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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 ..
... Clinical Analytics and Trend Program Manager in Honolulu Hawaii Description The ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... their skills to assist with..
... the analysis of situations or data requires an in-depth evaluation of ... of services provided by other healthcare professionals in compliance with review ... written communication skills. Evidence of..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Honolulu Hawaii Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
... the analysis of situations or data requires an in-depth evaluation of ... whether services provided by other healthcare professionals are in agreement with ... written communication skills. Evidence of..
... the analysis of situations or data requires an in-depth evaluation of ... whether services provided by other healthcare professionals are in agreement with ... whether services provided by other..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Job Information Humana Data Manager / ETL Developer - Primary ... in Honolulu Hawaii Description The Data Manager 2 supports all aspects of ... all aspects of configuration control, data..
... the analysis of situations or data requires an in-depth evaluation of ... of services provided by other healthcare professionals in compliance with review ... whether services provided by other..
... acumen to solve for the healthcare challenges of today. The Clinical ... team uses advanced scientific techniques, data analysis, forecasting, and clinical acumen ... anywhere The Clinical Trend Program..
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 ..
