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Job Information Humana Senior Project Manager - Medical Records Management Team in Atlanta ... Georgia Description The Senior Project Manager manages all aspects of a ... within budget. The Senior..
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... Registered Nurse (RN) nSnellville, GAnMAS Medical Staffing is currently seeking a(n) ... professional with Registered Nurse (Case Manager) experience for a 12 week contract ... the Snellville GA area...
... Humana Specialty Pharmacy RX Enrollment Manager in Atlanta Georgia Description Responsibilities ... Atlanta Georgia Description Responsibilities The Manager, Consumer Engagement contributes to business ... other managers across the department...
... Stars and Risk Adjustment National Medical Director in Atlanta Georgia Description ... nationally. This role relies on medical background, business acumen, and industry-standard ... Stars and Risk Adjustment National..
... manner Reporting to the General Manager, the Director of Repair and ... guests, and staff at all facilities associated with Druid Hills Golf ... Hills Golf Club. Ensures all..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..
Description The Medical Director relies on fundamentals of ... and per diem requests. The Medical Director provides medical interpretation and determinations whether services ... some cases) contracts. Responsibilities The Medical..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work...
... for the PCO University. Monitor medical performance and provide guidance to ... a portion of the time. Required Qualifications Board Certified MD/DO in ... of training Minimum 5 years'..
Description The Behavioral Health Medical Director makes determinations regarding prior ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical Directors..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily..
... ECM organization is seeking a Medical Director of Clinical Informatics. This ... positively impact trend including member experience, health outcomes and costs: Understand ... Understand the member/patient & provider..
Description The Medical Director's primary responsibility is the ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of a..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The Medical..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors Responsibilities The..
Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors. Responsibilities The..
... of Regional Vice President, Provider Experience. The Regional Vice President will ... and operations; enhance the provider experience with Humana. Align regional and ... will have extensive business leadership..
... facility staff. Maintains integrity of medical records and other FMS administrative ... integrity, including safety. Experienced leadership required for multi-faceted environment; role primarily ... implementation of FMS staffing, and..
... preventative maintenance of equipment.Manages patient experience efforts by supporting company patient ... the company values and patient experience drivers while encouraging others to ... The employee may occasionally be..
