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Description The Director, Health Services utilizes clinical nursing skills to ... documentation and communication of medical services and/or benefit administration determinations. The ... and/or benefit administration determinations. The Director, Health..
Job Information Humana Director of Public Policy in Brentwood ... in Brentwood Tennessee Description The Director of Public Policy role resides ... Centers for Medicare and Medicaid Services (in partnership..
Job Information Humana Medical Director - National Medicare Team in ... Brentwood Tennessee Description The Medical Director relies on medical background and ... and reviews preauthorization requests for services. The..
Job Information Humana Director, Behavioral Health Strategy in Brentwood ... in Brentwood Tennessee Description The Director, Behavioral Health (DBH) will ensure ... their behavioral health needs. The Director, Behavioral Health..
... challenge and change.' The Associate Director, Technology Solutions devises an effective ... IT business initiatives. The Associate Director, Technology Solutions requires a solid ... across department(s). Responsibilities The Associate..
Description The Medical Director actively uses their medical background, ... to make determinations whether requested services, requested level of care, and/or ... daily work. Responsibilities The Medical Director's work includes..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..
... Description Assistant Manager Patient Care Services #2200284 Your Role: The Assistant ... The Assistant Manager, Patient Care Services is a direct supervisory leadership ... provide primary care and consultation..
... team is expanding our shared services organization to enhance the clinical ... delivery process. The National Medicaid Director of Clinical Strategy and Practice ... community within the enterprise. The..
... The Lead Behavioral Health Medical Director oversees the work of 2 ... The Lead Behavioral Health Medical Director may also lead specific functional ... Directors. Responsibilities The Lead Medical..
Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... knowledge of both medicine and social determinants of..
Job Information Humana UM Medical Director - Conviva in Brentwood Tennessee ... Brentwood Tennessee Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director..
... Medicare Appeals and Grievance Medical Director in Brentwood Tennessee Description The ... Brentwood Tennessee Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors Responsibilities The Medical Director actively uses..
Description The Medical Director actively uses their medical background, ... to make determinations whether requested services, requested level of care, and/or ... work. Responsibilities Job Title: Medical Director Location: Work..
Description The Medical Director actively uses their medical background, ... to make determinations whether requested services, requested level of care, and/or ... work. Responsibilities Title: Commercial Medical Director Location: Work..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... reviews for inpatient and outpatient services to ensure that members receive ... clinically appropriate and medically necessary services...
... nations' leading provider of healthcare services from short-term to long-term care ... living options and professional clinical services. We are changing how care ... team as a Dementia Program..
... minimal supervision as the provider services Medicaid subject matter expert. Uses ... This position reports to the Director of Provider Experience and Network ... improvement and project management Supports..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..
... is looking for an Activities Director to be responsible for the ... of all residents. Our Activities Director is responsible for the delivery ... department heads and the Executive..
