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... sections of the Medicare and/or Medicaid cost reports. Prepares Tricare cost ... to Sr. Analysts, Manager or Director *Assist in conducting regulatory research ... regulatory research related to Medicare,..
... for all customers. Influences HBG's health services strategy by making decisions on ... care organization to include Medicare, Medicaid, TRICARE and/or Commercial products Deep ... TRICARE contracts and/or the..
Description The Medical Director actively uses their medical background, ... to make determinations whether requested services, requested level of care, and/or ... work. Responsibilities Title: Commercial Medical Director Location: Work..
Description The Medical Director relies on medical background and ... on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The..
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Description The Medical Director relies on medical background and ... on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Title:..
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..
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..
... charged with administering the TRICARE health plan in the East Region. ... processing operations and systems. The Director, Claims Oversight plays a vital ... relate to claims. Responsibilities The..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Glen Allen ... Allen Virginia Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
Description The Medical Director relies on medical background and ... on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The..
... as part of the hemodialysis health care team in providing safe ... forth in the FMS Clinical Services Clinical Training Manual(s), FMS policies ... practices. PATIENT RELATED: Education:Assist other..
Description Humana's National Medicaid Quality team is seeking a ... be responsible for supporting individual Medicaid market quality teams and serving ... to the corporate level National Medicaid Quality team..
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..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... documentation, and communication of medical services and/or benefit administration determinations. The ... determinations...
