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... Responsibilities The Senior Quality Assurance (Home Health) Clinical Professional consults and collaborates ... years of clinical experience within Home Health field Previous experience in medical record reviews/auditing or extensive..
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Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors. Responsibilities The Medical Director actively uses their..
Description The Medical Director actively uses their medical background, experience, and judgement to ... and other sources of expertise. Medical Directors will learn Medicare and ... in their daily work...
... monitors drug development pipeline, and medical literature, while providing clinical support ... mitigate cost trend and improve health outcomes. The Associate Director, Clinical ... drug trends, both pharmacy and..
Job Information Humana UM Medical Director - Conviva in Birmingham ... in Birmingham Alabama Description The Medical Director relies on medical background and reviews health claims. The Medical Director work..
... can be located nationwide Status Full-time Job Description Who We Are: ... mission is to improve the health of our clients' business and ... program with employer contributions Comprehensive..
... brand for a primary care medical group practice with centers open ... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide..
Position Details Requisition Number S1411P Home Org Name Clinical Sciences Division ... (A-C), IC13 (A-C) Appointment Status Full-time Part-time FTE Limited Term No Limited ... daily, as well as observes..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... daily work. Responsibilities Job..
... and Waste Investigator-- REMOTE/WORK AT HOME in Birmingham Alabama Description Humana ... Waste, and Abuse in the Health Care Industry? If this resonates ... Conducts on-site audits of provider..
... Certified Diabetes Care and Education Specialist-Remote-US in Birmingham Alabama Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... that reduce risks and optimize..
... Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in ... team of 20-25 nurses and medical professionals that performs the following ... that performs the following functions:..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ... East Coast hours. Responsibilities The Medical Director actively uses their..
... iCare is seeking an Enrollment Specialist who will support the iCare ... BadgerCare Plus. Responsibilities The Enrollment Specialist is responsible for iCare enrollment ... members, the Wisconsin Department of..
... by clinical documentation within the health record. Follows state and federal ... while analyzing coding information and medical records. Decisions are regarding the daily ... Coders are responsible for..
... is acritical leadership role with full market financial oversight over the ... objectives o Responsible for identifying medical cost trends and leadership of ... cost trends and leadership of..
... order to prepare the Behavioral Health( BH) Clinical Team with the ... Experience working with the behavioral health population Excellent verbal and written ... investigative skills Excellent organizational and..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ... East Coast hours Responsibilities The Medical Director actively uses their..
... Waste Investigator - Work At Home (Anywhere in the US) in ... Waste, and Abuse in the Health Care Industry? If this resonates ... Conducts on-site audits of provider..
