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Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..
... preference with judicious use of healthcare resources Educates physicians regarding InterQual ... for high-risk patients across the healthcare continuum. Ensures the delivery of ... is a national leader in..
Site Name: USA - Maryland - Rockville Posted Date: Jan 19 2022 Our vaccines R&D efforts are centred around discovering and developing prophylactic and therapeutic vaccines to protect people against infectious ..
Description The RN Case Management Process Advisor also known as a Case Management Liaison (CML) will oversee the processing of referrals from Military Treatment Facilities (MTFs) and civilian providers. The RN ..
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 ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
Description The faculty dentist is responsible for the care of patients in the hospital and clinics, as well as research, educational and advocacy initiatives as determined by the Division Chief and/or ..
PURPOSE AND SCOPE:Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with ..
... District Of Columbia Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... across the enterprise to support..
... site after 5 seconds) Adventist Healthcare seeks to hire an experienced ... interpretation services rendered • Assist manager with administrative tasks, as needed ... • Understands a variety of..
... of services provided by other healthcare professionals in compliance with review ... or community groups to support regional market priorities, which may include ... whether services provided by other..
... or community groups to support regional market priorities, which may include ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
... wellness and continued learning. The Manager, Psychology will be a member ... interns, externs and fellows. The Manager will coordinate appropriate training to ... instruction mandates, as appropriate. The..
Job Information Humana Regional VP, Health Services (Mid-Atlantic Region) ... in Bethesda Maryland Description The Regional VP, Health Services relies on ... and reviews health claims. The Regional VP, Health..
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 ..
Job Information Humana Regional VP, Health Services (Mid-Atlantic Region) ... District Of Columbia Description The Regional VP, Health Services relies on ... and reviews health claims. The Regional VP, Health..
... in Bethesda Maryland Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... across the enterprise to support..
