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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 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 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 Meridian Idaho 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 - Florida Medicaid in Meridian Idaho Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Posted: 25-Feb-22 Location: Boise, Idaho Salary: Open Categories: General Nursing Internal Number: 51423 St. Lukes Health System is currently seeking a Clinical Nurse Specialist (CNS) for Adult Health Services to join ..
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 ..
Job Information Humana Medical Director - S. Florida in Meridian Idaho Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA and ACA), using skills including but not ..
Job Information Humana Manager, Pharmacy and Medical Trend in Meridian Idaho Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and medical, ..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Meridian Idaho Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..
Job Information Humana Medical Director - National Medicare Team in Meridian Idaho Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..