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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 ..
Description The Community Outreach & Engagement Lead cultivates the organization's commitment to and reputation in Medicaid. The Community Outreach & Engagement Lead establishes connections to national and community stakeholders; works to ..
Job Information Humana UM Medical Director - Conviva in Billings Montana Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
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 ..
... of services provided by other healthcare professionals in compliance with review ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
... Responsibilities Humana, a Fortune 60 Healthcare Company Humana is a Fortune ... Humana is a Fortune 60 healthcare company with a history of ... top place to work in..