THE LARGEST COLLECTION OF JOBS ON EARTH
healthcare
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... speak with contracted external physicians, physician groups, facilities, or community groups ... upon request of the attending physician Participates in HCO MD Inter-Rater ... Development forum (TAF) Collaborates with..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Jersey City New Jersey Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work ..
Job Information Humana Medical Director - Florida Medicaid in Jersey City New Jersey Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description As a Physician Informaticist at Humana, you will ... functionally with other departments. The Physician Informaticist coordinates with other analytics, ... work meets clinical standards. The Physician informatacist works..
Description Job Description Summary The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations ..
Job Information Humana Medical Director - Texas in Jersey City New Jersey Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
... experience and knowledge of both medicine and social determinants of health. ... speak with contracted external physicians, physician groups, facilities, or community groups ... as MCG® or InterQual Internal..
Job Information Humana Medical Director - National Medicare Team in Jersey City New Jersey Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director ..
Job Information Humana Care Team Medical Director in Jersey City New Jersey Description The Care Team Medical Director is responsible for improving the quality of care and outcomes while managing costs ..
... speak with contracted external physicians, physician groups, facilities, or community groups ... as MCG® or InterQual Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists Advanced degree such..