- CVS Health (Richmond, VA)
- …make health care more personal, convenient and affordable. Position Summary:Ready to take your Medical Director skills to the next level with a Fortune 6 ... Virginia adding Oklahoma. This role supports the Aetna Better Health of Virginia. This Medical Director will be a "Work from Home" position primarily supporting… more
- CVS Health (Richmond, VA)
- …make health care more personal, convenient and affordable. Position Summary:Ready to take your Medical Director skills to the next level with a Fortune 6 ... Virginia adding Oklahoma. This role supports the Aetna Better Health of Virginia. This Medical Director will be a "Work from Home" position primarily supporting… more
- Children's Mercy Kansas City (Kansas City, MO)
- …hospital, for eleven consecutive years. Children's Mercy is in the heart of Kansas City - a metro abounding in cultural experiences, vibrant communities and thriving ... quality assessment/process improvement (QAPI) in accordance with Centers for Medicare and Medicaid and other regulatory bodies. At Children's Mercy, we are committed… more
- CenterWell (Kansas City, MO)
- … medical expertise with the care team through daily huddles. * Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- Burrell Behavioral Health (Springfield, MO)
- Job Description: Job Title: Director of Managed Care Enrollment Services Location: Missouri: Springfield, St. Louis, Columbia, Kansas City, Kirksville; Illinois: ... and advance your career? Join our team as the Director of Managed Care Enrollment Services! As the ...all external organizational and individual enrollment records with Medicare, Medicaid , and commercial payers to ensure timely processing. +… more
- The Cigna Group (Morris Plains, NJ)
- The Director , Centene Account Management provides strategic, financial, clinical, relationship, and organizational leadership for the Medicare D and Exchange lines ... experience within the PBM or healthcare industry preferred; Experience in Medicare/ Medicaid /Exchange market highly preferred. + Experience managing large books of… more
- The Cigna Group (Nashville, TN)
- …well as research and provide a written detailed clinical summary for the Plan Medical Director . + Determine whether additional pre service, appeal or grievance ... Advantage Plan. These appeals will include requests for decisions regarding denials of medical services as well as Part B drugs. The Case Management Analyst will… more
- The Cigna Group (St. Louis, MO)
- …rates. + Enhance the Facility Center of Excellence Program along with with Network Medical Director and Clinical Operations which include but not limited to ... a competitive intel process leveraging transparency data as well as Medicare and Medicaid pricing. + Collaborate with Network Directors, Medical Directors, and… more
- Intermountain Health (Murray, UT)
- …lowest possible cost. SelectHealth's line of businesses (LOB) include Medicare, Medicaid , FEHB, Marketplace Qualified Health Plans and fully-funded and self-funded ... for developing, documenting and implementing a program designed to address the medical , physical, mental, emotional, spiritual, social and supportive needs of the… more
- HCA Healthcare (Wichita, KS)
- …expertise! When you are the Clinical Nurse Coordinator you will be collaborating with the director to lead a team of amazing medical professionals. This is a ... in this role:** + You will collaborate with the Director to provide leadership to our team and play...coveted 5-star rating from the Centers for Medicare and Medicaid Services in 2019, Wesley Medical Center… more
- The Cigna Group (Birmingham, AL)
- …relationships; + Performing other duties as assigned by the practice manager or medical director . + Perform HRA (health risk assessments) on patient panel ... The Cigna Group, is the premier home-based healthcare provider and medical services company. We are an innovative, multi-specialty practice experiencing tremendous… more
- Mental Health Association of SCK (Wichita, KS)
- …required progress notes/billing information in a timely manner as per agency, MCO/ Medicaid , and COMCARE guidelines and contracts. This includes providing s ervice ... of personal and other supports consistent with consumer status. Notifies physician and Director &/or Coordinator of case management of change in consumer status. 13.… more
- CenterWell (Gastonia, NC)
- … medical expertise with the care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Inc., is the new brand for a primary care medical group practice with centers open or opening in...practice with centers open or opening in Florida, Georgia, Kansas , Louisiana, Missouri, Nevada, North Carolina, South Carolina and… more
- Mental Health Association of SCK (Wichita, KS)
- …Peer Assistant Case Manager FLSA CLASSIFICATION: Non-Exempt REPORTS TO: Sr. Director of Adults and Children's Services, Coordinator of Operation Community ... Maintains accurate and timely documentation of service provision per MHA, MCO/ Medicaid , and COMCARE guidelines and contracts. Completes treatment plans, strengths… more