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Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease areas ..
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... in the role of Associate Director, Community Engagement and Operations. If ... the back-up administrator to the Director. In the role of Associate ... In the role of Associate..
Description The Dental Director (part-time) provides dental interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Responsibilities The ..
Description The Associate Director, Utilization Management Nursing uses clinical ... all utilization reviews are in compliance with the terms of the ... including collaboration with the Medical Director to ensure..
Description The Associate Director, Quality Improvement implements quality improvement ... and annual evaluation. The Associate Director, Quality Improvement requires a solid ... across department(s). Responsibilities The Associate Director, Quality Improvement..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director actively uses..
Description Responsibilities The Associate Director for ACD Audit , at ... ACD Audit , at the director of the Director of Payment Integrity, will create ... optimizing operational processes. The..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director provides medical..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Title: Medical Director Location: Work..
Description The Associate Director, Care Management leads teams of ... for care management. The Associate Director, Care Management requires a solid ... across department(s). Responsibilities The Associate Director leads and..
Description The Director, Provider Reimbursement is responsible for ... team of associates. Responsibilities The Director, Provider Reimbursement develops and executes ... and surveillance techniques to ensure compliance with government regulations...
Job Information Humana Medicaid Associate Director, Compliance Nursing in Cincinnati Ohio Description ... Cincinnati Ohio Description The Associate Director, Compliance Nursing reviews utilization management activities ... waste, and abuse. The..
Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..
... Humana's Medicaid Behavioral Health Medical Director will oversee our behavioral health ... and the Behavioral Health Administrative Director to integrate the day-to-day administration ... payment programs. The BH Medical..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Description The Director, Quality Improvement implements quality improvement ... plan, and annual evaluation. The Director, Quality Improvement requires an in-depth ... interrelate across departments. Responsibilities The Director, Quality Improvement provides..
Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... work. Responsibilities Title: Commercial Medical Director Location: Work..
... Our expanding organization wants compassionate healthcare professionals like you to help ... Summa Health System and Vibra Healthcare, is a state of the ... We are looking for dedicated..
Job Information Humana Director Medicaid Provider Services (State of ... in Cincinnati Ohio Description The Director Medicaid Provider Services oversees the ... relationships with physicians, providers and healthcare systems in..
Description The Contract Administrator (Compliance Lead) ensures compliance with governmental requirements. The Compliance Lead works on problems of ... substantial. Responsibilities The Contract Administrator (Compliance Lead) will provide strategic guidance..
