Care Team Medical Director Jobs in Puerto Rico

Job Information Humana Care Team Medical Director in San Juan Puerto Rico ... Juan Puerto Rico Description The Care Team Medical Director is responsible for improving the ... for improving..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... East Coast hours. 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 ... is for the Humana..

Job Information Humana Medical Director - S. Florida in San ... Juan Puerto Rico Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..

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 ... of variable factors. Responsibilities..

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

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 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 ... factors. Responsibilities Job Profile..

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..

Job Information Humana Medical Director of Long Term Care, Florida in San Juan Puerto ... Rico Description The Long Term Care Medical Director supports the Long Term Care program in..

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 - National Medicare Team in San Juan Puerto Rico ... Juan Puerto Rico Description The Medical Director relies on medical background and reviews preauthorization requests..

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..

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 - Texas in San Juan ... Juan Puerto Rico Description The Medical Director actively uses their medical background, experience, and judgement to ... requested services,..

Job Information Humana UM Medical Director - Conviva in San Juan ... Juan Puerto Rico Description The Medical Director relies on medical background and reviews health claims. ... and reviews..

... Humana Medicare Appeals and Grievance Medical Director in San Juan Puerto Rico ... Juan Puerto Rico 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 Medical Director - Florida Medicaid in San ... Juan Puerto Rico 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..