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Description The Associate Director, Quality Assurance for Humana/Your Home ... Home Wellness Assessments. The Associate Director, Quality Assurance requires a solid ... requires a solid understanding of medical documentation and..
Description The Medical Director actively uses their medical background, experience, and judgement to ... and other sources of expertise. Medical Directors will learn Medicare and ... in their daily work...
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work. Responsibilities Title:..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. 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 ... factors. Responsibilities Job Profile..
Description The Director, Medical Coding extracts clinical information from a ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... East Coast hours. Responsibilities..
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..
Job Information Humana UM Medical Director - Conviva in Atlanta Georgia ... in Atlanta Georgia Description The Medical Director relies on medical background and reviews health claims. ... and reviews..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors Responsibilities..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... East Coast hours Responsibilities..
... brand for a primary care medical group practice with centers open ... all. Responsibilities As a Regional Medical Director you will plan, organize, manage ... care services offered in..
... Stars and Risk Adjustment National Medical Director in Atlanta Georgia Description The ... Interoperability, 2) serve as a coding expert to manage escalations or ... nationally. This role relies..
Job Information Humana Associate Director, Site Reliability Engineering in Atlanta ... Atlanta Georgia Description The Associate Director, Site Reliability Engineering maintains, integrates ... within the organization. The Associate Director, Site..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities..
Description The Associate Director, Medical Economics for the Primary Care ... leadership to identify and leading medical cost saving initiatives that contribute ... The PCO provides primary care medical group..
... primary care policy and procedure, coding and documentation, quality, utilization, customer ... for the PCO University. Monitor medical performance and provide guidance to ... years' experience in clinical practice..
