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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..
Job Information Humana Care Team Medical Director in Indianapolis Indiana Description The ... Indiana Description The Care Team Medical Director is responsible for improving the ... unique opportunity to be..
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..
... Product Manager role is a part of the Pharmacy Product & ... across Medicare, Medicaid and Commercial medical and pharmacy insurance products. Although ... include nurses, pharmacists and regional..
... brand for a primary care medical group practice with centers open ... all. Responsibilities As a Regional Medical Director you will plan, organize, manage ... care services offered in..
... Contract (0) Fellowship (0) Full Time (179) Locum Tenens (0) Part Time (28) Partnership (0) Per Diem ... Residency (0) Temp to Full Time (0) Level Entry Level (1)..
... 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..
Do you want to be part of an inclusive team that ... If you want to be part of this exciting work, you ... to turning innovative science into medical..
... at all levels of the medical practice. Ability to handle many ... quality assurance, confidentiality, and electronic medical record documentation. Provides direct supervision ... patient care problems. Collaborates with..
... Humana Medicare Appeals and Grievance Medical Director in Indianapolis Indiana Description The ... in Indianapolis Indiana Description The Medical Director relies on fundamentals of CMS ... and reviewing appeals..
... outcomes, and process efficiencies. Completes medical necessity and level of care ... Educates providers on utilization and medical management processes. Enters and maintains ... pertinent clinical information in various..
Oncology Business Director Developing innovative therapies is one ... This is the most exciting time to be a part of Astellas, a company with ... is announcing an Oncology Business..
Description The Director, Pharmacy Clinical Pipeline oversees the ... Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking ... and finance teams. Responsibilities The Director, Pharmacy Pipeline requires..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Indianapolis ... Indianapolis Indiana Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical..
... 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 Associate Director, Technology Solutions in Indianapolis Indiana ... in the role of Associate Director, Technology Solutions to as a ... training, etc. Reports to a Director in..
... 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..
... and compassionate nurse leader! The Director of Nursing is responsible for ... with the Administrator and Senior Director of Nursing to ensure compliance ... 24 states. Heartland is a..
Job Information Humana Lead Product Manager - Healthcare API in Indianapolis Indiana Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is directly ..
Job Information Humana Oncology Market Director in Indianapolis Indiana Description The ... Indianapolis Indiana Description The Market Director, Oncology leverages targeted geographic analysis, ... Pharmacy for fulfillment. The Market Director,..
