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Description The Medical Director actively uses their medical background, ... whether requested services, requested level of care, and/or requested site of service should be authorized. All ... work occurs with..
... healthcare company with a history of successful innovation and reinvention, with ... leader and innovator in the health and wellness industry. A passionate ... culture. We're not just a..
Description The Medical Director relies on medical background and ... on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... complex issues where the..
Description The Medical Director actively uses their medical background, ... whether requested services, requested level of care, and/or requested site of service should be authorized. All ... work occurs within..
Job Information Humana Associate Director, Site Reliability Engineering in Honolulu ... Honolulu Hawaii Description The Associate Director, Site Reliability Engineering maintains, integrates ... within the organization. The Associate Director, Site..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Honolulu Hawaii Description The Medical Director relies on clinical background and ... Medicare drug requests. The Medical director work..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex..
Job Information Humana Director, Informatics in Honolulu Hawaii Description ... in Honolulu Hawaii Description The Director, Informatics coordinates with other analytics, ... insights from knowledge SMEs. The Director, Informatics requires..
... Medicare Appeals and Grievance Medical Director in Honolulu Hawaii Description The ... Honolulu Hawaii Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following ... for..
Job Information Humana : Director, HR Business Partner - CenterWell ... Business Partner - CenterWell Primary Care Organization (Florida Markets) in Honolulu ... healthcare services for senior primary care, home..
Job Information Humana Medical Director - National Medicare Team in ... Honolulu Hawaii Description The Medical Director relies on medical background and ... requests for services. The Medical Director work..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... work occurs within a context of regulatory compliance, and work is ... daily work. Responsibilities The Medical Director..
Job Information Humana UM Medical Director - Conviva in Honolulu Hawaii ... Honolulu Hawaii Description The Medical Director relies on medical background and ... on medical background and reviews health..
Description The Medical Director's primary responsibility is the review ... primary responsibility is the review of medical authorizations or claims to ... to determine the medical necessity of a given..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following ... Guidance on following and reviewing home health episodic and per diem requests. ... per diem requests...