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Job Information Humana Senior Project Manager - Medical Records Management Team in Lancaster ... Carolina Description The Senior Project Manager manages all aspects of a ... within budget. The Senior..
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Description Social Work Care Manager MSW AdventHealth Ocala Location Address: ... MSW Minimum three (3) years experience in hospital/medical social work Job Summary: The ... Summary: The Social Work Care..
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..
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'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..
... 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 relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The Medical..
... Stars and Risk Adjustment National Medical Director in Lancaster South Carolina ... nationally. This role relies on medical background, business acumen, and industry-standard ... Stars and Risk Adjustment National..
Job Information Centerwell Regional Manager, Clinic/Center Administration - Greer, SC ... South Carolina Description The Regional Manager, Clinic/Center Administration plans and directs ... a clinical setting. The Regional Manager, Clinic/Center..
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 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 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 Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... in-depth evaluation of variable factors...
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..
... Humana Specialty Pharmacy RX Enrollment Manager in Lancaster South Carolina Description ... South Carolina 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..
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 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..
... 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'..
