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Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..
Job Information Humana CMO - Regional VP, Health Services - Intermountain Region in Salem Oregon Description The Regional VP, Health Services relies on medical background and reviews health claims. The Regional ..
Job Information Kindred at Home Home Health Admissions RN in Portland Oregon The Clinical Assessment Advisor directly completes and oversees development/ of the plan of treatment as approved by physician, performs ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Job Information Kindred at Home Medical Records Specialist Home Health Full Time in Portland Oregon The primary function of the Medical Records Specialist is to provide clerical support for the Medical ..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
Job Description:Our client in Southern Oregon is seeking a permanent Clinical RN Manager to oversee Maternal Child Health. This includes The Family Birthing Center, Pediatrics and Special Care Nursery overseeing around ..
... like this one Quality Assurance Specialist Step Range: 31 ($63,109) – ... Compliance Administrator, the Quality Assurance Specialist is responsible for ensuring that ... and systems. The Quality Assurance..
Job Information Humana Medicare Appeals and Grievance Medical Director in Salem Oregon Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
Job Information Humana UM Medical Director - Conviva in Salem Oregon Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that will ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
