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Job Information Humana Care Team Medical Director in Louisville Kentucky Description The ... in Louisville Kentucky Description The Care Team Medical Director is responsible for improving the ... for improving..
Job Information Humana Corporate Medical Director, Healthcare Quality Reporting & Improvement ... Louisville Kentucky Description The Corporate Medical Director for Healthcare Quality Reporting and ... and Improvement (HQRI) relies on..
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..
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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 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 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'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 medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors Responsibilities..
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..
... 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..
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 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 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 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 is a leadership position that ... a leadership position that leverages medical expertise, understanding of the TRICARE ... the TRICARE business, and managed care to support..
... Stars and Risk Adjustment National Medical Director in Louisville Kentucky Description The ... role leads HQRI's Provider Support team (PST) that drives national provider ... nationally. This role relies..
