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... state to cover as Clinical Manager as needed. PURPOSE AND SCOPE: ... within the community. Travel to regional, Business Unit and Corporate meetings ... all patients. Must complete Clinical..
... Confer routinely with Technical Program Manager and Technical Operations Manager to ensure preventative maintenance program ... within the community. Travel to regional, Business Unit and Corporate meetings ... within..
... the direction of the Program Manager (PM) and with guidance from ... indicated and notifies inpatient program manager, appropriately credentialed physician, patient’s primary ... including but not limited to..
... the only way to drive healthcare forward and remain a global ... and education. Partner with field-based Regional Economic Managers (REMs) to deliver ... and payment advice in a..
... or community groups to support regional market priorities, which may include ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
... physician relationships and facilitating Clinical Manager and staff relationships with physicians. ... manuals. Collaborates with the General Manager, Group Vice President of Operations, ... Vice President of Operations, and..
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 ..
... in Minneapolis Minnesota Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... across the enterprise to support..
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 The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
... of services provided by other healthcare professionals in compliance with review ... or community groups to support regional market priorities, which may include ... whether services provided by other..
... in conjunction with the Senior Manager, and the lead OU Consultant, ... actively engages with Operating Unit regional and business unit personnel and ... closely together with the Senior..
... in Minneapolis Minnesota Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
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 ..
PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality patient ..
... within the community. Travel to regional, Business Unit and Corporate meetings ... all patients. Must complete Clinical Manager training modules and ongoing developmental ... within the community. Travel to..
