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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..
... 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..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Portland ... Portland Maine Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical..
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..
... 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..
... Genesis Healthcare Marketing and Admissions Director in Scarborough Maine Looking for ... Company-paid life insurance, 401K, Paid Time Off Variable compensation plans Inclusive ... DEI committee. DEI is a..
... Humana Medicare Appeals and Grievance Medical Director in Portland Maine Description The ... in Portland Maine Description The Medical Director relies on fundamentals of CMS ... and reviewing appeals..
... 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..
... Company-paid life insurance, 401K, Paid Time OffTuition, Travel, and Wireless Service ... DEI committee. DEI is a part of our company's DNA. Restrictions ... - RN Supervisor supports the..
... 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 Portland Maine ... in the role of Associate Director, Technology Solutions to as a ... training, etc. Reports to a Director in..
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..
... a Social Worker with Fresenius Medical Care, you will provide psychosocial ... Manager, Senior Manager and Senior Director. Our culture: We believe our ... that sets us apart.At Fresenius..
... Bonuses for Leadership Roles! Full Time: $7,500 BenefitsTuition AssistanceVariable compensation plansHealth, ... Company-paid life insurance, 401K, Paid Time OffTuition, Travel, and Wireless Service ... DEI committee. DEI is a..
Job Information Humana Lead Product Manager - Healthcare API in Portland Maine Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is directly ..
... 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..
Job Information Humana Care Team Medical Director in Portland Maine Description The ... Maine Description The Care Team Medical Director is responsible for improving the ... unique opportunity to be..
... the next level as a Director of Nursing in Training at ... Company-paid life insurance, 401K, Paid Time Off Variable compensation plansInclusive workplace ... factors such as pay classification..
Job Information Humana Oncology Market Director in Portland Maine Description The ... Portland Maine Description The Market Director, Oncology leverages targeted geographic analysis, ... Pharmacy for fulfillment. The Market Director,..
