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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 ..
Job Information Humana Strategy Advancement Lead - Humana Care Management in Washington District Of Columbia Description The Strategy Advancement Lead provides data-backed strategic direction to identify and address business issues and ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Washington District Of Columbia Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for ..
Who we are: The Association of American Medical Colleges is a not-for-profit association dedicated to transforming health care by supporting the entire spectrum of medical education, medical research, patient care, and ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
United Healthcare Community and State's Sales Markets are key drivers of the organization's overall growth. As a Community Outreach Representative, you'll utilize innovative strategies and programs to ensure access to health ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Nutrition Technician (PRN | As Needed)','230000R5','The Nutrition Technician will be responsible for accurate preparation, translation and delivery of special formulas/supplements/trays according to the department policies and procedures. Will be responsible for ..
Job Information Humana UM Medical Director - Conviva in Washington District Of Columbia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
Nutrition Technician','230000R4','The Nutrition Technician will be responsible for accurate preparation, translation and delivery of special formulas/supplements/trays according to the department policies and procedures. Will be responsible for the maintenance of patient ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description The Research Faculty member is responsible for generating and testing hypotheses related to a field of research by initiating, carrying out and managing research projects/programs supported by external, peer-reviewed sources. ..
... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..
02/20/2022 Category: Public and Environmental Health Assistant Professor, Epidemiology and Data Science -- Center for Global Health Practice and Impact Georgetown University: Medical Center: School of Medicine: BGRO Clinical: Infectious Diseases ..
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 ..
