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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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... 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..
... 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..
... 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..
... brand for a primary care medical group practice with centers open ... education and value-added, well-being services at the centers and around their ... community members improve their health...
Job Information Humana Associate Director Utilization Management in Tampa Florida ... are looking for an Associate Director, Utilization Management to utilize clinical ... coordination, documentation and communication of medical services..
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..
... 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..
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,..
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...
... 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..
... 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..
... RVP Health Services relies on medical background to create and oversee ... RVP Health Services relies on medical background to create and oversee ... RVP, Health Services will provide..
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,..
... 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:..
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..
... 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. ... Pre-Authorization Behavioral Health Professional 2 work assignments are varied and frequently ... Pre-Authorization Behavioral Health Professional 2..
Description The Director, Health Services utilizes clinical nursing ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... and/or benefit administration determinations. The Director, Health Services requires..
