• Medical Director--Claims Management

    Humana (Carson City, NV)
    …MCG(R) or InterQual + Internal Medicine , Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists + Advanced degree such as an MBA, ... whether requested services, requested level of care, and/or requested site of service should be authorized at the Appeals/Disputes level. All work occurs within… more
    Humana (03/22/25)
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  • Medical Director - Medicaid N. Central

    Humana (Carson City, NV)
    …or InterQual + Internal Medicine , Family Practice, Geriatrics, Pediatrics, Hospitalist, Emergency Medicine clinical specialists + Advanced degree such as an ... whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs within a context of regulatory… more
    Humana (03/11/25)
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