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Job Information Humana Medical Director - Texas in Washington District Of Columbia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Job Information Humana Medical Director - National Medicare Team in Washington District Of Columbia Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director ..
... and determinations, clinical reference materials, internal teaching conferences, and other sources ... work, communication of decisions to internal associates, participation in care management ... speak with contracted external physicians,..
HOW MIGHT YOU DEFY IMAGINATION?If you feel like youre part of something bigger, its because you are. At Amgen, our shared missionto serve patientsdrives all that we do. It is key ..
... and determinations, clinical reference materials, internal teaching conferences, and other reference ... work, communication of decisions to internal associates, and possible participation in ... speak with contracted external physicians,..
... 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..
... and determinations, clinical reference materials, internal teaching conferences, and other sources ... work, communication of decisions to internal associates, and possible participation in ... speak with contracted external physicians,..
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 Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
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 ..
... determinations, MCG, clinical reference materials, internal teaching conferences, and other reference ... work, communication of decisions to internal associates, and possible participation in ... speak with contracted external physicians,..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Washington District Of Columbia Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work ..
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 ..
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..
Job Information Humana Medicare Appeals and Grievance Medical Director in Washington District Of Columbia Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for ..
... and determinations, clinical reference materials, internal teaching conferences, and other reference ... work, communication of decisions to internal associates, and possible participation in ... such as MCG® or InterQual..
