• Senior Medical Director

    Highmark Health (Wilmington, DE)
    …compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times, and the Senior Medical Director will be responsible for ensuring that those measures ... our members. As the leader of these physicians, the Senior Medical Director will manage...Bureau of Osteopathic Specialists recognized specialty credentialed in a Highmark network. + A current, unrestricted state medical more
    Highmark Health (04/24/24)
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  • Senior Clinical Quality Management Analyst…

    Highmark Health (Dover, DE)
    …a timely manner. May coordinate credentialing, re-credentialing, member complaint investigations, Medical Director site visit requests, facility site visit ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This...appropriate departments in the areas of compliance, process improvement, medical record review and coding, and member and provider… more
    Highmark Health (05/24/24)
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