Commercial Medical Director National Team Work From Home Jobs in Rhode Island

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 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 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 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'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 The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex to ... is for the..

Job Information Humana Medical Director - National Medicare Team in Newport Rhode Island Description ... Newport Rhode Island Description The Medical Director relies on medical background and reviews preauthorization requests..

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

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 ... Newport Rhode Island 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 ... of variable factors..

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..

Job Information Humana Medical Director - Florida Medicaid in Newport ... Newport Rhode Island Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..

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..

Job Information Humana UM Medical Director - Conviva in Newport Rhode ... Newport Rhode Island Description The Medical Director relies on medical background and reviews health claims. ... and reviews..

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 ... of variable factors...

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..

Job Information Humana Medical Director - Texas in Newport Rhode ... Newport Rhode Island 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 ... service should be authorized. All work occurs within a context of ... context of regulatory compliance,..