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Medical Director - North Central Region - Medicaid
Humana
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Columbus, OH, 43224
... 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 ... - May 27
Director Labor Relations
DHL Supply Chain
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Columbus, OH, 43224
... The Director, Labor Strategy will negotiate contracts, manage day-to-day contract administration, such as interpretive guidance to management and grievance processing, support the Company's positive employee relations and intervention efforts, ... - May 24
Senior Medical Director
CVS Health
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Columbus, OH, 43224
... Understand UM and participate in UM front line work and appeals as needed in OH and other markets as needed• Confer directly ... including Quality of Care and Quality of Service (grievance) issues• Actively participate in or lead quality and/or ... - May 16
Physician / Oncology / Ohio / Permanent / Associate Medical Director
eviCore healthcare
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Worthington, OH, 43085
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to ... - May 29
Physician / Gastroenterology / Ohio / Permanent / Associate Medical
eviCore healthcare
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Worthington, OH, 43085
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to ... - May 29
Physician / Oncology - Radiation / Ohio / Permanent / Associate
eviCore healthcare
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Worthington, OH, 43085
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to ... - May 29
Physician / Neurology / Ohio / Permanent / Associate Medical Director
eviCore healthcare
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Worthington, OH, 43085
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to ... - May 29
Physician / Surgery - Orthopedics / Ohio / Permanent / Associate
eviCore healthcare
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Worthington, OH, 43085
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to ... - May 29
Physician / Cardiology / Ohio / Permanent / Associate Medical Director
eviCore healthcare
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Worthington, OH, 43085
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to ... - May 29
Physician / Other / Ohio / Permanent / Associate Medical Director
eviCore healthcare
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Worthington, OH, 43085
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to ... - May 29