- Atrium Health (Charlotte, NC)
- …quality of care metrics. Assumes accountability as delegated by the Director . Essential Functions: Position manages and develops interprofessional teams, providing ... critical workflows and is responsible for reporting and monitoring key performance measurement activities. Upholds all AAH leadership behaviors while performing… more
- Marion County (Salem, OR)
- …culture. Review supervisors work for completeness, accuracy, quality, and quantity. Provide regular feedback on performance to supervisors and their ... employees. Use reports and data to provide transparent, data-driven feedback on outcomes and ...from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide… more
- The Cigna Group (Tucson, AZ)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director , and ... is responsible for the financial and operational activities of provider networks and this position involves extensive interaction with...interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …true colors to blue. Reporting to the SVP, Sales & Client Management, the Director , Group Medicare Sales, is an integral member of the leadership team-driving ... management team to develop strategies that shape BCBSMA's overall direction in Medicare , achieve the company's performance goals and deliver an exceptional… more
- CVS Health (Hartford, CT)
- …strategic thought leader in support of business direction. Monitor and report on performance relative to plan and strategic alignment. Provide financial analysis ... team members as required in support of strategic initiatives. Provide business and financial expertise needed to set planning...supporting Medicare , as well as the core Medicare Finance team. This Executive Director will… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to… more
- Somatus (Mclean, VA)
- …physical and mental well-being + Community engagement opportunities + And more! The Director , Medicare Risk Adjustment (MRA) will lead the execution strategy and ... ensure program compliance with governing bodies' regulations, including the Center for Medicare and Medicaid Services. This role will partner with leadership to… more
- The Cigna Group (Columbus, OH)
- **Channel Marketing Director , Medicare Advantage - Hybrid** The Marketing Director will be responsible for leading the channel marketing team that supports ... the Cigna Medicare Advantage (MA) business. The MA business is a...line within the larger Cigna Government business. The Marketing Director will have accountability for local marketing efforts that… more
- Elevance Health (Richmond, VA)
- …content development and practice transformation embedded capabilities to significantly improve provider performance that drive cost of care and improve ... is a proud member of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services to… more
- The Cigna Group (Morris Plains, NJ)
- …located in multiple sites. + Work collaboratively with management team to provide career development opportunities, work direction, evaluate performance and ... The Director , Centene Account Management provides strategic, financial, clinical,...strategic, financial, clinical, relationship, and organizational leadership for the Medicare D and Exchange lines of business within the… more
- UCLA Health (Los Angeles, CA)
- …do all this and more at UCLA Health. As an important member of our Medicare Advantage team, you will provide strategic oversight and leadership for our Member ... and Provider Contact Center. You will be responsible for ensuring...will lead, manage, coach, and develop teams to achieve high- performance standards in alignment with UCLA Health's mission and… more
- CVS Health (Hartford, CT)
- …enhancing data accuracy, and improving efficiency. * Guides management for individual performance evaluations aimed to provide critical feedback for skills ... CVS, we are looking for a leader who can provide strategic leadership and oversight for financial planning and...and oversight for financial planning and analysis for a Medicare Local Market by managing a team of financial… more
- The Cigna Group (Bloomfield, CT)
- …position within the Medicare Growth Analytics Team is an opportunity to provide leadership on our analytics strategy, to support our broader Medicare Growth ... on setting and executing the vision for how our Medicare Growth team can lead Cigna to achieving its...to achieving its goals. Reporting to the Growth Analytics Director , this position will coordinate with cross functional teams… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …+ This role does not manage people + This role reports to this job: Director , Medicare Advantage Compliance & Medicare Compliance Officer + Necessary ... manages administrative elements of the Companies' (LHSIC, HMOLA, and VHP) Medicare Advantage Compliance Program, including development and maintenance of program and… more
- UCLA Health (Los Angeles, CA)
- …Actuary, Director of Compliance, Director of Managed Care and Director of Medicare Advantage Operations regarding accounting for risk contracts. ... and maintaining accounting and finance functions for the newly formed Medicare Advantage health plan. Key Responsibilities include: + Leading, developing, and… more
- Humana (Richmond, VA)
- … provider meetings and provider association meetings + Conduct regular performance evaluation of employees and provide ongoing feedback and coaching as ... caring community and help us put health first** The Director , Virginia Medicaid Provider Services leads a...claims denial/rework data and trends, call center data, and provider performance data to monitor team … more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …As an integral part of HMM Quality and Compliance team, the Senior Medicare Clinical Compliance Consultant works through the influence as an individual contributor ... + Accurately plan and scope projects; keep project leads, senior consultants, and Director informed of key issues/ risks and meet deadlines by tightly managing… more
- CommonSpirit Health (Greenwood Village, CO)
- …not limited to: The Office of the Inspector General (OIG), Centers for Medicare and Medicaid (CMS), Department of Justice (DOJ), Internal Revenue Service (IRS), ... supervise facility compliance staff and be responsible for hiring, performance evaluations, coaching and development. **Qualifications** **Required Education and… more
- Beth Israel Lahey Health (Charlestown, MA)
- …applying a deep knowledge of both government and commercial payment systems; and, (4) Provide Medicare , Medicaid, and payment system expertise in support of BILH ... government reimbursement and net revenue analysis. Working with the VP and AVP, the Director will develop long- and short- term Medicare , Medicaid, and other… more
- Elevance Health (Norfolk, VA)
- **HEDIS Performance Improvement Director ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 ... miles of one of our Elevance Health PulsePoint locations. The **HEDIS Performance Improvement Director ** will support the Enterprise Health Outcomes Organization… more
