Your Home Advantage Medical Director Jobs in Maine

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 ... East Coast hours. 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 ... East Coast hours Responsibilities..

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..

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:..

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..

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

Job Information Humana UM Medical Director - Conviva in Portland Maine ... in Portland Maine 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 actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... will learn Medicare and..

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 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 - National Medicare Team in ... in Portland Maine 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 Portland Maine Description The ... in Portland Maine Description The Medical Director relies on fundamentals of CMS ... C Line of..

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..

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

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..

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..

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

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 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 Medical Director - Florida Medicaid in Portland ... in Portland Maine Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..