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Job Information Humana Medical Director - Florida Medicaid in Las ... Las Vegas Nevada Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
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Job Information Humana Medical Director - Texas in Las Vegas ... Las Vegas Nevada Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
Job Information Humana Medical Director - National Medicare Team in ... Las Vegas Nevada Description The Medical Director relies on medical background and reviews preauthorization requests ... preauthorization requests for..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... will learn Medicare and..
... Humana Medicare Appeals and Grievance Medical Director in Las Vegas Nevada Description ... Las Vegas Nevada Description The Medical Director relies on fundamentals of CMS ... C Line of..
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 ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The..
... clinics and services,160 clinics, a Medical Group of 2,400 employed physicians ... Healthcare is looking for a Medical Director for Utilization Management to join ... team in Nevada. The..
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 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 UM Medical Director - Conviva in Las Vegas ... Las Vegas Nevada Description The Medical Director relies on medical background and reviews health claims. ... and reviews..
... for the PCO University. Monitor medical performance and provide guidance to ... years' experience in clinical practice Medical staff leadership experience for a ... and Medicare programs, specifically Medicare..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work. Responsibilities Title:..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in ... Las Vegas Nevada Description The Medical Director relies on clinical background and ... reviews Medicare drug requests. The Medical..
Description The Medical Director relies on fundamentals of CMS ... Guidance on following and reviewing home health episodic and per diem ... and per diem requests. The Medical Director provides..
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..
Description The Medical Director relies on fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The..
