• Medical Director - North Central Region - Medicaid

    Humana (Springfield, IL)
    …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation , grievance and appeals processes, ... such as MCG(R) or InterQual **Additional Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director,… more
    Humana (04/25/24)
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  • Medical Director - Northeast Region

    Humana (Springfield, IL)
    …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation , grievance and appeals processes, ... and the courage to innovate **Additional Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director,… more
    Humana (04/25/24)
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  • Medical Director - Florida

    Humana (Springfield, IL)
    …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation , grievance and appeals processes, ... is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical ...to innovate **Additional Information** Typically reports to a Regional Vice President of Health Services, Lead, or… more
    Humana (04/18/24)
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  • Senior Revenue Integrity Analyst

    Highmark Health (Springfield, IL)
    documentation & billing processes. Collaborates and helps to optimize clinical documentation through analysis and prioritized evaluation. Works ... areas of vulnerability. Provides guidance, communication and education on correct capture, coding and billing processes to multiple clinical departments and… more
    Highmark Health (03/15/24)
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