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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 ..
Job Information Humana Manager, Market Finance in Cincinnati Ohio Description The Manager, Market Finance collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. The Manager, ..
Job Information Humana Medical Director - S. Florida in Cincinnati Ohio Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
... 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..
... 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,..
Job Information Humana Medical Director - Florida Medicaid in Cincinnati Ohio 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 - National Medicare Team in Cincinnati Ohio Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..
Job Information Humana UM Medical Director - Conviva in Cincinnati Ohio Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
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, ..
Job Information Humana Care Team Medical Director in Cincinnati Ohio Description The Care Team Medical Director is responsible for improving the quality of care and outcomes while managing costs for a ..
