THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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... or community groups to support regional market priorities, which may include ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
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 ..
... of services provided by other healthcare professionals in compliance with review ... working with health insurance other healthcare providers, patient interaction, etc. Internal ... their home. We are a..
... or community groups to support regional market priorities, which may include ... Delivery Systems, health insurance, other healthcare providers, clinical group practice management. ... Information Typically reports to a..
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 ..
... whether services provided by other healthcare professionals are in agreement with ... Lead Medical Directors and the Regional VP Health Services. After completion ... Delivery Systems, health insurance, other..
... San Antonio Texas Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... across the enterprise to support..
... with the General Manager, Group Vice President of Operations, and Regional Vice President of Operations when necessary to ... current knowledge regarding community and regional healthcare market and industry..
... or community groups to support regional market care facilitation and priorities, ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
... of services provided by other healthcare professionals in compliance with review ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
... directly to Humana's National Medicaid President. The State Market Leader will ... the state. The VP, Medicaid Regional President manages the development, operations, and ... from across the Medicaid..
... San Antonio Texas Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..