Care Team Medical Director Jobs

Job Information Humana Care Team Medical Director in Portland Maine Description The ... in Portland Maine Description The Care Team Medical Director is responsible for improving the ... for improving..

Job Information Humana Medical Director - Florida Medicaid in Portland ... in Portland Maine Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..

Job Information Humana Medical Director - Texas in Portland Maine ... in Portland Maine Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..

... Humana Medicare Appeals and Grievance Medical Director in Portland Maine Description The ... in Portland Maine Description The Medical Director relies on fundamentals of CMS ... C Line of..

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..

Job Information Humana UM Medical Director - Conviva in Portland Maine ... in Portland Maine Description The Medical Director relies on medical background and reviews health claims. ... and reviews..

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 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..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... in Portland Maine Description The Medical Director relies on clinical background and ... reviews Medicare drug requests. The 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..

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..

Job Information Humana Medical Director - National Medicare Team in Portland Maine Description The ... in Portland Maine Description The Medical Director relies on medical background and reviews preauthorization requests..

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 ... factors. Responsibilities Job Profile..

Job Information Humana Medical Director - S. Florida in Portland ... in Portland Maine Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..

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 ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The..

Description Job Description Summary The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... factors...

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..

... Stars and Risk Adjustment National Medical Director in Portland Maine Description The ... role leads HQRI's Provider Support team (PST) that drives national provider ... nationally. This role relies..