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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 ..
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 Manager, Market Finance in Indianapolis Indiana 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 Indianapolis Indiana Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
... 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 UM Medical Director - Conviva in Indianapolis Indiana 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 Indianapolis Indiana Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..
Description Humana Healthy Horizons in Indiana is seeking a Claims Research & Resolution Lead who will lead a team that focuses on supporting providers in the claims submission process and ensures ..
... management and other support functions (Marketing, Strategy) technical solutions (e.g., content ... previous Pharmaceutical biotech or medical marketing/promotional/sales experience, a promoted position and ... across peer groups with experienced..
Job Information Humana Care Team Medical Director in Indianapolis Indiana Description The Care Team Medical Director is responsible for improving the quality of care and outcomes while managing costs for a ..
Executive Representative II Hospital- Indianapolis Developing innovative therapies is ... announcing an Executive Representative II Hospital opportunity in the Indianapolis area ... satisfaction in territory. Maintain effective communication and relationships..
Job Information Humana Medical Director - Florida Medicaid in Indianapolis Indiana 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, ..
... 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..