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Medical Director - PRN at Humana
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- Become a part of our caring community and help us put health first
- The clinical scenarios predominantly arise from inpatient or post-acute care environments.
- An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope.
- The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market care facilitation and priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management.
- Exposure to value based care, Public Health, Population Health, analytics, and use of business metrics.
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