- Humana (Des Moines, IA)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Des Moines, IA)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Humana (Des Moines, IA)
- …Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions regarding the appropriateness...MD or DO degree + A current and unrestricted license in at least one state and willing to… more
- Veterans Affairs, Veterans Health Administration (Iowa City, IA)
- …Affairs Health Care System (VAHCS), is seeking a Hospice & Palliative Medical Director for a full-time appointment at the Rehabilitation and Extended Care service ... be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Veterans Affairs, Veterans Health Administration (Iowa City, IA)
- …of Veterans Affairs Health Care System (VAHCS), is seeking a Pain Medical Director for a full-time appointment at the Rehabilitation and Extended Care service line. ... be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Humana (Des Moines, IA)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more
- Molina Healthcare (Iowa City, IA)
- …IL, OH, ID, SC, UT, WI, MA, NV, IA, GA + Active AZ MD license **Job Duties** + Provides medical oversight and expertise in appropriateness and medical necessity of ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (IA)
- …with AI Data Integration._** + **_Experience with Member, Enrollment, and Claims applications -_** **which underpin essential business functions such as HEDIS ... **_Azure Databricks._** + **_Python._** + **_Spark._** + **_QNXT._** **Preferred License , Certification, Association** Microsoft Technology, Mobility, ITIL To all… more
- Veterans Affairs, Veterans Health Administration (Iowa City, IA)
- …or designee and serves as a key clinical resource for the Medical Center Director and the Chief of Staff. Responsibilities The VA Midwest Health Care Network ... the service consistent with guidance and goals from the Director 's Office and/or Fiscal Service, and oversees its execution...be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible… more
- Veterans Affairs, Veterans Health Administration (Iowa City, IA)
- …or designee and serves as a key clinical resource for the Medical Center Director and the Chief of Staff. The responsibilities include hands on clinical work, ... nature from the Chief of Staff and/or Medical Center Director . Subsequent findings and recommendations are used by the...be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible… more