• Medical Director - Medicaid N. Central

    Humana (Nashville, TN)
    …possible participation in care management. The clinical scenarios arise from outpatient , inpatient or post-acute care environments. The Medical Director will have ... duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy), and… more
    Humana (04/24/25)
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  • Medical Director - Care Plus - Florida

    Humana (Nashville, TN)
    …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... outpatient services and equipment, within their scope. The Medical...Director may speak with contracted external physicians, physician groups, facilities , or community groups to support regional market priorities,… more
    Humana (04/24/25)
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