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... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a medical necessity determination. Complete telephonic, faxed, ... Case Management Discuss cases with..
Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..
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 ... and reviewing appeals for Medicare Part C Line of Business. The ... C Line of Business. The Medical Director provides..
... Humana Medicare Appeals and Grievance Medical Director in Anchorage Alaska Description The ... in Anchorage Alaska Description The Medical Director relies on fundamentals of CMS ... and reviewing appeals..
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... Behavioral Health Professional 2 completes medical record reviews from medical records sent from Behavioral Health ... appropriate..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Anchorage ... Anchorage Alaska Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical..
Job Information Humana Care Team Medical Director in Anchorage Alaska Description The ... Alaska Description The Care Team Medical Director is responsible for improving the ... unique opportunity to be..
Job Information Humana Associate Director, Technology Solutions in Anchorage Alaska ... in the role of Associate Director, Technology Solutions to as a ... training, etc. Reports to a Director in..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Anchorage Alaska Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible for ..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Anchorage Alaska Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the end ..
... Healthy Horizons is seeking a Medical Director to help develop and execute ... develop initiatives to address women's medical and behavioral needs for adolescents, ... role requires strong collaboration..
... the BH Supervisor/ Manager or Director Required Qualifications Experience working with ... investigative skills Excellent organizational and time management skills Strong attention to ... with clear direction and as..
