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Job Information Humana Care Team Medical Director in Portsmouth New Hampshire Description The Care Team Medical Director is responsible for improving the quality of care and outcomes while managing costs for ..
Job Information Humana Care Team Medical Director in Portland Maine Description The Care Team Medical Director is responsible for improving the quality of care and outcomes while managing costs for a ..
Family Practice - Preference of at least 2 years out of residency and might consider a resident as they have a lot of residents; holding out for experience. Salary: $190,000 base ..
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 ..
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 ..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Portland Maine Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
Description Job Description Summary 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 ..
... 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..
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 ..
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 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 ..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Portsmouth New Hampshire Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to ..