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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 ... East Coast hours Responsibilities..
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Job Information Humana Medical Director - Florida Medicaid in Glen ... Glen Allen Virginia Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
Job Information Humana Medical Director - S. Florida in Glen ... Glen Allen Virginia Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
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 Medicare and ... daily work. Responsibilities Job..
... Stars and Risk Adjustment National Medical Director in Glen Allen Virginia Description ... nationally. This role relies on medical background, business acumen, and industry-standard ... Stars and Risk Adjustment..
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 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 fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... East Coast hours. Responsibilities The..
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 - National Medicare Team in ... Glen Allen Virginia Description The Medical Director relies on medical background and reviews preauthorization requests ... preauthorization requests for..
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 ... a rotating basis Responsibilities The..
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 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 UM Medical Director - Conviva in Glen Allen ... Glen Allen Virginia Description The Medical Director relies on medical background and reviews health claims. ... and reviews..
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 fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The..
... Humana Medicare Appeals and Grievance Medical Director in Glen Allen Virginia Description ... Glen Allen Virginia Description The Medical Director relies on fundamentals of CMS ... C Line of..
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..
As a TeamHealth post-acute medical director, you will provide oversight, guidance, and mentorship to our clinicians within the greater Richmond, Virginia, area. In this role, you will conduct clinical case reviews ..
