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Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... complex issues where the analysis of situations or..
Description The Medical Director actively uses their medical background, ... to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All .....
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..
Job Information Humana Medical Director of Trend Analytics in Honolulu Hawaii ... organization is seeking a Medical Director of Trend Analytics. As a clinical ... the clinical review and development..
Job Information Humana Medical Director - Texas in Honolulu Hawaii ... Honolulu Hawaii Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
... to solve the technology challenges of tomorrow. You'll collaborate with a ... challenge and change.' The Associate Director, Technology Solutions devises an effective ... IT business initiatives. The Associate..
Job Information Humana Medical Director - S. Florida in Honolulu ... Honolulu Hawaii Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
Job Information Humana UM Medical Director - Conviva in Honolulu Hawaii ... Honolulu Hawaii Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..
Job Information Humana Medical Director - Florida Medicaid in Honolulu ... Honolulu Hawaii Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
Job Information Humana Medical Director - National Medicare Team in ... Honolulu Hawaii Description The Medical Director relies on medical background and ... and reviews preauthorization requests for services. The..
... 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..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... reviews for inpatient and outpatient services to ensure that members receive ... clinically appropriate and medically necessary services...