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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...
... 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..
... 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..
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..
... 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..
... 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 San Juan Puerto Rico ... Waste, and Abuse in the Health Care Industry? If this resonates ... Conducts on-site audits of provider..
Job Information Humana UM Medical Director - Conviva in San ... Juan Puerto Rico 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..
... 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:..
