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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 ..
Job Information Humana Senior Contract Tools, Education, Processes Professional - ... New York Description The Senior Contract Tools, Education, Processes Professional builds ... in class knowledge. The Senior Contract Tools,..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Job Information Humana Medical Director - Florida Medicaid in Albany New York Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
... market contracting teams to influence specialist contract terms that align with Service ... in close coordination with PCP Contract Load, Capitation Rates, Payments, and ... Adjustments teams to ensure..
Job Information Humana Medicare Appeals and Grievance Medical Director in Albany New York Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare ..
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 ..
Job Information Humana UM Medical Director - Conviva in Albany New York Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
rnSummary:rnRef #: 27420rnProfession: Registered NursernSpecialty: Special Care NurseryrnJob Type: Contract/TravelrnStart Date: ASAPrnLocation: Glens Falls, NYrnShift Schedule: 12 hrs per day;rnWeekend Requirements: Every other weekend/Holiday rotation requiredrnShift Type: NightsrnRate: $3,064/36-hoursrnrnrnRequirements: rnRN must ..
Health Center Manager Apply Job ID 25542 Date posted Apr. 17, 2023 Location Saratoga Springs, New York Creating a better way. It’s more than just the philosophy we were founded on. ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Admin / Clerical (188) Advanced Practice Registered Nurses / Physician Assistants (339) Allied Health (3185) Executive (81) Operations (252) Physicians/Surgeons (1354) Quality/Risk Management (19) Type Contract (1) Fellowship (0) Full Time ..
rnSummary:rnRef #: 27418rnProfession: Registered NursernSpecialty: Special Care NurseryrnJob Type: Contract/TravelrnStart Date: ASAPrnLocation: Glens Falls, NYrnShift Schedule: 12 hrs per day;rnWeekend Requirements: Every other weekend/Holiday rotation requiredrnShift Type: DaysrnRate: $3,064/36-hoursrnrnrnRequirements: rnRN must ..
Job Information Humana Medical Director - National Medicare Team in Albany New York Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
Job Information Humana FP&A Lead, Medicaid Market in Albany New York Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..
