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As the Electronic Medical Record (EMR) Director, you will be responsible for establishing EMR strategy, goals and objectives – creating and maintaining a positive working relationship with internal teams to maximize ..
Job Information Humana UM Medical Director - Conviva in Jersey City ... City New Jersey Description The Medical Director relies on medical background and reviews health claims. ... and reviews..
nttt nttt An organization focused on providing inpatient rehabilitation and detox services is looking to hire a Medical Director to primarily be based in Queens with some travel to other ..
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 ... East Coast hours. Responsibilities The..
... Stars and Risk Adjustment National Medical Director in Jersey City New Jersey ... nationally. This role relies on medical background, business acumen, and industry-standard ... Stars and Risk Adjustment..
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 ... factors. Responsibilities Job Profile..
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 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..
... Humana Medicare Appeals and Grievance Medical Director in Jersey City New Jersey ... City New Jersey 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 ... daily work. Responsibilities Job..
The Senior Director of Medical Affairs will fulfill an important ... organization, reporting into the Executive Director of Medical Affairs. He/she will spearhead the ... will spearhead the development 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 ... of variable factors Responsibilities..
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 ... and per diem requests. The Medical Director provides medical interpretation and determinations whether services ... some cases) contracts. Responsibilities The..
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 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 Commercial requirements ... daily work. Responsibilities Title:..
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..
