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MUST HAVE: 97 Guidelines, Hospitalist, Teaching Hospital, Internal Medicine, EPIC PREFERRED: Edits, General Surgery, Behavioral Health (rounding visits) CREDENTIALS: CPC, CCS-P, RHIA or RHIT must be primary credentials. Cannot submit with ..
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Job Information Humana UM Medical Director - Conviva in Bethesda Maryland Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
OB HospitalistnLocation: Falls Church, VAn nMPLT Healthcare is looking for physicians who Understand the Urgency, Never Give Up, and Have the Courage to Excel in the forever changing medical industry! We ..
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 ..
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 ..
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 Regional VP, Health Services (Mid-Atlantic Region) in Bethesda Maryland Description The Regional VP, Health Services relies on medical background and reviews health claims. The Regional VP, Health Services ..
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 - Medicare Pharmacy Appeals in Bethesda Maryland Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
Newborn Hospitalist US-MD-Rockville Job ID: 2023-39198 Type: ... 2023-39198 Type: Physician - Pediatrician/Pediatric Hospitalist # of Openings: 1 Category: ... Physician MDNNHY Overview Exciting Newborn Hospitalist Position in Rockville, MD..
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, ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Bethesda Maryland 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 Bethesda Maryland Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
Laborist needed for a Level III NICU near Arlington covering 24 hour shifts. Five shifts minimum for full-time. You will be expected to provide Gynecology coverage and be available for Hospitalist ..