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Job Information Humana Medical Director - Medicare Pharmacy Appeals in Dover Delaware Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
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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, ..
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 ..
Description As a Physician Informaticist at Humana, you will contribute to meaningful projects, interact with other team members, be exposed to business operations and work cross functionally with other departments. The ..
Job Information Humana Medical Director - Texas in Dover Delaware Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of ..
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP ..
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 ..
About this role: As a Patient Care Technician (PCT) at Fresenius Medical Care, you play a vital part in supporting people who entrust us with their care, their families, and your ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
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 ..
POSITION FEATURES: *No Sundays, e/o Saturday, limited late shifts (outpatient only) *Tuition reimbursement *Clinical Advancement Program (CAP)- gain knowledge/increase pay *Growth opportunity including geographic movement and niche disciplines *Full benefits package ..
This program, established in 2019, is seeking an OB Hospitalist for a position near Newark, Delaware to work 24-hour shifts. Full-time and part-time are both available, with full-time being 5-7 shifts ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Dover Delaware Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Dover Delaware Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
