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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 Physician - CenterWell - Atlanta, GA - College Park in Torrance California Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a ..
Job Information Humana Physician - CenterWell - Atlanta, GA in Torrance California Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical ..
***** $2,500 Hiring Bonus Eligible to External Candidates! ***** **Apply today! Applicants that meet qualifications will receive a text with additional questions from our MODERN HIRE screening and interview system.** **Providence ..
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 UM Medical Director - Conviva in Torrance California Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that will ..
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 ..
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 ..
... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..
... Lives** The Senior Clinical Research Specialist (Sr. CRS) facilitates the development ... the only way to drive healthcare forward and remain a global ... Medtronic** Together, we can change..
**Apply today! Applicants that meet qualifications will receive a text with additional questions from our MODERN HIRE screening and interview system.** **Providence is calling a Registration Representative (Per Diem/Variable Shift) to ..
ROLE SUMMARYLead a team of Translational Oncology Leads and Clinical Biomarker Assay Leads within the Oncology Research and Development organization responsible for developing and implementing robust clinical biomarker plans and sourcing ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Torrance California Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
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 ..
