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Maine Licensed Medical Consultant
A company is looking for a Medical Consultant....Key Responsibilities Provide timely medical direction and opinions with forensic analysis to support claims Consult with fellow medical consultants for comprehensive patient assessments Gather medical information from healthcare providers to assess
New England Medical Director
Key Responsibilities Oversee utilization review and quality assurance of inpatient hospitalizations, prior authorizations, and appeals Participate in the development, implementation, and evaluation of clinical/medical programs Support Medical Management...staff with timely responses to members and providers, including various review processes and committee participation Required Qualifications Two or more years of experience in Company Care Delivery System, including clinical practice and the Company
Heartland Medical Director
Key Responsibilities Provide oversight for medical policy implementation and participate in the development and evaluation of clinical programs Support Medical Management staff to ensure timely responses to members and providers Oversee utilization
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