- Queen's Health System (Honolulu, HI)
- …Emma and King Kamehameha IV. Area(s) of assignment: Directs and oversees Medicare Certified Division by developing and implementing strategic and innovative ... RESPONSIBILITIES Effective Date: 06/25 I. JOB SUMMARY: A Director functions at a high organizational level, providing leadership and direction in the development and… more
- Humana (Honolulu, HI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals.… more
- Humana (Honolulu, HI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The… more
- Humana (Honolulu, HI)
- …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... Bold Goal mission, throughout all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services … more
- Evolent (Honolulu, HI)
- …comprehensive management of prior authorization and financial scope within Evolent Specialty Services . Reporting to the Director , Clinical Informatics, this role ... sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and...such as: + Registered Health Information Technician (RHIT) + Certified Hematology and Oncology Coder (CHONC) + Certified… more
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