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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 Care Team Medical Director in Jersey City New Jersey Description The Care Team Medical Director is responsible for improving the quality of care and outcomes while managing costs ..
Job Information Humana Medical Director - Florida Medicaid in Jersey City New Jersey Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Jersey City New Jersey Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP ..
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 ..
Job Information Humana Medical Director - S. Florida in Jersey City New Jersey Description The Medical Director relies on medical background and reviews health claims. 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 ..
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 ..
Job Information Humana Medical Director - Texas in Jersey City New Jersey Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Jersey City New Jersey Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work ..
Job Information Humana UM Medical Director - Conviva in Jersey City New Jersey Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
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, Stars and Risk Adjustment National Medical Director in Jersey City New Jersey Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive ..
Job Information Humana Medical Director - National Medicare Team in Jersey City New Jersey Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director ..
