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Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities Job..
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Description As Humana's Medicaid membership continues to grow, the ... continues to grow, the National Medicaid Clinical Operations team is expanding ... clinical delivery process. The National Medicaid Director of..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... East Coast hours. Responsibilities..
Description The Lead Behavioral Health Medical Director oversees the work of 2 ... oversees the work of 2 Medical Directors who conduct clinical case ... themselves. The Lead Behavioral Health..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors Responsibilities..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Profile..
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 UM Medical Director - Conviva in Tampa Florida Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical..
Job Information Humana Medical Director - Florida Medicaid in Tampa Florida Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... daily work. Responsibilities Job..
Job Information Humana Medical Director - Texas in Tampa Florida Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director..
... Stars and Risk Adjustment National Medical Director in Tampa Florida Description The Healthcare Quality Reporting ... nationally. This role relies on medical background, business acumen, and industry-standard ... Stars..
... for the PCO University. Monitor medical performance and provide guidance to ... years' experience in clinical practice Medical staff leadership experience for a ... and change management Knowledge of..
Job Information Humana Medical Director - S. Florida in Tampa Florida Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical..
Description The Medical Director's primary responsibility is the review ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Medicare Pharmacy Appeals in Tampa Florida Description The Medical Director relies on clinical background and ... reviews Medicare drug..
Job Information Humana Medical Director - National Medicare Team in ... National Medicare Team in Tampa Florida Description The Medical Director relies on medical background and reviews preauthorization requests .....
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical..
