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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:..
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Job Information Humana Care Team Medical Director in Troy Michigan Description ... Michigan Description The Care Team Medical Director is responsible for improving ... ground up. The Care Team Medical..
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..
Description Please note that this role requires you to work 4 days a week (including Saturday and Sunday), 10 hours a day, from your home office. If you cannot accommodate this ..
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. The Utilization Management Nurse 2 work assignments ..
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 Healthcare Strategy Consultant in Troy Michigan Description The Healthcare Strategy Consultant provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic ..
... Stars and Risk Adjustment National Medical Director in Troy Michigan Description ... clinical industry representative. As a leader, this role leads HQRI's Provider ... nationally. This role relies on..
Job Information Humana UM Medical Director - Conviva in Troy ... in Troy Michigan Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
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..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Troy Michigan Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
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 ..
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..
... 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 Provider Contracting Executive - National Transplant Network in Troy Michigan Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements 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..
Job Information Humana Strategy Advisor, Healthcare Strategy in Troy Michigan Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence ..
Details Department: Ascension Care Operations - Insurance Schedule: 8-hour day shift, Monday - Friday, Partially Remote Facility: Automated Business Services (ABS) Location: Troy, Michigan Benefits Paid time off (PTO)Various health insurance ..
1317 W Main St,Fremont,Michigan,49412,United States of America DaVita is seeking a Registered Nurse who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in ..
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 ..
