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... needs/eligibility and determines approach to case resolution and/or meeting needs by ... criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... and objectives; presents cases at..
Job Information Humana Corporate Medical Director, Healthcare Quality Reporting & Improvement in ... Kentucky Description The Corporate Medical Director for Healthcare Quality Reporting and Improvement (HQRI) ... the enterprise. The..
Description The Medical Director actively uses their medical background, ... work. Responsibilities Job Title: Medical Director Location: Work At Home Schedule: ... 15 weeks Description The Medical Director's work includes..
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 actively uses..
Description The Medical Director is a leadership position that ... new business matters. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..
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..
Job Information Humana Associate Director, Fraud and Waste in Louisville ... Louisville Kentucky Description Responsibilities Associate Director, Program Integrity : At the ... President, Payment Integrity, the Associate Director Program..
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..
Description The Medical Director actively uses their medical background, ... daily work. Responsibilities The Medical Director's work includes computer-based review of ... within their scope. The Medical Director may speak..
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 actively uses their medical background, ... work. Responsibilities Title: Commercial Medical Director Location: Work At Home - ... weeks. Job Summary The Medical Director's work includes..
... mission of supporting the TRICARE healthcare program for our nation's military? ... military health contracts. The Associate Director of Payment Integrity is the ... Street, Louisville, KY. The Associate..
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..
Job Information Humana Director, Medicaid Strategic Solutions in Louisville ... the mission of a leading healthcare company committed to improving the ... resources to achieve growth The Director, Medicaid Strategic..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... daily work. Responsibilities The Medical Director provides medical interpretation and decisions ... of services provided by other healthcare..
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..
