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Description The Risk Adjustment Representative 2 (Record Retrieval Specialist) works with regional providers to utilize EMR access and other retrieval methods to retrieve member medical records that will be submitted to ..
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 The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
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 UM Medical Director - Conviva in Albany New York Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Albany New York Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the ..
Job Information Humana Manager, Pharmacy and Medical Trend in Albany New York Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and ..
Job Information Humana Medical Director - National Medicare Team in Albany New York Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work ..
Job Locations: US-Virtual/Remote Category: Medical Coding Are you interested in joining one of the nation’s leading providers of medical coding services that is experiencing impressive year-over-year growth? Mommy Jobs Online is ..
Contact Agency Mental Health, Office of Title Mental Health Program Specialist 2 – Two positions, Central Office Occupational Category Other Professional Careers Salary Grade 23 Bargaining Unit PS&T - Professional, Scientific, ..
Job Information Humana Medical Director - Florida Medicaid in Albany New York Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Job Information Humana Medical Director - S. Florida in Albany New York Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
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 ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..