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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 ..
Job Information Humana Care Team Medical Director in Atlanta Georgia Description The Care Team Medical Director is responsible for improving the quality of care and outcomes while managing costs for a ..
Job Information Humana UM Medical Director - Conviva in Atlanta Georgia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Job Information Humana Medical Director - S. Florida in Atlanta Georgia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
... services. Build strong relationship with specialist, hospitalist, SNF and other providers ... the organization in community and marketing events. Develop and maintain compliance ... practice, physician practice management organization,..
... (selling physician preference products) in hospital or specialty clinic environment or ... year of Medtronic CRHF Clinical Specialist experience **Nice to Have** Preference ... years medical sales experience in..
Job Information Humana Manager, Market Finance in Atlanta Georgia Description The Manager, Market Finance collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. The Manager, ..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Description Manages assigned book of business for local service needs including escalated issues, open enrollment and member events, member and employer education and special projects to help extend existing business opportunities ..
... monitoring of Humana's medical coding communication efforts to promote accurate and ... (AHIMA) CCS - Certified Coding Specialist (AHIMA) CCS-P - Certified Coding ... (AHIMA) CCS-P - Certified Coding..
... by adhering to sales and marketing requirements. Collaborate with Humana Provider ... metrics/performance reporting Comply with CMS marketing and sales guidelines and regulations ... Bachelor's degree in business or..
... market level profiles on individual specialist cost and effectiveness. Builds strong ... reaching their medical cost and hospital utilization targets. Acts as project ... Experience in a Medicare Advantage,..
Job Information Humana Medical Director - National Medicare Team in Atlanta Georgia Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..
Job Information Humana Medical Director - Florida Medicaid in Atlanta Georgia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
