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Job Information Humana Medical Director - Medicare Pharmacy Appeals in Dover Delaware Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
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, ..
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 ..
This program, established in 2019, is seeking an OB Hospitalist for a position near Newark, Delaware to work 24-hour shifts. Full-time and part-time are both available, with full-time being 5-7 shifts ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Dover Delaware Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
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 ..
Full time position at SAFE to provide crisis response on domestic violence hotline in 24/7 shelter program. Major responsibilities include: responding to hotline; safety planning; providing hotline training to shelter staff; ..
Job Information Humana Medical Director - Texas in Dover Delaware Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of ..
Sub - Acute , Long-Term Care is a sector of healthcare exploding with potential and work-life balance flexibility!We are seeking a part-time (16 hours per week, Monday/Tuesday) provider for split position ..
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 AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Dover Delaware Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
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 As a Physician Informaticist at Humana, you will contribute to meaningful projects, interact with other team members, be exposed to business operations and work cross functionally with other departments. The ..
Nemours is seeking part time or full time pediatric hospitalists to join our team at two hospitals in Southern Delaware. This position will consist of coverage at both Beebe Healthcare and ..
