Healthcare System Clinical And Quality Director Jobs in Pittsburgh

Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile..

... Information Humana Care Team Medical Director in Pittsburgh Pennsylvania Description The ... Description The Care Team Medical Director is responsible for improving the ... is responsible for improving the..

Job ID 21000JP6Available Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, ... FMCNA’s mission, vision, core values and customer service philosophy. Adheres to ... Program, including following all regulatory and..

Job Information Humana Medical Director - National Medicare Team in ... Pittsburgh Pennsylvania Description The Medical Director relies on medical background and reviews preauthorization requests for services. ... requests for..

Description The Medical Director actively uses their medical background, ... uses their medical background, experience, and judgement to make determinations whether ... services, requested level of care, and/or requested site..

Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex ... Coast hours. Responsibilities..

PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, ... FMCNA’s mission, vision, core values and customer service philosophy. Adheres to ... Program, including following all regulatory and FMS policy requirements. Ensure..

Job Information Humana Medical Director - Texas in Pittsburgh Pennsylvania ... Pittsburgh Pennsylvania Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health..

Description The Medical Director actively uses their medical background, ... uses their medical background, experience, and judgement to make determinations whether ... services, requested level of care, and/or requested site..

Description The Medical Director actively uses their medical background, ... uses their medical background, experience, and judgement to make determinations whether ... services, requested level of care, and/or requested site..

Description The Medical Director actively uses their medical background, ... uses their medical background, experience, and judgement to make determinations whether ... services, requested level of care, and/or requested site..

Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex ... live anywhere in..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Pittsburgh Pennsylvania Description The Medical Director relies on clinical background and reviews Medicare drug requests. The ... Medicare drug..

Job Information Humana UM Medical Director - Conviva in Pittsburgh Pennsylvania ... Pittsburgh Pennsylvania Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews..

Job Information Humana Medical Director - Florida Medicaid in Pittsburgh ... Pittsburgh Pennsylvania Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health..

Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile..

Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile..

Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... variable factors that rely on clinical experience and..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that ... that..

Description The Medical Director actively uses their medical background, ... uses their medical background, experience, and judgement to make determinations whether ... services, requested level of care, and/or requested site..

Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors Responsibilities..

... Job Description Summary The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex .....

Description The Medical Director relies on medical background and reviews health claims. The Medical ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities..