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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 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 ..
... 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..
Job Information Humana Medical Director - S. Florida in Newport Rhode Island Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
**Bring your sales talents to a leader in medical technology and healthcare solutions.** **Rooted in our long history of mission-driven innovation, our medical technologies** **open doors.** **We support your growth with ..
Job Information Humana Care Team Medical Director in Newport Rhode Island Description The Care Team Medical Director is responsible for improving the quality of care and outcomes while managing costs for ..
Job Information Humana Medical Director - National Medicare Team in Newport Rhode Island Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work ..
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 Job Description Summary 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 ..
Job Information Humana Medical Director - Florida Medicaid in Newport Rhode Island Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Job Information Humana UM Medical Director - Conviva in Newport Rhode Island Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Executive Representative II Hospital -- Providence, RI Developing innovative ... announcing an Executive Representative II Hospital opportunity in the Providence, RI ... satisfaction in territory. Maintain effective communication and relationships..