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Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors. Responsibilities The..
... This individual will drive effective communication within the Primary Care Organization/PCO ... Professional will support the PCO's communication needs and efforts to drive ... newsletters, intranet content and supporting..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... East Coast hours. 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 ... their daily work. Responsibilities..
... Humana Medicare Appeals and Grievance Medical Director in San Juan Puerto ... Juan Puerto Rico Description The Medical Director relies on fundamentals of ... C Line of Business. The..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... East Coast hours. Responsibilities The Medical..
Job Information Humana UM Medical Director - Conviva in San ... Juan Puerto Rico Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
Job Information Humana Medical Director - Texas in San ... Juan Puerto Rico Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other..
Job Information Humana Medical Director - Medicare Pharmacy Appeals ... Juan Puerto Rico Description The Medical Director relies on clinical background ... reviews Medicare drug requests. The Medical director work..
Medical Director Opportunity - Medicare Risk ... is below!rnrnJOB DESCRIPTIONrnMedical DirectorrnrnROLE: The Medical Director reviews outpatient/inpatient medical records for proper documentation relevant ... reimbursement payment system.rnREPORTS TO: Chief Medical OfficerrnrnMAJOR..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..
Description The Senior Pharmacy Clinical Advisor requires a broad understanding of pharmacy, managed care, PBM, market and regulatory insights to develop, and/or implement formulary strategies to mitigate cost trend and improve ..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The Medical..
Description The Medical Director relies on fundamentals of ... and per diem requests. The Medical Director provides medical interpretation and determinations whether services ... some cases) contracts. Responsibilities The Medical..
Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
Job Information Humana Medical Director - S. Florida in ... Juan Puerto Rico Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims...
... functions to implement formulary and medical strategies for the Medicaid line ... functions to implement formulary and medical strategies for the Medicaid line ... the implementation of formulary and..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The Medical..
