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Job Information Humana Care Team Medical Director in Torrance California Description The ... in Torrance California Description The Care Team Medical Director is responsible for improving the ... for improving..
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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..
Description Humana's Enterprise Clinical Management team needs your clinical, business and ... The Clinical Analytics and Trend team uses advanced scientific techniques, data ... and improve the value of care..
... schedule.Quarterly bonus opportunities!Great patient centric, team environment!Excellent Benefits: Medical, dental, paid maternity & paternity ... Flexible Spending for Healthcare, Dependent Care & Commuter ExpensesPURPOSE AND SCOPE:Supports ... policy requirements...
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 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 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 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 ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The..
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..
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..
... a Social Worker with Fresenius Medical Care, you will provide psychosocial services ... will work with the health care team to promote positive adjustment, rehabilitation, ... Manager, Senior Manager..
... Stars and Risk Adjustment National Medical Director in Torrance California Description The ... role leads HQRI's Provider Support team (PST) that drives national provider ... nationally. This role relies..
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 fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The..
