- Humana (Phoenix, AZ)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Humana (Phoenix, AZ)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... 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 (Phoenix, AZ)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Humana (Phoenix, AZ)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues... will collaborate with clinicians and support staff to provide Humana members with optimal value-based care in accordance… more
- Humana (Phoenix, AZ)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Humana (Phoenix, AZ)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex… more
- Cardinal Health (Phoenix, AZ)
- …value that supports the patient throughout the continuum of care. The Interim Director of Pharmacy will provide leadership on an interim/transitional basis in ... where your license is applicable. **_Responsibilities_** + The Interim Director of Pharmacy will provide leadership on...diverse projects across the territory. + May require vendor credentialing . **_What is expected of you and others at… more
- Molina Healthcare (Phoenix, AZ)
- …activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid, ... + Attends or chairs committees as required such as Credentialing , P&T and others as directed by the Chief...including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge.… more
- Banner Health (Tucson, AZ)
- …making a difference in people's lives. This position as Clinic Administration Director of Oncology provides leadership, direction and support for our University of ... standards required to ensure a high degree of patient, provider and employee satisfaction. This position is also responsible...of Medicine in Phoenix and Tucson. Our 800-plus clinicians provide primary and specialty care to patients at highly… more
- Medtronic (Phoenix, AZ)
- …world. **A Day in the Life** In this exciting role as a Sr. Director of Enterprise Accounts (DEA), you will establish trusted partnerships with our most important ... products and services and negotiating on behalf of Medtronic. The Sr. Director of Enterprise Accounts will also be responsible for understanding their assigned… more
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