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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 ... of variable factors. Responsibilities..
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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 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..
... Stars and Risk Adjustment National Medical Director in San Antonio Texas Description ... nationally. This role relies on medical background, business acumen, and industry-standard ... Stars and Risk Adjustment..
... Humana Medicare Appeals and Grievance Medical Director in San Antonio Texas Description ... San Antonio Texas Description The Medical Director relies on fundamentals of CMS ... C Line 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 ... 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..
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 medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... East Coast hours Responsibilities..
Job Information Humana UM Medical Director - Conviva in San Antonio ... San Antonio Texas Description The Medical Director relies on medical background and reviews health claims. ... and reviews..
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 - S. Florida in San ... San Antonio Texas Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
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 Regional Medical Director serves as a health-care professional ... of health-related problems. The Regional Medical Director requires an in-depth understanding of ... or segment. Responsibilities The Regional Medical..
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 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 fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The..