• Medical Director - North Central Region…

    Humana (Columbus, OH)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... (10) Years of Clinical Practice with Older Adults (Medical Director ) is dedicated full time to the Indiana Pathways...as well as a focus on collaborative business relationships, value based care, population health, or disease or care… more
    Humana (04/25/24)
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  • Behavioral Health Medical Director - N.…

    Humana (Columbus, OH)
    …community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new delivery models. ... components, and work is performed without direction. The Behavioral Health Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (04/09/24)
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  • Medicaid Lead, Technology Solutions

    Humana (Richmond, VA)
    …diverse scope and complexity ranging from moderate to substantial. The Medicaid Lead, Technology Solutions builds strategic partnerships and manages relationships ... drives solutions at an organizational level to provide maximum value and align to the overarching IT strategy. They...+ **The CIO is dedicated full-time to the Virginia Medicaid product lines and must reside in the state… more
    Humana (04/13/24)
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  • Associate Medical Director

    Conviva (Daytona Beach, FL)
    …a part of our caring community and help us put health first** The Associate Medical Director serves as a health-care professional and capable of handling ... a variety of health-related problems. The Associate Medical Director requires a solid understanding...Willingness and ability to learn/adapt to practice in a value -based care setting + Basic computer skills, including email… more
    Conviva (03/10/24)
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  • Associate Director , US Payment…

    J&J Family of Companies (Palm Beach Gardens, FL)
    Associate Director , US Payment & Reimbursement..., US Payment and Reimbursement** to join our US Value and Access Health Economics Market Access (HEMA) team ... to shape payment strategy and development of reimbursement materials, associated value messaging, and communication tools in support of Business Unit platform… more
    J&J Family of Companies (05/11/24)
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  • Associate Medical Director

    CenterWell (New Orleans, LA)
    …a part of our caring community and help us put health first** The Associate Medical Director serves as a health-care professional and capable of handling ... a variety of health-related problems. The Associate Medical Director requires a solid understanding...Willingness and ability to learn/adapt to practice in a value -based care setting + Basic computer skills, including email… more
    CenterWell (04/03/24)
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  • Associate Director , Corporate…

    CSL Behring (King Of Prussia, PA)
    The Associate Director , Corporate Accounts is responsible for managing all aspects of CSL's business & portfolio brands within a defined group of Specialty ... Pharmacies, Commercial Payors (MCOs), Pharmacy Benefit Managers (PBMs) and Medicaid FFS. This includes acting as the primary point...relationship while adhering to CSL Behring Core Values. The Associate Director , Corporate Accounts is a member… more
    CSL Behring (03/29/24)
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  • Associate Director , Pulmonary…

    Merck (Cambridge, MA)
    **Job Description** ** Associate Director , Pulmonary Arterial Hypertension (PAH)​ Payer Marketing & Access Strategy** As Associate Director , PAH & Rare ... insights in the development of payer customer segment strategies, promotional resources, and value evidence planning. As a member of our Company's dedicated US PAH &… more
    Merck (05/03/24)
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  • Associate Director of Laboratory…

    Vanderbilt University Medical Center (Nashville, TN)
    …and research. **Organization:** Finance-Operations Reporting **Job Summary:** JOB SUMMARY The Associate Director supervises, coordinates and monitors the work ... operating budgets; recommends, evaluates and interprets personnel actions and policies. . Associate Director Lab Services To provide financial support for… more
    Vanderbilt University Medical Center (02/24/24)
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  • Director , State Affairs

    Humana (Baton Rouge, LA)
    …and business messages to state officials (including Governor's Office, Medicaid , legislators, regulatory agency leaders, attorneys general (as appropriate) and ... objectives and goals, especially for our state/local government payer businesses. The Director , State Affairs influences public and government policy at all state… more
    Humana (05/15/24)
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  • Medical Director - Florida

    Humana (Columbus, OH)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (05/04/24)
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  • Medical Director Department of Family…

    University of Colorado (Aurora, CO)
    …initiatives to include but not limited to NCQA/PCMH, RAEs, Primary Care 1st, Medicaid UPL, and other value -based programs. + Identifies and leverages ... Medical Director Department of Family Medicine Innovation Practice -...Practice** **Open Rank -Senior Instructor - Assistant Professor - Associate Professor - Professor** **Position # 815624 Requisition #31241**… more
    University of Colorado (04/17/24)
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  • Medical Director - Southeast Region

    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 ... how to operationalize this knowledge in their daily work The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (05/10/24)
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  • Medical Director - Mid West Region

    Humana (Columbus, OH)
    …enjoy working in a team-based environment. Medical Directors support Humana value throughout all activities. **Responsibilities** The Medical Director provides ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
    Humana (04/12/24)
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  • Director , Pharmacy Government Programs…

    CareFirst (Baltimore, MD)
    …office; therefore, candidates must live within driving distance.** **PURPOSE:** Director , Pharmacy Government Programs is responsible for implementing the ... organization's pharmacy vision and strategic plan for government programs (Medicare and Medicaid ). This role has oversight of pharmacy staff and develops and… more
    CareFirst (04/19/24)
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  • Primary Care Director / Family (or Adult…

    University of Colorado (Aurora, CO)
    …data; prepares reports; and demonstrates improvement + Prepares status reports for the Executive director , Associate Dean of the CCA and the Board of Directors ... Primary Care Director / Family (or Adult Gerontology) Nurse Practitioner...Must be willing and able to obtain valid Colorado Medicaid Provider number within 30 days of hire date… more
    University of Colorado (05/08/24)
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  • Sr. Medical Director , instED

    Commonwealth Care Alliance (Boston, MA)
    …medic performance and periodic trainings and/or case reviews. + Oversee and support Associate Medical Director in monitoring quality of care, follow-up care, and ... through conference presentation and/or media opportunities. + As backup to the Senior Director of Operations, Customer Support Manager, and Associate Medical … more
    Commonwealth Care Alliance (05/10/24)
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  • HIM Director

    HCA Healthcare (Nashville, TN)
    …need:** + Associate 's degree required, Bachelor's degree preferred. Facility HIM Director experience in medium to large hospital(s) may be substituted for degree ... Do you have the career opportunities as an HIM Director you want with your current employer? We have...cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
    HCA Healthcare (04/10/24)
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  • HIM Director

    HCA Healthcare (Brigham City, UT)
    …need:** + Associate 's degree required. Bachelor's degree preferred. Facility HIM Director experience in medium to large hospital(s) may be substituted for degree ... 156,000 hours volunteering in our communities. As a(an) HIM Director with Brigham City Community Hospital, you can be...cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
    HCA Healthcare (04/06/24)
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  • HIM Director

    HCA Healthcare (Las Vegas, NV)
    …need:** + Associate 's degree required. Bachelor's degree preferred. Facility HIM Director experience in medium to large hospital(s) may be substituted for degree ... an organization that invests in you as an HIM Director ? At Southern Hills Hospital and Medical Center, you...cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
    HCA Healthcare (03/16/24)
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