THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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Description Healthcare isn't just about health anymore. It is about caring for family, friends, finances, and personal life goals. It's about living life fully. At the Primary Care Organization, a division ..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
MEDICAL DIRECTOR / 100% ADMINISTRATIVErnrnrnDescriptionrnrnrnrnMedical DirectorrnOverall Purpose:rnThe Medical Director is responsible for medical oversight of the Medical Management Program Description of organization regarding medical necessity decisions; utilization review, inclusive of prior ..
Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director's work includes..
National Medical Director Utilization Management – Quality Management ... care to drive HEDIS metric compliance.rnProvide clinical leadership for medical necessity ... clinical data review of HEDIS compliance and develop strategic..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
Description The Medical Director relies on fundamentals of CMS ... Line of Business. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..
... and Risk Adjustment National Medical Director in Las Vegas Nevada Description ... Las Vegas Nevada Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director provides medical..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... within a context of regulatory compliance, and work is assisted by ... daily work. Responsibilities The Medical Director..
Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director..
Description The Medical Director relies on fundamentals of CMS ... per diem requests. The Medical Director provides medical interpretation and determinations ... whether services provided by other healthcare professionals are..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..
... in an assigned area ensuring compliance with established company and regulatory ... growth of area while ensuring compliance with all pertinent company policies ... policies and procedures including ongoing..
Description The Medical Director's primary responsibility is the review ... level of care. The Medical Director's work assignments involve moderately complex ... of health. Responsibilities The Medical Director actively uses..
