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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 relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... complex issues where the analysis of situations or..
Job Information Humana Director of Public Policy in San Antonio ... San Antonio Texas Description The Director of Public Policy role resides in ... development for a broad range of..
Job Information Humana Medical Director - Florida Medicaid in San ... Antonio Texas Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
Job Information Humana Medical Director - S. Florida in San ... Antonio Texas Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in San ... Antonio Texas Description The Associate Director, Utilization Management Nursing utilizes clinical ... the coordination, documentation and communication of..
... an experienced and dynamic Associate Director of Accreditation to manage a team ... Accreditation to manage a team of subject matter experts on NCQA ... have a proven track..
Job Information Humana UM Medical Director - Conviva in San Antonio ... Antonio Texas Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..
Job Information Humana Director, Behavioral Health Strategy in San ... San Antonio Texas Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..
... Development Advisor works on problems of diverse scope and complexity ranging ... Experience in the Ohio Department of Medicaid Managed Care Contract. Ensures ... stakeholder including the Ohio Department..
Description The Director, Pharmacy Clinical Pipeline oversees the ... and finance teams. Responsibilities The Director, Pharmacy Pipeline requires a broad ... Pipeline requires a broad understanding of pharmacy and managed..
Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... complex issues where the analysis of..
Job Information Humana Medical Director of Trend Analytics in San Antonio ... organization is seeking a Medical Director of Trend Analytics. As a clinical ... the clinical review and development..
... team is expanding our shared services organization to enhance the clinical ... delivery process. The National Medicaid Director of Clinical Strategy and Practice builds ... community within the enterprise...