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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 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 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 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 ... of variable factors Responsibilities..
Job Information Humana UM Medical Director - Conviva in Glen Allen ... Glen Allen Virginia Description The Medical Director relies on medical background and reviews health claims. ... and reviews..
Job Information Humana Associate Director, Site Reliability Engineering in Glen ... Allen Virginia Description The Associate Director, Site Reliability Engineering maintains, integrates ... within the organization. The Associate Director, Site..
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..
BenefitsIncentive compensation planNursing Student Loan Debt Repayment and Tuition AssistanceHealth, Dental, Vision, Company-paid life insurance, 401K, Paid Time OffDiverse, Equitable and Inclusive (DEI) workplace with DEI committee. DEI is a part ..
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 ... East Coast hours. 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 ... East Coast hours Responsibilities..
... Stars and Risk Adjustment National Medical Director in Glen Allen Virginia Description ... Interoperability, 2) serve as a coding expert to manage escalations or ... nationally. This role relies..
Genesis HealthCare is one of the leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how ..
JOB SUMMARY Step up and lead with a regional leader. Advance your career with an award-winning organization that excels in helping our communities stay healthy and our region grow stronger. Make ..
... 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..
