THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... working with health insurance other healthcare providers, patient interaction, etc. Internal ... their home...
... Information Humana Corporate Medical Director, Healthcare Quality Reporting & Improvement in ... The Corporate Medical Director for Healthcare Quality Reporting and Improvement (HQRI) ... position reports to the Senior..
... with a context of regulatory compliance, and work is assisted by ... whether services provided by other healthcare professionals are in agreement with ... meeting departmental expectations, and meets..
... 40) market leader in integrated healthcare with a clearly defined purpose ... the newly-created role of Associate Vice President, Digital Experience - Shopping, Enrollment, ... will report directly to..
... in collaboration with the Area Vice President that will increase revenue and ... and Skills Working knowledge of healthcare information systems Hunter sales acumen ... increasingly collaborative, and more..
... within a context of regulatory compliance, and work is assisted by ... whether services provided by other healthcare professionals are in agreement with ... meeting departmental expectations, and meets..
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 ..
... in Louisville Kentucky Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... strategic initiatives. Responsibilities The Associate..
... the direction of the Associate Vice President, Payment Integrity, the Associate Director ... TRICARE Policy Manuals and ensures compliance with applicable Program Integrity sections ... needs, data needs, provider..
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 Regional VP, Health Services relies on medical background and reviews health claims. The Regional VP, Health Services requires a in-depth understanding of how organization capabilities interrelate across segments and/or ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... the newly-created role of Associate Vice President, Digital Experience - Self-Service. In ... will report directly to..
... performance, policies and procedures, ensuring compliance with legal, organizational, and home ... progressive leadership experience in the healthcare industry with a background in ... knowledge of accreditation standards and..
... in Louisville Kentucky Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
