- Humana (Phoenix, AZ)
- …clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage ... Advantage and Managed Medicaid. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid,… more
- Humana (Phoenix, AZ)
- …determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare ... group practice management. + Utilization management experience in a medical management review organization, such as Medicare ...May also engage in grievance and appeals reviews. Some medical directors may join a centralized team … more
- Humana (Phoenix, AZ)
- …determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare ... clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed… more
- CVS Health (Phoenix, AZ)
- …to assist with next steps. Beyond the typical Scribe role, these important care team members serve as clinical documentation assistants to their paired provider. ... value-based medicine, preventative care for chronic conditions, accurate and specific documentation , population health data streams, and team based care.… more
- Kestra Medical Technologies, Inc (Kingman, AZ)
- The Kestra team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders ... touchpoints in key accounts locally to support the sales team . As the sales team scales, the...patient experience with pre-fitting tasks such as collecting clinical documentation , pre-fitting conversations, and working with the case managers… more
- Evolent (Phoenix, AZ)
- …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your ... (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD… more
- Evolent (Phoenix, AZ)
- …(URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of...will be a key member of the utilization management team . We can offer you a meaningful way to… more
- Evolent (Phoenix, AZ)
- …. Aids and acts as a resource to Initial Clinical Reviewers. . Ensures documentation of all communications with medical office staff and/or MD provider is ... the culture. **What You'll Be Doing:** As a Field Medical Director, Oncology, you will be a key member...will be a key member of the utilization management team . We can offer you a meaningful way to… more
- Evolent (Phoenix, AZ)
- …+ Aids and acts as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is ... the culture. **What You'll Be Doing:** As a Field Medical Director, MSK Surgery you will be a key...will be a key member of the utilization management team . We can offer you a meaningful way to… more
- CenterWell (Phoenix, AZ)
- …developing responses. Identifies the need for changes in policies, procedures, documentation strategies, and protocols based on regulatory requirements and makes ... for responding to, managing and monitoring all payer requests for additional documentation (ADR), appeals and denials. Works with branch staff to gather required… more
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