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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 ..
... and organizational development programs for hospital and in coordination with the ... Totally Accountable for long-range planning. Communication Skills Excellent oral and written ... Skills Excellent oral and written..
Job Information Humana Medical Director - Florida Medicaid in Albuquerque New Mexico Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
... relationships through effective and timely communication. Takes initiative and action to ... on Dietetic Registration. Board Certified Specialist in Renal Nutrition encouraged. Current ... teach, strong organizational skills, excellent..
Job Information Humana UM Medical Director - Conviva in Albuquerque New Mexico Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Job Information Humana Care Team Medical Director in Albuquerque New Mexico Description The Care Team Medical Director is responsible for improving the quality of care and outcomes while managing costs for ..
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 Medical Director - S. Florida in Albuquerque New Mexico Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Job Information Humana Medical Director - National Medicare Team in Albuquerque New Mexico Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work ..
... 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..