- Highmark Health (Jackson, MS)
- …:** Highmark Inc. **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Humana (Jackson, MS)
- **Become a part of 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. The Corporate Medical Director works on problems of diverse scope and...a remote position. **Scheduled weekly hours** **:** 40 hours (full- time ): four 10-hour workdays per week, either Friday-Monday or… more
- Compass Group, North America (Flowood, MS)
- Morrison Healthcare + We are hiring immediately for full time and part time **PATIENT DINING ASSOCIATE DIETARY AIDE** positions. + **Location** : Merit ... applications accepted_ _only_ _._ + **Schedule** : Full and part time schedule. Monday - Friday, 7:00...4:00 pm. Must be able to work every other weekend . More details upon interview. + **Requirement** : Cooking… more
- Lowe's (Ridgeland, MS)
- …working with our Merchandising Services Team. **How We Support You** Whether you need a part - time position or a place to plant yourself and grow, Lowe's is ready ... *Live Nursery MST Associates may be required to work weekend shifts. **Your Day at Lowe's** As a Merchandising...easy for customers to access. While most of your time will be spent on activities that don't involve… more
- Humana (Jackson, MS)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... home health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services… more
- Fujifilm (Jackson, MS)
- …with Key Accounts and Opinion Leaders within the Liver/Hepatology Medical Oncology community. Manage specific assigned geographic areas and successfully ... important benefits of screening and surveillance for liver cancer. + Invests time building key office relationships & soliciting customer inputs to ensure account… more
- Humana (Jackson, MS)
- **Become a part of our caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The ... starting your FIRST day of employment. Benefits include: + Medical Benefits + Dental Benefits + Vision Benefits +...paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave,… more
- Teva Pharmaceuticals (Jackson, MS)
- …we're thoughtfully expanding our US sales teams. Sales professionals at Teva are part of a purpose-driven organization with a uniquely diverse portfolio and a ... to current and potential customers ⦁ Consult with physicians, nurses, and medical office staff to appropriately promote product and provide product and patient… more
- Humana (Jackson, MS)
- **Become a part of our caring community and help us put health first** The Appeals Representative 4 Investigates and resolves member and practitioner issues. manages ... electronic inventory management; able to complete assigned cases in a specified time frame. + CAS, MedHOK experience strongly preferred + Previous experience… more
- CenterWell (Jackson, MS)
- **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert responsible for ... conducting medical necessity and comprehensive medication reviews for prescriptions requiring...between 10:30 AM and 11:00 PM EST + Some weekend coverage may be required + Mandatory overtime during… more
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