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Description The Director, Group Market Operations partners with the assigned Group Market Presidents on cost of care and profitable growth management, risk management and operations. The Market Operations Director requires an ..
... by other healthcare professionals in compliance with approved policies, procedures, and ... Medical Director serves as a clinical resource for the LTC program ... care team rounds and provides..
... and value, while also managing compliance with network requirements, including network ... alignment to financial, operational and clinical goals Participate and contribute to ... proactively identify network issues, ensure..
... 2 Medical Directors who conduct clinical case reviews of the care ... Medical Director for the Humana Clinical Operations Behavioral Division is looking ... by other healthcare professionals in..
Powerback is a new way of delivering recovery, rehabilitation, respiratory, and wellness services to patients across the nation. We deliver an empowered approach to achieving your full potential by providing integrated ..
Genesis HealthCare is one of the leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how ..
... team. This position reviews the clinical appropriateness of prior authorization (PA) ... reviews for requested services using clinical judgement and works with the ... works with the Chief Medical..