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... for a Senior Business Systems Analyst to join working remote anywhere ... US! The Senior Business Systems Analyst performs analysis of business, process ... specifications. The Senior Business Systems..
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 ..
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 ..
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 ..
... with third party payors. The analyst performs all these functions in ... and physician staff to coordinate appeal activity if deemed necessary. Cultivates, ... reduce denials. Works efficiently meet..
Job Information Humana Medical Director - Florida Medicaid in Boston Massachusetts Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Job Information Humana Medical Director - Texas in Boston Massachusetts Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to ..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Boston Massachusetts Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..
Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Boston Massachusetts Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
Job Information Humana UM Medical Director - Conviva in Boston Massachusetts Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
