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Woodland Hills, California
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Clinical Operations Associate Medical Director
Carelon Medical Benefits Management ... Associate Medical Director responsible for supporting the medical management staff ensuring timely and
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Woodland Hills, California
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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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Woodland Hills, California
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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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WOODLAND HILLS, California
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Clinical Operations Associate Medical Director
Sleep Medicine
Carelon Medical Benefits Management
Location : This position will work a hybrid model (remote and
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Woodland Hills, California
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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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Woodland Hills, California
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enough to fit any size business.
The Medical Director is responsible for the administration ... required by State contracts or regulations if the Medical Director is filing a role required by a State
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WOODLAND HILLS, California
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enough to fit any size business.
The Medical Director is responsible for the ... experience may be required by State contracts or regulations if the Medical Director is filing a role
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WOODLAND HILLS, California
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Medical Director for 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 Clinical Product
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WOODLAND HILLS, California
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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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Woodland Hills, California
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Clinical Operations Associate Medical Director
Carelon Insights
**Post Acute Care ... we serve.
The Clinical Operations Associate Medical Director is responsible for
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Woodland Hills, California
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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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WOODLAND HILLS, California
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.
Extrapolates and summarizes medical information for medical director, consultants and other external review.
Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval
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WOODLAND HILLS, California
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.
Extrapolates and summarizes medical information for medical director, consultants and other external review.
Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval
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WOODLAND HILLS, California
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medical information for medical director, consultants and other external review.
Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval.
Ensures that
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WOODLAND HILLS, California
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medical information for medical director, consultants and other external review.
Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval.
Ensures that
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WOODLAND HILLS, California
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medical information for medical director, consultants and other external review.
Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval.
Ensures that
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WOODLAND HILLS, California
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medical information for medical director, consultants and other external review.
Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval.
Ensures that
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WOODLAND HILLS, California
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Government Business Quality Management Health Plan Director-California
Location ... Quality Management Health Plan Director is responsible for driving the development, coordination
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WOODLAND HILLS, California
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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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WOODLAND HILLS, California
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-quality, cost-effective care through assessing the medical necessity of inpatient admissions, outpatient ... treatment setting by utilizing the applicable medical policy and industry standards. Accurately interpreting
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WOODLAND HILLS, California
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resources for more complex medical issues. Ensures medically appropriate, high-quality, cost-effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and
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WOODLAND HILLS, California
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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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