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You will lead all aspects of utilization review/quality assurance, directing case management. This role can be remote based anywhere in the US.The Medical Director (Cardiology) will be a Subject Matter Expert (SME) with a background in Cardiology specialty, including post-graduate direct patient care experience specifically.
$174,070 - $374,900Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Able to manage study start-up, and directs and guides study team in study execution, data cleaning, medical review, database lock, managing health authority responses. Experience in protocol development, medical review, oversight of study conduct, running trials, data quality and safety are strongly preferred.
$187,000 - $322,000 a yearFull-timeExpandApply NowActive JobUpdated 26 days ago - UpvoteDownvoteShare Job
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Organize educational trainings and review of the International Patient Services Program OIR processes and services to introduce/refresh/train health plan coordinators and Providers/Clinics/Hospitals on Guam and Saipan regarding services offered by the Hospital, updates on new developments and specialty services, and address medical developments of interest.
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Documents gathered information in medical record as required by policies and completes charting within 48 hours of a clinical encounter Participates in chart review and quality assurance activities as part of APLA Health Quality Management Program Applies APLA Health PrEP and PEP protocols for qualified patients The Sexual Health Medical Director will be expected to see approximately 14 or more patients per full work day.
$107,226 - $143,927 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
$263,503 - $395,254 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Gather medical records: authorization history or notes as requested by the Senior Medical Director for further review as needed for auth adjudication or PQI cases. Proficiency in medical terminology and coding, with the ability to interpret and apply coding systems such as ICD-10, CPT, and HCPCS for support of clinical review and documentation purposes.
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Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.
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The International Tax Director will manage the U.S. compliance for our foreign operations consisting of approximately 600 foreign legal entities and will be involved in preparation and review of detailed analysis & calculations including foreign source income, foreign tax credit, K2/K3, Subpart F, GILTI; and maintenance of adequate records associated with the U.S. taxation of foreign operations.
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