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Job Information Humana UM Medical Director - Conviva in Minneapolis Minnesota ... in Minneapolis Minnesota Description The Medical Director relies on medical background and reviews health claims. ... and reviews..
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... Humana Medicare Appeals and Grievance Medical Director in Minneapolis Minnesota Description The ... in Minneapolis Minnesota Description The Medical Director relies on fundamentals of CMS ... C Line of..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... in Minneapolis Minnesota Description The Medical Director relies on clinical background and ... reviews Medicare drug requests. The Medical..
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..
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 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..
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:..
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..
... driving the FMS Staffing and Medical Supply Models and other FMS ... between the company and the Medical Directors, Medical Advisory Board members, and referring ... for developing and..
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..
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..
... Stars and Risk Adjustment National Medical Director in Minneapolis Minnesota Description The ... nationally. This role relies on medical background, business acumen, and industry-standard ... Stars and Risk Adjustment..
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..
... facility staff. Maintains integrity of medical records and other FMS administrative ... treatments in collaboration with the Director. Plans, coordinates and acts as ... implementation of FMS staffing, and..
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 relies on fundamentals of CMS ... and per diem requests. The Medical Director provides medical interpretation and determinations whether services ... some cases) contracts. Responsibilities The..
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..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives ... and drives the pharmacy and medical drug formulary strategies across all ... the formulary strategies. Responsibilities..
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..
