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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:..
Job Information Humana Care Team Medical Director in Portland Maine Description ... Maine Description The Care Team Medical Director is responsible for improving ... ground up. The Care Team Medical..
... kidney disease. Come join a leader in Dialysis, where assignments are ... Chairs/Stations: Position Summary: The Fresenius Medical Care Healthcare Recruitment registered nurse ... or continues employment with Fresenius..
Job Information Humana UM Medical Director - Conviva in Portland ... in Portland Maine Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization ..
... home care aides. Manage complex medical issues Collaborate with other professionals ... with patients, families, physicians, and hospital staff members.Benefits Day 1 Health ... $1500 Referral bonus programAbout UsAll..
... Care Technician (PCT) at Fresenius Medical Care, you play a vital ... that sets us apart.At Fresenius Medical Care, you will truly make ... patient care experience in a..
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 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..
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..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Portland Maine Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
Job Information Humana Strategy Advisor, Healthcare Strategy in Portland Maine Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence ..
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 ..
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..
... 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..
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..
... Stars and Risk Adjustment National Medical Director in Portland Maine Description ... clinical industry representative. As a leader, this role leads HQRI's Provider ... nationally. This role relies on..
Description The Medical Records Retrieval Representative works with ... retrieval methods to retrieve member medical records that will be submitted ... other government agencies. Responsibilities The Medical Records Retrieval Representative..
... Registered Nurse (RN) with Fresenius Medical Care, you will be part ... that sets us apart.At Fresenius Medical Care, you will truly make ... and documents in the patient..
Bring your marketing savvy to Genesis as a Hospital Liaison. In this role, you will establish a strong business presence and relationships with hospitals - physicians within an assigned geographic area, ..