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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..
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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 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 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..
Job Information Humana UM Medical Director - Conviva in Las Vegas ... Las Vegas Nevada 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 ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..
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..
... 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..
... Stars and Risk Adjustment National Medical Director in Las Vegas Nevada Description ... Interoperability, 2) serve as a coding expert to manage escalations or ... nationally. This role relies..
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..
Job Information Humana Associate Director, Site Reliability Engineering in Las ... Vegas Nevada Description The Associate Director, Site Reliability Engineering maintains, integrates ... within the organization. The Associate Director, Site..
National Medical Director Utilization Management – Quality Management ... various functions.rnResponsible for corporate and medical policy interpretation, recommendation, and review ... delivery of consistent high- quality medical care to drive..
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'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..
