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Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors. Responsibilities The..
... This individual will drive effective communication within the Primary Care Organization/PCO ... Professional will support the PCO's communication needs and efforts to drive ... newsletters, intranet content and supporting..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... East Coast hours. Responsibilities The..
Description The Medical Director relies on fundamentals of ... and per diem requests. The Medical Director provides medical interpretation and determinations whether services ... some cases) contracts. Responsibilities The Medical..
Job Information Humana Medical Director - Texas in San ... Juan Puerto Rico Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other..
Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
... functions to implement formulary and medical strategies for the Medicaid line ... functions to implement formulary and medical strategies for the Medicaid line ... the implementation of formulary and..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... East Coast hours. Responsibilities The Medical..
Job Information Humana Medical Director - S. Florida in ... Juan Puerto Rico Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims...
Job Information Humana Medical Director - Medicare Pharmacy Appeals ... Juan Puerto Rico Description The Medical Director relies on clinical background ... reviews Medicare drug requests. The Medical director work..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The Medical..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..
... Humana Medicare Appeals and Grievance Medical Director in San Juan Puerto ... Juan Puerto Rico Description The Medical Director relies on fundamentals of ... C Line of Business. The..
Job Information Humana Medical Director - National Medicare Team ... Juan Puerto Rico Description The Medical Director relies on medical background and reviews preauthorization requests ... preauthorization requests for services...
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The Medical..
Job Information Humana UM Medical Director - Conviva in San ... Juan Puerto Rico Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..
Description The Senior Pharmacy Clinical Advisor requires a broad understanding of pharmacy, managed care, PBM, market and regulatory insights to develop, and/or implement formulary strategies to mitigate cost trend and improve ..
