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Mason, Ohio
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analytics.
Medical Director-Internal Medicine
Responsible for the administration of physical and ... Medical Director Associates. May be responsible for an entire clinical program.
**This role is a hybrid
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Mason, Ohio
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Clinical Operations Medical Director
Utilization Management of Medical Oncology ... Medical Director supporting our Medical Oncology team is responsible for supporting the medical
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Mason, Ohio
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miles of one of our Elevance Health locations.**
The Medical Director is responsible for the ... including Medical Director Associates. May be responsible for an entire clinical program.
How you
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Mason, Ohio
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.**
The Medical Director Clinical Programs is responsible for designing and implementing clinical programs with specific medical condition focus for all lines of business enterprise wide. Analyzes and
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Mason, Ohio
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Clinical Operations Associate Medical Director
Neurosurgery
Carelon ... Associate Medical Director of Neurosurgery responsible for performing pre-authorizations and providing
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Mason, Ohio
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Medical Director is responsible for the administration of physical and/or behavioral health medical ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an
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Mason, Ohio
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miles of one of our Elevance Health locations.**
The Medical Director is responsible for the ... including Medical Director Associates. May be responsible for an entire clinical program.
How you
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Mason, Ohio
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Clinical Operations Associate Medical Director
**Carelon Medical Benefit Management ... and oncology._
The Clinical Operations Medical Director is responsible for supporting
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Mason, Ohio
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Medical Director is responsible for the administration of physical and/or behavioral health medical ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an
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MASON, Ohio
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Medical Director for a set of Post Acute Care Solutions.** This high-performing individual contributor will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions
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Mason, Ohio
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.**
The Behavioral Health Medical Director is responsible for the administration of behavioral ... identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates
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MASON, Ohio
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Director I Customer Care
Location: This position will work a hybrid model (remote ... family of companies. We are a third-party administrator (TPA) of medical benefits, also providing medical
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Mason, Ohio
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Director Programs & Project Management
Location: This position will work a hybrid ... third-party administrator (TPA) of medical benefits, also providing medical management, human resource
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Mason, Ohio
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Health Benefits Executive Director
Location: This position will work a hybrid ... .
The Health Benefits Executive Director is responsible for leading the development and
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MASON, Ohio
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) Specialist** .
This Pharmacy Quality Assurance Specialist, reporting to the Director of ... of insurance industry and medical terminology and detailed knowledge of relevant systems and proven
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MASON, Ohio
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satisfaction.
Typically works with one provider type, e.g. physician, ancillary, or medical group. Provides advice and analytic support to Medical Directors, contract negotiators and management on cost of
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Mason, Ohio
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advice, and analytic and consultative support to Medical Directors and management on cost-of-care issues ... work with multiple provider types, e.g. physicians, ancillary, medical groups, or hospitals. Supports a
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Mason, Ohio
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Nurse Medical Management I
At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.**
The Nurse Medical Management I is
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MASON, Ohio
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, ancillary, or medical group. Provides advice and analytic support to Medical Directors, contract negotiators ... control costs;
Projecting cost increases in medical services by using analytic techniques for PMPM
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Mason, Ohio
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looking for a senior analyst who will lead medical cost trend deep dives to uncover root-cause trend ... .
Provides advice, analytic and consultative support to Medical Directors and management on cost of care
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MASON, Ohio
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** is responsible for the review of medical records to determine if requests for therapy services ... additional data, consults with clinical reviewers and medical directors, when necessary.
Acts as a
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MASON, Ohio
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necessary.
Interfaces with Medical Directors and Physician Advisors on the development of care
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