- Eisai, Inc (Boston, MA)
- …customers based on the marketplace within which they operate. Work closely with Medicaid Director and other cross-functional teams to review and analyze ... At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides...for assigned regional payer accounts including Commercial, Medicare and Medicaid (State Medicaid agencies, managed Medicaid… more
- Eisai, Inc (Houston, TX)
- …US healthcare system across one or more major payer segments (Medicare, Medicaid , Federal, and Commercial).Experience working with medical and pharmacy benefits, ... At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides...Access. Working closely with and reporting to the Associate Director , Access and Reimbursement, the ARM, will be the… more
- InterDent (Portland, OR)
- …health outcomes. Position Overview We are seeking a dynamic Regional Clinical Director (RCD) to provide clinical leadership and operational support to approximately ... 30 Gentle Dental offices within the designated region and serve as a Dental Director (DD) for Capitol Dental. This is a high-impact leadership role central to our… more
- Aveanna Healthcare (Worcester, MA)
- …incentive plan and $15k Sign-On Bonus ** Position Overview The Clinical Director Home Health is a qualified professional responsible for the planning, coordination, ... services to the client. This individual reports to and assists the Executive Director in the locations adherence to federal, state, and local laws, accreditation,… more
- Argon Agency (North Palm Beach, FL)
- …for advancement Paid time off Wellness resources Job Purpose: As our Clinical Director , you'll be the cornerstone of our clinical operations, ensuring the highest ... continuous improvement. Supervision of therapists, counselors, case managers, and medical staff. Handling emergencies, patient crises, and staff conflicts. Innovate… more
- Somatus (Mclean, VA)
- …the best version of themselves, including: + Subsidized, personal healthcare coverage ( medical , dental vision) + Flexible Paid Time Off (PTO) + Professional ... mental well-being + Community engagement opportunities + And more! **The Senior Director of Value-Based Care** (VBC) is a strategic and influential leader… more
- Stanford Health Care (Palo Alto, CA)
- …America) **This is a Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key leadership role within the Controller's Office, ... Department of Health Care Access and Information (HCAI) In addition, the Director of Reimbursement oversees the organization's responses to government audits and… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of provider ... network performance, and ensuring compliance with regulatory standards. The Director drives initiatives that enhance operational engagement, member access, provider… more
- National Health Care Associates (Stafford Springs, CT)
- …governing the MDS and billing process + Knowledge and understanding of Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements + ... & Rehabilitation! **-** **What You'll Do:** As an MDS Director , you will manage the Minimum Data Set (MDS)...this exceptional opportunity. Join our team as an MDS Director in an organization where your expertise and dedication… more
- Alameda Health System (San Leandro, CA)
- Medical Director , John George Psychiatric Hospital + San Leandro, CA + John George Psychiatric Hospital + Physicians JGP ER + Full Time - Day + Management + ... Hour + Req #:42565-31593 + FTE:1 + Posted:August 8, 2025 **Summary** **SUMMARY:** The Medical Director of John George Psychiatric Hospital is responsible for the… more
- Seattle Children's (Seattle, WA)
- …Seattle Children's and University of Washington Department of Fetal Surgery leadership, Medical Director MFM and OB Services, Perioperative Services, Nursing to ... growth and support the mission of Seattle Children's Hospital. The perinatal director is responsible for the day-to-day clinical nursing functions of the Special… more
- Organon & Co. (Plymouth Meeting, PA)
- **Job Description** **The Position** The Director of State Government Affairs will provide direction, coordination and execution of State Policy and Government ... to work collaboratively with commercial colleagues. + Experience working with state Medicaid programs and benefits. + Strong understanding of state coverage and… more
- Commonwealth Care Alliance (Boston, MA)
- …and quality improvement. - Minimum five (5) years of clinical experience in medical or behavioral health care delivery Required Knowledge, Skills & Abilities: - ... Medicare and Medicaid managed care experience - Demonstrated knowledge of federal...of audiences - Experience with managing clinical services for Medicaid /Medicare patients - Demonstrated ability to lead and navigate… more
- Aveanna Healthcare (Birmingham, AL)
- …by the plan of care, the interdisciplinary team, attending physician and Hospice Medical Director . Territory is primarily Jefferson County, AL. Schedule Monday - ... Coordinates total patient/family hospice care under the supervision of the Director and with the interdisciplinary team, the attending physician, and other… more
- HealthCare Support (Houston, TX)
- …approved medical guidelines. Refers cases that do not meet criteria to Medical Director for review. 2. Assists in discharge planning especially Home Health ... services and if not meeting criteria, refer to the Medical Director . 3. Participates in Community Nursing...years of UR/UM Highlight lines of business worked- Texas Medicaid , CHIP, marketplace Highlight experience - was it inpatient… more
- Aveanna Healthcare (Decatur, AL)
- …the plan of care, the interdisciplinary team, attending physician and Hospice Medical Director . Territory: Morgan, Lawrence and Winston Counties Schedule: ... Coordinates total patient/family hospice care under the supervision of the Director and with the interdisciplinary team, the attending physician, and other… more
- Home Care Evolution (Vienna, VA)
- …progress and promptly report clinical changes to the RN Case Manager or Director of Nursing. Support and participate in Quality Assurance (QA) activities, including ... to resolve them in a timely manner. Ensure adherence to Medicare, Medicaid , and agency-specific policies and procedures. Maintain accurate, timely records using… more
- Executive Care (Leesburg, VA)
- …non-clinical staff. The Office Manager collaborates closely with the Administrator, Director of Nursing (DN), caregivers, and other staff. Qualifications: Bachelor's ... HCO (Home Care Organization) and CMS (Centers for Medicare & Medicaid Services) documentation standards a plus Excellent organizational, communication, and… more
- Commonwealth Care Alliance (Boston, MA)
- …staff, including nurse reviewers and support personnel. - Act as liaison with medical director , provider relations, case management and quality teams to support ... Management (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care… more
- Commonwealth Care Alliance (Boston, MA)
- …performance improvement. The LTSS Program Manager reports to the Senior Director of Delegation Partnerships and Provider Engagement. The Provider Engagement team ... the job. **Required Experience (must have):** + 5+ years + Experience with Medicaid and Medicare products and programs + Experience or knowledge of community based… more
