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Job Information Humana Medical Director - National Medicare Team in Dover Delaware Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..
Job Information Humana UM Medical Director - Conviva in Dover Delaware Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Job Information Humana Regional VP, Health Services (Mid-Atlantic Region) in Dover Delaware Description The Regional VP, Health Services relies on medical background and reviews health claims. The Regional VP, Health Services ..
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 ..
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 ..
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 ..
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 ..
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 ..
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 ..
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 ..
Join Bayhealth Medical Center at our Kent Campus Hospital in the open medical ICU. The unit is currently covered by a private group of 5 physicians and one APC. The practice ..
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 ..
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 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 - 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 ..
