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... brand for a primary care medical group practice with centers open ... of care. Follows level of medical care and quality for patients ... not limited to specialty referrals,..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work. Responsibilities Title:..
Description RN - Provider Clinical Liaison contributes to administration of utilization management. The RN - Provider Clinical Liaison work assignments involve moderately complex to complex issues where the analysis of situations ..
Description The Behavioral Health Medical Director makes determinations regarding prior ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical Directors..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
Job Information Humana Care Team Medical Director in Billings Montana Description ... Montana Description The Care Team Medical Director is responsible for improving ... ground up. The Care Team Medical..
Job Information Humana Provider Contracting Executive - National Transplant Network in Billings Montana Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for ..
... Stars and Risk Adjustment National Medical Director in Billings Montana Description ... clinical industry representative. As a leader, this role leads HQRI's Provider ... nationally. This role relies on..
... initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ... day of employment. Benefits include: Medical Benefits Dental Benefits Vision Benefits ... physician groups, ancillary providers and/or..
Job Information Humana Care Management Support Assistant 3 in Billings Montana Description Responsibilities The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality health care for ..
Description The Medical Director's primary responsibility is the ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of a..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..
Job Information Humana Provider Contracting Executive - Remote for InterMountain Region in Billings Montana Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements ..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The Medical..
Job Information Humana Healthcare Strategy Consultant in Billings Montana Description The Healthcare Strategy Consultant provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic ..
Job Information Humana Strategy Advisor, Healthcare Strategy in Billings Montana Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence ..
Description The Lead Behavioral Health Medical Director oversees the work of ... oversees the work of 2 Medical Directors who conduct clinical case ... themselves. The Lead Behavioral Health Medical..
... A career at The Rehabilitation Hospital of Montana, a 34-bed state-of-the-art ... 34-bed state-of-the-art inpatient acute rehabilitation hospital operated as a tri-venture with ... NM is responsible for implementing..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Billings Montana Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
Job Information Humana UM Medical Director - Conviva in Billings ... in Billings Montana Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
