• Medical Director - Care Plus - Florida

    Humana (Topeka, KS)
    **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 ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
    Humana (03/18/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director - Medicaid N. Central

    Humana (Topeka, KS)
    …work, communication of decisions to internal associates, and possible participation in care management. The clinical scenarios arise from outpatient , inpatient ... **Become a part of our caring community and help us put health first** The...which preferably includes some experience in an inpatient and/or outpatient environment and/or related to care of… more
    Humana (03/11/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director - National Medicare Team

    Humana (Topeka, KS)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for ... of variable factors. The Medical Director for the National Medicare Outpatient Team provides medical interpretation and determinations whether services provided by… more
    Humana (03/11/25)
    - Save Job - Related Jobs - Block Source
  • Physician Medical Director - LTSS

    Humana (Topeka, KS)
    …Collaborative Team meetings); and attend Fair Hearings. The clinical scenarios arise from outpatient , post-acute care ; acute inpatient; LTC (Long Term Care ); ... occasionally speak with contracted external physicians, provider groups, health care facilities, or community groups to support...and be board certified and typically reports to a Lead or Regional or Corporate Medical Director, depending on… more
    Humana (01/25/25)
    - Save Job - Related Jobs - Block Source
  • IPA Coding Associate Director

    CenterWell (Topeka, KS)
    **Become a part of our caring community and help us put health first** The IPA Coding Leader manages a diverse team responsible for ensuring clinical documentation ... followed, and fosters collaboration across entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk...and team members in stressful situations. + Ability to lead by influence to engage colleagues and lead more
    CenterWell (03/06/25)
    - Save Job - Related Jobs - Block Source
  • Behavioral Health Medical Director - Medicaid

    Humana (Topeka, KS)
    …work, communication of decisions to internal associates, and possible participation in care management, with clinical scenarios arising from outpatient or ... **Become a part of our caring community and help us put health first** The...The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director… more
    Humana (02/15/25)
    - Save Job - Related Jobs - Block Source
  • Clinical Lab Scientist II

    Prime Healthcare (Leavenworth, KS)
    …24/7 emergency care , senior behavioral health, skilled nursing, ambulatory care , including outpatient surgical services, imaging services including 3D ... committed to our core values of quality, compassion, and community . As a member of Prime Healthcare, Saint John...its award-winning team! In addition to acute care services, Saint John Hospital specializes in… more
    Prime Healthcare (03/17/25)
    - Save Job - Related Jobs - Block Source
  • Specialty Pharmacy Accreditation & Operations…

    Cardinal Health (Topeka, KS)
    …With over 50 years of experience in helping hundreds of hospital, outpatient , clinic, and specialty pharmacies, we provide access to best practice strategies ... Cardinal Health Innovative Delivery Solutions is one of the largest employers of acute- care pharmacist in the United States. Cardinal Health is the employer of… more
    Cardinal Health (02/20/25)
    - Save Job - Related Jobs - Block Source