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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...
... 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..
... Clinical Review team working remote/from home anywhere in the U.S. Responsibilities ... assignment capsule includes reviewing of medical records for fraud, waste or abuse ... well as review of..
... 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..
... and 2 days in your home office Required Qualifications Bachelor's degree ... a fast paced insurance or health care setting Knowledge of EPSDT ... or work outside of their..
INCj4GCYK4 Overview: Join Care Medical's special clinical launch team as ... experience. As part of Care Medical, an independent medical practice, you will bring quality ... celebrates this dedicated group..
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..
INEx4USOa8 Overview: Join Care Medical's special clinical launch team as ... experience. As part of Care Medical, an independent medical practice, you will bring quality ... celebrates this dedicated group..
Job Information Humana UM Medical Director - Conviva in Indianapolis ... in Indianapolis Indiana Description The Medical Director relies on medical background and reviews health claims. The Medical Director work..
... 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..
... Certified Diabetes Care and Education Specialist-Remote-US in Indianapolis Indiana Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... that reduce risks and optimize..
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..
... 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..
... and Waste Investigator-- REMOTE/WORK AT HOME in Indianapolis Indiana Description Humana ... Waste, and Abuse in the Health Care Industry? If this resonates ... Conducts on-site audits of provider..
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..
... 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..
... 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:..
... 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..