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Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..
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 ..
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Quality & Analytics Manager, Home & Community Based Services ... Elder Affairs, and the Massachusetts Rehabilitation Commission (MRC). MassHealth is responsible ... a data-driven Quality & Analytics Manager to join..
Job Information Humana UM Medical Director - Conviva in Boston Massachusetts Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Job Information Humana Medical Director - National Medicare Team in Boston Massachusetts Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..
Job Information Humana Medical Director - Texas in Boston Massachusetts Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to ..
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 - Florida Medicaid in Boston Massachusetts Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
OverviewAt HealthPro Heritage we hire people who share our vision, who work diligently and provide the kind of care that will help change patient's lives for the better. As an Associate, ..
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'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 ..
