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Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for using medical cost analytics to provide fact based strategic insights into emerging medical cost trends. Using large sets of data, the ide...
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...
Become a part of our caring community and help us put health first CenterWell, a Humana company, creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one o...
Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to conn...
Company : Highmark Inc. Job Description : JOB SUMMARY This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical sta...
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is power...
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 reviewing home health, SNF, DME, dual Medicare/Medicaid and Waiver...
Become a part of our caring community and help us put health first The Denials Management Specialist is responsible to respond to, monitor and analyze all governmental requests, including but not limited to ADR's, CERTS,...
What Application Development & Maintenance contributes to Cardinal Health Information Technology oversees the effective development, delivery, and operation of computing and information services. This function antici...
Become a part of our caring community and help us put health first A Field Clinical Educator is the clinical resource responsible for the development of clinicians as they apply knowledge obtained from training into the...

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