Medical Director-Payment Integrity
Há 7 dias
Overview Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements and will understand how to operationalize this knowledge in their daily work. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work and communication of decisions to internal associates. The clinical scenarios predominantly arise from inpatient or post-acute care environments. A remote possibility exists of doing peer-to-peer discussions with an external provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, and outpatient services and equipment, within their scope. Medical Directors support Humana values, and Humana’s mission, throughout all activities. Use your skills to make an impact #J-18808-Ljbffr
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São Paulo, Brasil Mastercard Tempo inteiroDirector, Regional Payment Facilitators, LAC – Business Development Director, Regional Payment Facilitators, LAC – Business Development at Mastercard Overview As the Director for Regional Payment Facilitators in LAC, you will lead Mastercard’s efforts to empower and scale regional enablers that serve global and domestic merchants. These facilitators...
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Medical Director
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Sao Paulo, Brasil Medison Pharma Tempo inteiroMedison is a global pharma company on a mission to help patients around the world get faster access to lifesaving, innovative, breakthrough therapies. We operate in 4 continents and over 24 countries and are growing fast. If you want to be part of our mission and help save patients by getting them the latest treatments, join us! The Director of Medical...
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Sao Paulo, Brasil Medpace, Inc. Tempo inteiroJob Summary:We are seeking a Medical Director to join our dynamic team in Latin America. The Medical Director will have overall responsibility for providing medical, scientific, and strategic leadership for the successful planning, execution, and reporting of clinical trials. Additionally, this role acts as the Medpace internal medical expert and will serve...
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São Paulo, Brasil Page Executive Tempo inteiroMedical Director with a background in Neurology Multinational pharmaceutical company About Our Client Global pharmaceutical company driven by its human health care mission. The company combines scientific innovation with human purpose. Job Description Lead the affiliate's medical strategy, ensuring scientific excellence, regulatory compliance, and...
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Director, Medical Affairs
3 semanas atrás
São Paulo, Brasil Page Executive Tempo inteiroMedical Director with a background in Neurology Multinational pharmaceutical company About Our Client Global pharmaceutical company driven by its human health care mission. The company combines scientific innovation with human purpose. Job Description Lead the affiliate's medical strategy, ensuring scientific excellence, regulatory compliance, and...
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Medical Specialist
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Região Geográfica Intermediária de São Paulo, Brasil Innodata Inc. Tempo inteiroJoin to apply for the Medical Specialist role at Innodata Inc. Innodata (NASDAQ: INOD) is a leading data engineering company. With more than 2,000 customers and operations in 13 cities around the world, we are an AI technology solutions provider-of-choice for 4 out of 5 of the world's biggest technology companies, as well as leading companies across...
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Medical Specialist
4 semanas atrás
Região Geográfica Intermediária de Sorocaba, Brasil Innodata Inc. Tempo inteiroOverview Join to apply for the Medical Specialist role at Innodata Inc. Innodata (NASDAQ: INOD) is a leading data engineering company. With more than 2,000 customers and operations in 13 cities around the world, we are an AI technology solutions provider-of-choice for 4 out of 5 of the world's biggest technology companies, as well as leading companies...
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Medical Specialist
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Região Geográfica Intermediária de Sorocaba, Brasil Innodata Inc. Tempo inteiroOverview Innodata (NASDAQ: INOD) is a leading data engineering company. With more than 2,000 customers and operations in 13 cities around the world, we are an AI technology solutions provider-of-choice for 4 out of 5 of the world's biggest technology companies, as well as leading companies across financial services, insurance, technology, law, and medicine....
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São Paulo, São Paulo, Brasil Mastercard Tempo inteiro R$100.000 - R$150.000 por anoOur PurposeMastercard powers economies and empowers people in 200+ countries and territories worldwide. Together with our customers, we're helping build a sustainable economy where everyone can prosper. We support a wide range of digital payments choices, making transactions secure, simple, smart and accessible. Our technology and innovation, partnerships...
