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Description The Quality Assurance, Clinical Professional 2 consults and collaborates ... and quality. The Quality Assurance, Clinical Professional 2 work assignments are ... you should strongly consider the Clinical Quality..
... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of moderately complex to complex..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) ... resources which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations,..
Job Information Humana Medical Director - Florida Medicaid in Indianapolis Indiana Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
... resources which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of moderately complex to complex..
... The Medical Director relies on clinical background and reviews Medicare drug ... Pharmacy Policies and Procedures, and clinical literature as appropriate. Medical Directors ... degree 5 years of direct..
Job Information Humana Medical Director - S. Florida in Indianapolis Indiana Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) ... guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) ... degree 5 years of direct..
... part of building an innovative clinical strategy and shaping the necessary ... part of building an innovative clinical strategy and shaping the necessary ... this role you will: Provide..