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Description The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value based care provider focused on quality of care for the patients we ..
Description We are excited to share that we are in the process of changing our name to CenterWell Senior Primary Care. We expect our name transition to be complete by the ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... rotating basis Responsibilities The Medical Director provides medical..
Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... of health. Responsibilities The Medical Director actively uses..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..
Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director..
... in an assigned area ensuring compliance with established company and regulatory ... growth of area while ensuring compliance with all pertinent company policies ... policies and procedures including ongoing..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director provides medical..
MEDICAL DIRECTOR / 100% ADMINISTRATIVErnrnrnDescriptionrnrnrnrnMedical DirectorrnOverall Purpose:rnThe Medical Director is responsible for medical oversight of the Medical Management Program Description of organization regarding medical necessity decisions; utilization review, inclusive of prior ..
Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... and Sunday. Responsibilities The Medical Director provides medical..
Description The Director, Physician Leadership relies on medical background ... and reviews health claims. The Director, Physician Leadership requires an in-depth understanding ... function or segment. Responsibilities The Director, Physician..
Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director's work includes..
National Medical Director Utilization Management – Quality Management ... care to drive HEDIS metric compliance.rnProvide clinical leadership for medical necessity ... clinical data review of HEDIS compliance and develop strategic..
Job Information Centerwell Physician - CenterWell - Green Valley Clinic, Henderson NV in Henderson Nevada Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused ..
Job Information Centerwell Physician - CenterWell - Las Vegas, NV - Blue Diamond Clinic in Henderson Nevada Description Humana's Primary Care Organization is one of the largest and fastest growing value-based ..
... and Risk Adjustment National Medical Director in Las Vegas Nevada Description ... organization is seeking a talented Physician executive that can contribute to ... / coding guidance to ensure..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director..
