Reviewing Medical Director Jobs in Honolulu

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities Job..

Description The Vendor Quality Medical Director will manage clinical vendor quality ... Team. Responsibilities A full time Medical Director to manage clinical vendor quality ... to review quality audit findings,..

Job Information Humana Medical Director - Florida Medicaid in Honolulu ... in Honolulu Hawaii Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..

... Humana Medicare Appeals and Grievance Medical Director in Honolulu Hawaii Description The ... in Honolulu Hawaii Description The Medical Director relies on fundamentals of CMS ... Medicare Guidance on..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical..

Job Information Humana UM Medical Director - Conviva in Honolulu Hawaii ... in Honolulu Hawaii Description The Medical Director relies on medical background and reviews health claims. ... and reviews..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Profile..

Description The Medical Director relies on fundamentals of CMS ... Medicare Guidance on following and reviewing home health episodic and per ... and per diem requests. The Medical Director provides..

Job Information Humana Medical Director - S. Florida in Honolulu ... in Honolulu Hawaii Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..

Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..

Description The Medical Director's primary responsibility is the review ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of..

Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..

Description The Medical Director relies on fundamentals of CMS ... Medicare Guidance on following and reviewing appeals for Medicare Part C ... C Line of Business. The Medical Director provides..

Description The Medical Director relies on fundamentals of CMS ... Medicare Guidance on following and reviewing appeals for Medicare Part C ... C Line of Business. The Medical Director provides..

Description The Medical Director relies on fundamentals of CMS ... Medicare Guidance on following and reviewing appeals for Medicare Part C ... C Line of Business. The Medical Director provides..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... Government Business's (HGB) Behavioral..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Profile..

Job Information Humana Medical Director - Texas in Honolulu Hawaii ... in Honolulu Hawaii Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... in Honolulu Hawaii Description The Medical Director relies on clinical background and ... reviews Medicare drug requests. The Medical..

Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Profile..