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Job Information Humana UM Medical Director - Conviva in Newport Rhode Island Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Further your career with TeamHealth as a full-time neuro hospitalist on our established team at Lawrence Memorial Hospital in New London, Connecticut and Westerly Hospital in Westerly, Rhode Island. We ask ..
TeamHealth is seeking a board certified physician for a PRN hospitalist position in New London, Connecticut. We ask that candidates be board certified or board eligible in internal medicine. There are ..
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 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 As a Physician Informaticist at Humana, you will contribute to meaningful projects, interact with other team members, be exposed to business operations and work cross functionally with other departments. The ..
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 ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Newport Rhode Island Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Newport Rhode Island Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments ..
TeamHealth has an excellent opportunity for a full-time nocturnist to join our hospitalist team at Westerly Hospital in Westerly, Rhode Island. This is a 7-on/7-off position. Codes and procedures are not ..
TeamHealth is seeking a part-time, board-certified physician for a hospitalist position in New London, Connecticut. We ask that candidates be board certified or board eligible in family medicine or internal medicine. ..
TeamHealth is seeking a full-time experienced physician assistant or nurse practitioner to join our hospital medicine team at Westerly Hospital in Westerly, Rhode Island. Qualified candidates must have previous hospital medicine ..
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 ..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Newport Rhode Island Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to ..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
