Medical Director Jobs in Charleston

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..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Charleston ... West Virginia Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical..

Job Information Humana Director of Public Policy in Charleston West Virginia Description The Director of Public Policy role resides in Humana's Corporate Affairs department and is charged primarily with public policy ..

Description The Medical Director relies on fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The..

Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..

Description The Medical Director relies on fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... East Coast hours. Responsibilities The..

BenefitsTuition AssistanceVariable compensation plansHealth, Dental, Vision, Company-paid life insurance, 401K, Paid Time OffTuition, Travel, and Wireless Service DiscountsEmployee Assistance Program to support mental healthEmployee Foundation to financially assist through unforeseen hardshipsDiverse, ..

Job Information Humana Associate Director, Site Reliability Engineering in Charleston ... West Virginia Description The Associate Director, Site Reliability Engineering maintains, integrates ... within the organization. The Associate Director, Site..

Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how ..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

Description The Medical Director relies on fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The..

This position supports the WV Market. Position HighlightsReports to President and Market LeaderOrganize Genesis sales and marketing resources around market dynamics, referral sources, decision-makers, and influencersProvide hands-on leadership support and supervision ..

Company & Position Introduction: nPrimeCare Medical of West Virginia, Inc. (i.e. ... healthcare practice. nPCM provides comprehensive medical, mental health, & dental care ... and exciting opportunity for todayu2019s medical..

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..

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..

BenefitsNursing Student Loan Debt Repayment and Tuition AssistanceTuition, Travel, and Wireless Service DiscountsVariable compensation plansHealth, Dental, Vision, Company-paid life insurance, 401K, Paid Time OffEmployee Assistance Program to support mental healthEmployee Foundation ..

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 Director, Behavioral Health Strategy in Charleston ... Charleston West Virginia Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..

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..

... a Fee For Service Attending Physician/Medical Director for our Putnam Care Center, ... is a Dual Role Attending Physician/Medical Director. It is clinical in nature. ... care team, we're..

Description The Director, Clinical Pharmacy Drug Evaluation and Policy Strategies oversees drug class reviews/evaluation, clinical policy strategy development, research, P&T committee oversight, and accreditation. This position will work and collaborate with ..

... clinical team as an Assistant Director of Nursing. You will support ... Nursing. You will support the Director of Nursing with the delivery ... the nursing units and the..

Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing ..