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Job Information Humana Physician - CenterWell - Atlanta, GA ... a primary care medical group practice with centers open or opening ... all. Responsibilities The Primary Care Physician (PCP) works..
Job Information Humana Care Team Medical Director in Metairie Louisiana Description The Care Team Medical Director is responsible for improving the quality of care and outcomes while managing costs for a ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Apply Now Share this job Send yourself a reminder Alert me to jobs like this one Physician Physician Opportunity to provide coverage for private practice specializing in evaluation and treatment of ..
TeamHealth's special operations role is a dedicated team of experienced hospitalists that travel to TeamHealth partner facilities throughout the southeast. Our special ops hospitalists help us out with start up programs, ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Metairie Louisiana Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
... speak with contracted external physicians, physician groups, facilities, or community groups ... upon request of the attending physician Participates in HCO MD Inter-Rater ... Development forum (TAF) Collaborates with..
... concentration in the respective advanced practice nursing specialty from an accredited ... unrestricted and valid license to practice professional nursing who was previously ... year of experience in advanced..
... clientele in mind. They consistently practice at the highest level and ... area. Not only does this practice ensure their clientele is extremely ... part of the team. This..
Description As a Physician Informaticist at Humana, you will ... functionally with other departments. The Physician Informaticist coordinates with other analytics, ... work meets clinical standards. The Physician informatacist works..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Director, Physician Leadership relies on medical background ... reviews health claims. The Director, Physician Leadership requires an in-depth understanding ... or segment. Responsibilities The Director, Physician Leadership provides..
... organization is seeking a talented Physician executive that can contribute to ... / coding guidance to ensure physician and healthcare provider plans, education, ... corporate and regional strategies for..
