Medical Director Part Time Jobs in Troy

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 ..

... brand for a primary care medical group practice with centers open ... fewer patients and spend more time with those they do. Responsibilities: ... of care. Follows level of..

... brand for a primary care medical group practice with centers open ... fewer patients and spend more time with those they do. Evaluates ... of care. Follows level of..

... 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..

... 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 Oncology Market Director in Troy Michigan Description The ... Troy Michigan Description The Market Director, Oncology leverages targeted geographic analysis, ... Pharmacy for fulfillment. The Market Director,..

Job Information Humana Associate Director, Technology Solutions in Troy Michigan ... in the role of Associate Director, Technology Solutions to as a ... training, etc. Reports to a Director in..

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..

Job Information Humana RN Telephonic Transplant Care Manager-WAH in Troy Michigan Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to ..

... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a medical necessity determination. This individual will ... Case Management Discuss cases with..

... Humana Medicare Appeals and Grievance Medical Director in Troy Michigan Description The ... in Troy Michigan Description The Medical Director relies on fundamentals of CMS ... and reviewing appeals..

... brand for a primary care medical group practice with centers open ... fewer patients and spend more time with those they do. Evaluates ... of care. Follows level of..

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..

... 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..

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..

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 Care Team Medical Director in Troy Michigan Description The ... Michigan Description The Care Team Medical Director is responsible for improving the ... unique opportunity to be..

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 Nationwide Associate Director, Utilization Management Nursing in Troy ... Troy Michigan Description The Associate Director, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical..

Director of Compliance/HIPAA Privacy OfficernU.S. Medical Management (USMM) is an affiliate ... Spending AccountnTuition ReimbursementnnPOSITION DESCRIPTIONnPOSITION DESCRIPTIONnThe Director u2013 Compliance/HIPAA Privacy Officer is ... risks facing the organization as part..

... 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 Lead Product Manager - Healthcare API in Troy Michigan Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is directly ..