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Description The Director of Health Services for National Medicaid Clinical Operations utilizes clinical skills ... documentation and communication of medical services and/or benefit administration determinations. The ... and/or benefit administration..
Description The Director, Health Services utilizes clinical nursing skills to ... documentation and communication of medical services and/or benefit administration determinations. The ... and/or benefit administration determinations. The Director, Health..
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... Job Description Summary The RVP Health Services relies on medical background to ... state of Florida. The RVP Health Services requires an in-depth understanding of ... segments and/or enterprise-wide...
... a company focused on the health and well-being of the people ... use for Humana's 8M Medicare, Medicaid and Pharmacy members Simplify and ... personalized medication list, and manage..
Description As Humana's Medicaid membership continues to grow, the ... continues to grow, the National Medicaid Clinical Operations team is expanding ... team is expanding our shared services organization to..
Job Information Humana Director, Behavioral Health Strategy in Tampa Florida Description ... in Tampa Florida Description The Director, Behavioral Health (DBH) will ensure that populations ... quality care for their..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... reviews for inpatient and outpatient services to ensure that members receive ... clinically appropriate and medically necessary services...
Description The Health Services Director leads teams of nurses and ... teams of nurses and behavior health professionals responsible for care management. ... responsible for care management. The Director, Care..
Job Information Humana Director, Medicaid Strategic Solutions in Tampa Florida ... in Tampa Florida Description Humana Medicaid is seeking exceptional candidates to ... exceptional candidates to join our Medicaid Product..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, ... hospital, and/or other provider behavioral health contracts for an organization that ... an organization that provides..
Job Information Humana Director, Behavioral Health Operations for Medicaid in Tampa Florida Description The ... in Tampa Florida Description The Director, Behavioral Health Operations for Medicaid will help build strategy..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, ... hospital, and/or other provider behavioral health contracts for an organization that ... for an organization that provides..
Medical Director Opportunity - Medicare Risk Adjustment ... education.rnCompetitive SalaryrnFull Benefits Package includes: Health Insurance (BCBS), PTO, Holidays, Life ... below!rnrnJOB DESCRIPTIONrnMedical DirectorrnrnROLE: The Medical Director reviews outpatient/inpatient medical records..
... Horizons is seeking a Medical Director to help develop and execute ... the Vice President and CMO Medicaid. Responsibilities Medical Directors actively use ... to make determinations on requested..