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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 ..
Job Information Humana Medical Director - Florida Medicaid in Portland Maine Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Job Information Humana Medical Director - Texas in Portland Maine Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to ..
... experience and knowledge of both medicine and social determinants of health. ... and determinations, clinical reference materials, internal teaching conferences, and other reference ... work, communication of decisions to..
... Please wait. Nurse Practitioner or Physician Assistant Obesity Medicine/Bariatrics Providence Portland, Oregon NEW! NEW! ... Save Job Nurse Practitioner or Physician Assistant Obesity Medicine/Bariatrics Providence APPLY NOW Application First..
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 ..
... 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,..
... is seeking a full-time Occupational Medicine physician or Nurse Practitioner to join ... at Providence Medical Group's Occupational Medicine - Plaza location located on ... schedule; daytime hours No..
... 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,..
... 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 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 Medicare Appeals and Grievance Medical Director in Portland Maine Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
Locums Internal Medicine/Gastroenterology - Portland, OR (Milwaukie)*Inpatient only - Call only (Beeper)*Reason for opening: Vacancy, long term permanent-search *EMR: Epic*Skills: ECRG, Esophageal Dilation, Lower Endoscopy, PEG/PEJ, Upper Endoscopy* Shifts: 24 hour ..
Job Information Humana Medical Director - National Medicare Team in Portland Maine Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..
... 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,..
Job Information Humana Medical Director - S. Florida in Portland Maine Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
VISTAu2019s Permanent Placement Division has partnered with a high growth and innovative national leader to deliver frontline preventive and urgent care in the homes of complex, frail and vulnerable patients. Highlights ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Portland Maine Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..