- Humana (Annapolis, MD)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Humana (Annapolis, MD)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Johns Hopkins University (Baltimore, MD)
- …goals. + Serve as the administrative leader to manage department-based faculty and clinical associate compensation plans in the School of Medicine. This will ... practice financial management. + Experience in research financial management and clinical department business operations. Classified Title: Assistant Director … more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** We are looking for an experienced clinical leader in the greater Baltimore metropolitan area who is willing and able to work ... based on business needs and work activities/deliverables that week. The Director , Utilization Management provides strategic leadership of the utilization management… more