- 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...individual contributor reporting into the Eisai Access and Reimbursement team under Patient Services/Market Access. Working closely with and… 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 ... within the designated region and serve as a Dental Director (DD) for Capitol Dental. This is a high-impact...of full-service dental practices known for modern technology, a team -oriented culture, and a strong commitment to patient-centered care.… 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, ... client. This individual reports to and assists the Executive Director in the locations adherence to federal, state, and...and work with all members of the health care team by leading the clinical program with excellence. Essential… 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 ... standards of patient care while leading and inspiring our dedicated team of professionals. Your expertise will shape our treatment programs, guide our staff, and… 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)
- …through accurate, detailed assessments and documentation, consider this exceptional opportunity. Join our team as an MDS Director in an organization where your ... and appreciated. We invite you to join our newest team at the Evergreen Center for Health & Rehabilitation!...and billing process + Knowledge and understanding of Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid … more
- Commonwealth Care Alliance (Boston, MA)
- …in improvement to promote the development of a high quality team .collaboration with the broader clinical organization. - Ensures that utilization management ... training, and performance monitoring and - Leads the Utilization Management team in managing and continuously improving UM program design, policies, procedures,… 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 ... Providing analysis and engagement with the Worldwide Government Affairs and Policy team , the broader Global External Affairs organization, and the US commercial… more
- Aveanna Healthcare (Birmingham, AL)
- …plan of care, the interdisciplinary team , attending physician and Hospice Medical Director . Territory is primarily Jefferson County, AL. Schedule Monday - ... total patient/family hospice care under the supervision of the Director and with the interdisciplinary team , the...hospice for growth and development of the program. Dispenses medical supplies in a cost effective manner, as dictated… more
- Aveanna Healthcare (Decatur, AL)
- …of care, the interdisciplinary team , attending physician and Hospice Medical Director . Territory: Morgan, Lawrence and Winston Counties Schedule: Monday- ... interventions. Coordinates total patient/family hospice care under the supervision of the Director and with the interdisciplinary team , the attending physician,… more
- Home Care Evolution (Vienna, VA)
- …for patient care, coordination, and quality assurance in home health? Join our growing team at Virginia Home Care Services Inc, where we are committed to delivering ... progress and promptly report clinical changes to the RN Case Manager or Director of Nursing. Support and participate in Quality Assurance (QA) activities, including… more
- Aveanna Healthcare (Cedar Rapids, IA)
- …of service! Schedule: Monday - Friday daytime hours + contribution to team shared on-call rotation. Position Overview The Admissions Registered Nurse (RN) works ... next to the Clinical Manager and/or Executive Director to initiate the start of care (Oasis) and...care, PICC line dressing changes etc. Why Join Our Team ? Excellent training program with innovative technology to make… 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 is responsible for building and maintaining relationships with...Experience (must have):** + 5+ years + Experience with Medicaid and Medicare products and programs + Experience or… more
- Stanford Health Care (Palo Alto, CA)
- …federal and state regulations and guidelines, CMS (Centers for Medicare and Medicaid Services) and OIG (Office of Inspector General) compliance standards. Applies ... and other reviews as directed by the Manager and Director of HIMS Coding and Compliance Department. + Evaluates...output + Ability to work effectively both as a team player and leader + Knowledge of DRG/APC reimbursement… more
- Tidelands Health (Myrtle Beach, SC)
- …of the Revenue Cycle Team + Will work with HR, IT Provisioning team , and coding manager/ director in all aspects of onboarding new employees **Education ... - 8 hour shift (United States of America) **Join Team Tidelands and help people live better lives through...will do** + Leads and guides staff that performs medical coding functions and supervises the processes and systems… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …managed care and Medicaid policies and procedures D. Conducts staff and medical director audits on appeal activities + Assists with appeal file preparation ... Appeals Coordinator.** This role collaborates with clinical review staff, medical directors/physician reviewers, network physicians, and network facilities to ensure… more
