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Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex to ... variable factors. Responsibilities..
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Description Location: Work from Home KY Medicaid Medical Director - The Medical Director's primary responsibility is the review ... responsibility is the review of medical authorizations or claims to determine..
... Senior Market/Industry Insights Professional delivers clinical/medical policy insight and information to ... will draft and review TRICARE medical policy in order to complement ... Meets regularly with the Chief..
Description Your Home Advantage (YHA) is a Humana-owned ... physician's office and the member's home. YHA provides prospective home visits conducted by licensed and ... trained clinical practitioners who perform..
... for performing clinical audits on medical record documentation for quality and ... support the submitted charges. Comprehensive medical records review will be conducted ... assigned by Supervisor, Manager and/or..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex to ... of variable factors...
Description The Vendor Quality Medical Director will manage clinical vendor quality ... Team. Responsibilities A full time Medical Director to manage clinical vendor quality ... to review quality audit findings,..
... Responsibilities Title : Clinical Trend Medical Director Assignment: Enterprise Clinical Management, Clinical ... Trend Location: Louisville, KY or Work At Home Assignment Capsule: Humana's ECM organization ... is seeking..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... The Utilization Management Nurse 2 work assignments are varied and frequently ... areas. Makes decisions regarding own..
Job Information Humana Care Team Medical Director in Louisville Kentucky Description The ... Kentucky Description The Care Team Medical Director is responsible for improving the ... ground up. The Care..
Description The Director, Product Management leads or coordinates ... ready for customer use. The Director, Product Management requires an in-depth ... the Product & Business Development Director of Humana's Group..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex to ... factors. Responsibilities Job..
... Care Manager, Telephonic Nurse 2 work assignments are varied and frequently ... courses of action. Responsibilities Location: work at home, must hold a Compact license ... Transplant centers and..
... Meets regularly with the Chief Medical Officer and medical directors for HGB to include ... experience in researching evidence-based care (Medical journals, published formal technology assessments, ... published formal..
Description The Medical Director actively uses their medical background, experience, and judgement to ... service should be authorized. All work occurs within a context of ... context of regulatory compliance,..
... ARC Basic Life Support for medical provider This role is considered ... personal vehicle liability insurance with at least 100,000/300,000/100,000 limits. Significant previous ... under the authority of a..
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... Management Behavioral Health Professional 2 work assignments are varied and frequently ... courses of action. Responsibilities Location:..
... Care Manager, Telephonic Nurse 2 work assignments are varied and frequently ... courses of action. Responsibilities Location: work at home anywhere The Transplant Care Manager, ... Transplant centers and..
... CGX and faxing to Humana Medical Directors for approval or denial ... within defined parameters to identify work expectations and quality standards, but ... or Cable modem for a..
... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... Management Behavioral Health Professional 2 work assignments are varied and frequently ... reviews with the Utilization Reviewer..
... health process improvements. They will work closely with the Quality Director, Behavioral Health Director, Quality Improvement Manager and those ... improvement. Senior Quality Improvement Professional work assignments involve moderately..
Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few ... that report to this Associate director will assist in identifying 'NEW' ... those areas. As the Associate Director,..
