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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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... drug manufacturers and providers. The Director, Pharmacy Clinical Formulary and Medical Strategies requires a broad understanding ... execute on the formulary and medical drug strategies. Responsibilities The Director, Pharmacy..
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few powerful teams dedicated to reducing waste and abuse in the health care industry and its impacts on Humana. These teams ..
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 actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..
... brand for a primary care medical group practice with centers open ... all. Responsibilities As a Regional Medical Director you will plan, organize, manage ... care services offered in..
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..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work. Responsibilities Title:..
Tucson Arizona: Seeking full-time Psychiatrist (Medical Director) in an outpatient, integrated care ... outpatient, integrated care setting. The Medical Director will be an active member ... Contact 888-345-3595 or E-mail..
Description The Director, Medical Coding extracts clinical information from ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g.,..
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..
Job Information Humana UM Medical Director - Conviva in Phoenix Arizona ... in Phoenix Arizona Description The Medical Director relies on medical background and reviews health claims. ... and reviews..
PURPOSE AND SCOPE:Supports the delivery of hemodialysis clinical care to patients by providing direction, guidance and support to facility Patient Care Technicians in an assigned area under the supervision of the ..
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..
About this role:As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients. You will work with the health care team to promote positive ..
... Humana Medicare Appeals and Grievance Medical Director in Phoenix Arizona Description The ... in Phoenix Arizona Description The Medical Director relies on fundamentals of CMS ... C Line of..
... Stars and Risk Adjustment National Medical Director in Phoenix Arizona Description The ... nationally. This role relies on medical background, business acumen, and industry-standard ... Stars and Risk Adjustment..
