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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 ..
Coding Specialist We have exciting employment opportunities ... Position Summary The HIM Coding Specialist will handle medical coding and ... abstraction for various types of Hospital visits (Inpatient, Outpatient, Ambulatory,..
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 - Florida Medicaid in Pittsburgh Pennsylvania 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 Pittsburgh Pennsylvania Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Job Information Humana Manager, Market Finance in Pittsburgh Pennsylvania 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 UM Medical Director - Conviva in Pittsburgh Pennsylvania 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..
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 - National Medicare Team in Pittsburgh Pennsylvania Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..
... increased associate engagement and better hospital performance. Description - External ESSENTIAL ... and consulting with field and hospital leaders as appropriate. Work with ... Work with Field Directors &..
Job Information Humana Care Team Medical Director in Pittsburgh Pennsylvania Description The Care Team Medical Director is responsible for improving the quality of care and outcomes while managing costs for a ..
