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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 ..
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 ..
... Humana Regional Medicaid Business Development Vice President in Pittsburgh Pennsylvania Description Responsibilities ... and report directly to Humana's Vice President, Medicaid Business Development. The Regional ... OR Master's degree..
Job Information Humana UM Medical Director - Conviva in Pittsburgh Pennsylvania Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Administration & Customer Service (5) Architecture & Design (2) Biotechnology & Laboratory (4) Consulting (0) Data Science (7) Education & Training (1) Engineering (10) Healthcare (6) Human Resources (1) Information Technology ..
Administration & Customer Service (17) Architecture & Design (1) Biotechnology & Laboratory (1) Consulting (5) Data Science (40) Education & Training (8) Engineering (29) Healthcare (6) Human Resources (12) Information Technology ..
Description The Director, Corporate Communications develops and coordinates lines of communication outside the department. The Director, Corporate Communications requires an in-depth understanding of how organization capabilities interrelate across the function or ..
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 ..
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..
... 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..