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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...
... 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..
... 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..
... 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..
... 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..
... 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..
... 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 Salem ... in Salem Oregon Description The Medical Director relies on medical background and reviews health claims. The Medical Director work..
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..
... and Waste Investigator-- REMOTE/WORK AT HOME in Salem Oregon Description Humana ... Waste, and Abuse in the Health Care Industry? If this resonates ... Conducts on-site audits of provider..
... is responsible for ensuring the full range of network requirements for ... day of employment. Benefits include: Medical Benefits Dental Benefits Vision Benefits ... Benefits Dental Benefits Vision Benefits..
... 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:..
... 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..
... 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..
... 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..
... 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..
... Coders are responsible for reviewing medical records, completing multiple audits, and special ... by clinical documentation within the health record. Follows state and federal ... while analyzing coding information..
