-
CVS Health
-
Springfield, Illinois
...
(Medical Affairs).The Medical Affairs department provides clinical business support to the entire ... -rater review activities and other quality oversight processes for internal Director UM decisions. If
...
-
CVS Health
-
Springfield, Illinois
...
Affairs department provides clinical business support to the entire enterprise and provides clinical ... .– Medical Directors will participate in inter-rater review activities and other quality oversight processes
...
-
Highmark Health
-
Wilmington, Delaware
...
and develop tools and processes geared toward inter-rater reliability to promote consistent and ... **
None
Preferred
Master's Degree in Business Administration/Management or Public
...
-
Blue Cross and Blue Shield of Louisiana
-
Baton Rouge, Louisiana
...
of the insurance industry preferred
Prior detailed experience in either utilization, case or ... appropriate which include but are not limited to: peer reviews, case reviews, completion of inter-rater
...
-
The Cigna Group
-
Bloomfield, Connecticut
...
regional with national level case work for Cigna Healthcare (CHC) -- Cigna, & CareAllies.
Market and ... negotiation skills.
Balances customer/member needs with business needs while serving as a customer/member
...
