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Description The Risk Adjustment Representative 2 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other ..
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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 Medical Director - Florida Medicaid in Washington District Of Columbia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
Description The faculty dentist is responsible for the care of patients in the hospital and clinics, as well as research, educational and advocacy initiatives as determined by the Division Chief and/or ..
**Bring your sales talents to a leader in medical technology and healthcare solutions.** **Rooted in our long history of mission-driven innovation, our medical technologies** **open doors.** **We support your growth with ..
Job Information Humana UM Medical Director - Conviva in Washington District Of Columbia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
Job Information Humana Medical Director - S. Florida in Washington District Of Columbia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
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 ..
Who we are: The Association of American Medical Colleges is a not-for-profit association dedicated to transforming health care by supporting the entire spectrum of medical education, medical research, patient care, and ..
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 ..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Washington District Of Columbia Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate ..
Job Information Humana Manager, Pharmacy and Medical Trend in Washington District Of Columbia Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy ..
... and ensure that program and project goals and objectives are consistent, ... and best practices with the project team and partners. Provide technical ... countries and provide feedback to..
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 ..
PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. Functions as the hemodialysis team leader ..
