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... 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..
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Job Information Humana Senior Project Manager - Medical Records Management Team in Dover ... Delaware Description The Senior Project Manager manages all aspects of a ... within budget. The Senior..
Job Information Humana Lead Product Manager - Group Dental, Vision and ... Delaware Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..
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 relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..
... 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 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 Lead Behavioral Health Medical Director oversees the work of ... oversees the work of 2 Medical Directors who conduct clinical case ... themselves. The Lead Behavioral Health Medical..
... Stars and Risk Adjustment National Medical Director in Dover Delaware Description ... nationally. This role relies on medical background, business acumen, and industry-standard ... Stars and Risk Adjustment National..
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 actively uses their medical background, experience, and judgement to make determinations ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work...
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..
... Humana Specialty Pharmacy RX Enrollment Manager in Dover Delaware Description Responsibilities ... Dover Delaware Description Responsibilities The Manager, Consumer Engagement contributes to business ... other managers across the department...
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..
Job Information Humana Medical Director - Texas in Dover ... in Dover Delaware Description The Medical Director actively uses their medical background, experience, and judgement to make determinations ... conferences,..
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..
Description Job Description Summary The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities..
Description The Manager, STARS Improvement develops, implements, and ... Stars improvement team. Responsibilities The Manager, STARS Improvement develops the programs ... day of employment. Benefits include: Medical Benefits Dental Benefits..
