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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..
... Job Description Summary The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... complex issues where the analysis..
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 .....
Job Information Humana UM Medical Director - Conviva in Troy Michigan ... Troy Michigan Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..
Job Information Humana Director of Public Policy in Troy Michigan ... in Troy Michigan Description The Director of Public Policy role resides in ... development for a broad range of..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Troy ... Troy Michigan 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 Director, Behavioral Health Strategy in Troy ... in Troy Michigan Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..
Job Information Humana Medical Director - Florida Medicaid in Troy ... Troy Michigan Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
Job Information Humana Medical Director of Trend Analytics in Troy Michigan ... organization is seeking a Medical Director of Trend Analytics. As a clinical ... the clinical review and development..
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..
Job Information Humana Medical Director - S. Florida in Troy ... Troy Michigan Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work..
... 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..
... 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...
Job Information Humana Director, State Public Policy in Troy ... in Troy Michigan Description The Director of State Public Policy role resides ... development for a broad range of policy..