- Humana (Baton Rouge, LA)
- …clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments involve moderately complex to complex issues where the ... in accordance with Medicare and Humana policy. **Please note that this Medical Director position is non-benefitted, and compensated hourly * **Use your… more
- Humana (Baton Rouge, LA)
- **Become 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 work assignments involve moderately complex to complex issues...group practice management. + Utilization management experience in a medical management review organization, such as Medicare … more
- Merck (Baton Rouge, LA)
- …with HSO MADs + Serves as a resource for the PM MAD-HSO Team Lead, HSO Executive Director Medical Affairs, and other members of US Medical Affairs on other ... **Job Description** + The Precision Medicine - Medical Affairs Director - Health Systems...research \#eligibleforERP **Required Skills:** Benefit Programs, Clinical Data, Clinical Pharmacy , Clinical Studies, Medical Affairs, Medical… more
- Robert Half Finance & Accounting (New Orleans, LA)
- Description We are looking for a skilled Director of Finance to lead and manage the financial operations of our non-profit organization based in New Orleans, ... disputes, accounts receivable, and participant billing. * Ensure adherence to Medicare Part D regulations, including bid preparation, reporting, and pharmacy… more
- AmeriHealth Caritas (Lafayette, LA)
- …with medical policies. When necessary, cases are escalated to the Medical Director for further review. The reviewer independently applies medical ... the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient services, ensuring treatment aligns with… more
- CenterWell (Slidell, LA)
- …training and development + Conduct monthly meetings with Regional Associate Operations Director (AOD), Assistant Medical Directors (AMD), and providers. + ... an owner-operator mindset and leading by example, while supervising and managing Medical Assistants (MA) and Front Office (FO) staff to promote a positive… more