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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 Medical Director - National Medicare Team in Boston Massachusetts Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..
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 ..
Job Type: Full timernrnDescriptionrnrnThe Department of Pediatrics at Tufts Medical Center is seeking a full-time Pediatric Hospitalist faculty member.rnrnWe work in partnership with parents and referring physicians to help each patient ..
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'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 ..
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 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 AVP, Stars and Risk Adjustment National Medical Director in Boston Massachusetts Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Boston Massachusetts Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
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 ..
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 ..
TeamHealth has an excellent PRN opportunity for an experienced advanced practice clinician to join our hospitalist team at MetroWest Medical Center in Framingham, Massachusetts. Qualified candidates must have prior experience in ..
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, ..
TeamHealth is seeking a board certified physician for a full-time, daytime position at MetroWest Medical Center in Framingham, Massachusetts. Join a dedicated, quality driven team with 12 physicians and 2 advanced ..
TeamHealth has an excellent opportunity for a physician to join our special operations hospitalist team in the northeast region. This hospitalist will receive a sign-on bonus, premium compensation and travel to ..