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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 ... variable factors. Responsibilities Job..
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Description As the Director, Sales Product -Employer Group you ... You will consult with sales team members and stakeholders to match ... to meet you. Responsibilities The Director, Sales Product..
... professional to lead an interactive team with broad exposure and scope ... drug manufacturers and providers. The Director, Pharmacy Clinical Formulary and Medical Strategies requires a broad understanding .....
... Arkansas 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..
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 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..
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..
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..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... well-being Responsibilities Join a collaborated team of Nurses and Medical Directors that work together on ... best..
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few ... and abuse in the health care industry and its impacts on ... that report to this Associate director..
... the National Medicaid Clinical Operations team is expanding our shared services ... delivery process. The National Medicaid Director of Clinical Strategy and Practice ... community within the enterprise. The..
... sent to the member's primary care provider to be included in ... be included in the patient medical records and support the provider ... the provider in providing comprehensive..
Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... benefit administration determinations. The Associate Director, Utilization Management..
... for performing clinical audits on medical record documentation for quality and ... as outlined in the Autism Care Demonstration (ACD) policy, TRICARE Operations ... support the submitted charges. Comprehensive..
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..