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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..
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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...
... infusion medications. We believe the home has a unique value proposition ... as a site of care. Home-centric models can provide better patient ... migrate our Medicare members to..
... 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 Founded in 1921, Straub Medical Center includes a 159-bed hospital ... neighborhood clinics and a visiting specialist program that reaches throughout the ... for more than 32 different..
... and Waste Investigator-- REMOTE/WORK AT HOME in Honolulu Hawaii Description Humana ... Waste, and Abuse in the Health Care Industry? If this resonates ... Conducts on-site audits of provider..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... 2 will collaborate with other health care providers in reviewing actual ... in reviewing actual and proposed..
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..
... 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:..
... guidelines, enjoys researching and reviewing medical record documentation for incorrect billing ... Auditor 2 validates and interprets medical documentation to ensure capture of ... residence Minimum 2 years of..
... 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..
... 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..
Job Information Humana UM Medical Director - Conviva in Honolulu ... in Honolulu Hawaii Description The Medical Director relies on medical background and reviews health claims. The Medical Director work..
... trend while improving our member's health and costs Develop corporate communications ... Role Desirables Board Certified Pharmacotherapy Specialist (BCPS) Board Certified Oncology Pharmacist ... drug pipeline MBA, pharmacoeconomics or..
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..