- AccentCare, Inc. (Milford, DE)
- Overview Why You'll Love Being a Team Physician Associate Medical Director at AccentCare We are AccentCare Medical Group - A family of Physicians and ... care. Offer Based on Years of Experience What You Need to Know Team Physician - Associate Medical Director Responsibilities The Team Physician - … more
- Humana (Dover, DE)
- …and help us put health first** The Long-term services and supports (LTSS) Medical Director's primary responsibility is the review of medical authorizations to ... the medical necessity of a given service, level of care, or medical item/supply. The Medical Director's work assignments involve moderately complex to… more
- CSL Plasma (Dover, DE)
- …including their training, although such training may be delegated to an approved Medical Staff Associate . Trains other physicians. Evaluates newly trained ... Job Description **Job Description Summary** Provides medical oversight to Medical Staff Associates,... Staff Associates. Usually serves as the primary center physician registered as the Laboratory Director with the Food… more
- Humana (Dover, DE)
- …As a Medical Coding Auditor for the Hospital Outpatient/APC Coding Team you will: + Verify and ensure the accuracy, completeness, specificity and appropriateness ... caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted...provide reports as needed + Maintain strict patient and physician confidentiality and follow all federal, state and hospital… more
- Humana (Dover, DE)
- …The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, ... population, or condition type. May also engage in grievance and appeals reviews. Some medical directors may join a centralized team for several months after… more
- RELX INC (Dover, DE)
- …new business opportunities while collaborating to upsell current business? About our Team Elsevier is passionate about medical education. Our motivating goal ... experts and caregivers. About the Role You'll Identify opportunities within Medical Schools, Physician Assistant Programs, Nurse Practitioner Programs, and… more
- Humana (Dover, DE)
- …The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, ... caring community and help us put health first** The Medical Director relies on medical background and...contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional… more
- Highmark Health (Dover, DE)
- …average accounts receivable days. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and outcome to ... in anatomy, physiology and medical terminology + 1 year of Hospital and/or Physician Coding + 1 year coding at mid-level facilities or clinics + 1 year coding… more
- Highmark Health (Dover, DE)
- …average accounts receivable days. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and outcome to ... Successful completion of coding courses in anatomy, physiology and medical terminology + Certified Coding Associate (CCS)...Ability to work with members of the health care team Preferred + Associate 's degree in Health… more
- Humana (Dover, DE)
- …This Counsel position will be a part of Humana's Health Plan Contracting team within the Law Department and provide legal counsel primarily for issues related ... drafting and negotiation of fee for service and value based provider contracts for medical services including, but not limited to, the following types of contracts: … more
- Evolent (Dover, DE)
- …mission. Stay for the culture. **What You'll Be Doing:** The Evolent pharmacy team is looking for a highly motivated and energetic **Pharmacy** **Coordinator** to ... join the Pharmacy Services team . We are looking for team members...and adherence calls) through telephonic patient outreach, communication with physician offices and accurate documentation processes + Support the… more