life fully. At the Primary Care Organization, a division of Humana, ... teams under the Humana Primary Care Organization (PCO). Collaboratively with market ... leadership, you will train primary..
... Ensure provision of quality patient care while maintaining cost-effective clinical operations ... Compliance Program, and FMS patient care and administrative policies as the ... decisions to ensure continuity of..
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..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors Responsibilities..
Description The Medical Director's primary responsibility is the review ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of..
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..
... Stars and Risk Adjustment National Medical Director in Indianapolis Indiana Description The ... role leads HQRI's Provider Support team (PST) that drives national provider ... nationally. This role relies..
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..
... the provision of quality patient care in an independent home therapy ... to ensure the continuity of care and patient and staff safety. ... and guidance to the interdisciplinary..
... prefer experience in a critical care, ED, Emergency Room, Surgical, Cath ... in the premises. Assists the Medical Staff to ensure that medical practices and procedures meets applicable .....
Description The Medical Director actively uses their medical background, experience, and judgement to ... requested services, requested level of care, and/or requested site of service ... conferences, and other reference..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Profile..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex .....
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... Government Business's (HGB) Behavioral..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities..
