team from Brand Marketing, Commercial Operations, Sales Leadership, US Medical Affairs, Strategy Customer Group (SCG), Real..., campaign evolution, agency oversight, PRC/regulatory review, and community, outpatient and field reimbursement optimization...
through regulatory analysis, policy review, and technical writing. In this role, you will be responsible for reviewing managed... includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus: 100% paid medical...
with other health care professionals, member and/or family Refers cases to medicalreview according to policy and procedure Documents... medical records on site, through remote electronic access, telephonically or by fax in a collaborative effort...
PROFILE Proactively review future routes to eliminate potential challenges and create solutions based on customer... and harness the power of information-how it is collected, stored, managed, and shared-to unlock the potential in every...
Coverage ReviewMedical Director is a key member of the Optum Enterprise Clinical Services Team. On the Focused Pharmacy Review...) operations, the organization responsible for the initial clinical review of service requests for UnitedHealth Care (UHC). The...
affiliated through Atlantic Medical Group. Atlantic Accountable Care Organization is one of the largest ACOs in the nation...' Comp Managed Care Partners/Workers' Comp insurance carriers. Principal Accountabilities: The Workers' Compensation...
in 1994 and headquartered in Indianapolis IN, is a certified woman-owned (WBE) professional services organization with over... Services is an industry leader in Managed Service Programs (MSP), Employer of Record / Payrolling Services, National...
medicalreview experience requiring guidance by more senior colleagues and/or management. Partners with more senior... medical necessity review. Conducts initial medical necessity review of exception preauthorization requests for services...
appropriate present and past medical history and review of systems. Performs appropriate physical examination and orders... six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals...
Analyst / Project Lead to review telecommunications solutions and architectures for FAA systems to ensure they meet FAA... of an FAA Telecom service. This will include but not be limited to supporting the review IP configurations and IP supplemental...