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... to make determinations whether requested services, requested level of care, and/or ... and appeals processes, and outpatient services and equipment, within their scope. ... medical interpretation and determinations whether..
... decisions about the appropriateness of services provided by other healthcare professionals ... medical interpretation and determinations whether services provided by other healthcare professionals ... and the Regional VP Health..
Description The Director, Workforce Management applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent ..
... and reviews preauthorization requests for services. The Medical Director work assignments ... medical interpretation and determinations whether services provided by other healthcare professionals ... medical interpretation and determinations whether..
... to make determinations whether requested services, requested level of care, and/or ... and appeals processes, and outpatient services and equipment, within their scope. ... and/or home health or post-acute..
Description Care Management Analytics is looking for an Associate Director of Data Science to lead a team of data scientists who building machine learning models and run advanced analyses to drive ..
... and shaping the necessary tech-enabled services to deliver on that experience ... to help shape the technology-enabled services we will build together to ... and shaping the necessary tech-enabled..
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... to make determinations whether requested services, requested level of care, and/or ... medical interpretation and determinations whether services provided by other healthcare professionals ... and the Regional VP Health..
Job Information Humana Medical Director - Texas in Billings Montana Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to ..