Commercial Medical Director National Team Work From Home Jobs in Portland

Description The Medical Director actively uses their medical background, experience, and judgement to ... service should be authorized. All work occurs with a context of ... context of regulatory compliance,..

Description The Medical Director actively uses their medical background, experience, and judgement to ... service should be authorized. All work occurs within a context of ... context of regulatory compliance,..

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

Description The Medical Director actively uses their medical background, experience, and judgement to ... service should be authorized. All work occurs within a context of ... context of regulatory compliance,..

Description The Medical Director actively uses their medical background, experience, and judgement to ... service should be authorized. All work occurs within a context of ... context of regulatory compliance,..

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

Description The Medical Director actively uses their medical background, experience, and judgement to ... service should be authorized. All work occurs within a context of ... context of regulatory compliance,..

Description The Medical Director actively uses their medical background, experience, and judgement to ... service should be authorized. All work occurs within a context of ... context of regulatory compliance,..

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 to ... factors. Responsibilities Job..

Description The Medical Director actively uses their medical background, experience, and judgement to ... service should be authorized. All work occurs within a context of ... context of regulatory compliance,..

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 Behavioral Health Medical Director makes determinations regarding prior authorization ... and medically necessary services. All work occurs within a context of ... context of regulatory compliance, and work..

Description The Medical Director actively uses their medical background, experience, and judgement to ... service should be authorized. All work occurs within a context of ... context of regulatory compliance,..

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..

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..

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..

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 to .....

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex to ... of variable factors..

... AVP, Stars and Risk Adjustment National Medical Director in Portland Maine Description The ... that can contribute to Humana's national planning and operations for Risk ... role leads HQRI's..

Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case ... themselves. The Lead Behavioral Health Medical Director may also lead specific..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex to ... of variable factors...