Medical Director Jobs

Job Information Humana Care Team Medical Director in Portland Maine Description The ... Maine Description The Care Team Medical Director is responsible for improving the ... ground up. The Care..

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 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 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..

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 ..

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'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 - S. Florida in Portland ... in Portland Maine Description The Medical Director relies on medical background and reviews health claims. ... and reviews 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..

... Humana Medicare Appeals and Grievance Medical Director in Portland Maine Description The ... in Portland Maine Description The Medical Director relies on fundamentals of CMS ... C Line of..

Description Job Description Summary The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... factors...

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..

Job Information Humana UM Medical Director - Conviva in Portland Maine ... in Portland Maine Description The Medical Director relies on medical background and reviews health claims. ... and reviews..

... Stars and Risk Adjustment National Medical Director in Portland Maine Description The ... nationally. This role relies on medical background, business acumen, and industry-standard ... Stars and Risk Adjustment..

Job Information Humana Medical Director - Florida Medicaid in Portland ... in Portland Maine Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..

Job Information Humana Medical Director - National Medicare Team in ... in Portland Maine Description The Medical Director relies on medical background and reviews preauthorization requests ... preauthorization requests for..

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..

Job Information Humana Medical Director - Texas in Portland Maine ... in Portland Maine Description The Medical Director relies on medical background and reviews health claims. ... and reviews 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..

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 Commercial requirements ... daily work. Responsibilities Title:..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... in Portland Maine Description The Medical Director relies on clinical background and ... reviews Medicare drug requests. 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 ... their daily work. Responsibilities..