- USAA (Tampa, FL)
- …makes us special and impactful. The Opportunity USAA is seeking a talented Director , Retirement Income to lead multiple teams of Health, Life or Retirement Income ... Risk and Compliance on interpretation of CMS (Center for Medicare and Medicaid Services) rules to provide guidance and...may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of… more
- Creekview Health and Rehabilitation (Knoxville, TN)
- …Health and Rehabilitation Come join our team and start making a difference! DIRECTOR OF REHABILITATION - FULL TIME - CREEKVIEW - KNOXVILLE, TN Creekview Health ... staff. We are seeking a dynamic therapist as the Director of Rehabilitation to manage our stable in-house team...facility is independently operated with local leadership and no corporate red tape Decisions made at the facility for… more
- Stanford Health Care (Palo Alto, CA)
- …and Privacy Officer in the Office of Compliance and Privacy, the Executive Director - Compliance and Privacy is responsible for implementing and managing the ... the Chief Risk Officer and Stanford University's Chief Privacy Officer. The Executive Director - Compliance and Privacy will supervise a team of compliance and… more
- RELI GROUP INC (Windsor Mill, MD)
- …up to $100 million projects Leads and supports development and execution of corporate and portfolio growth strategy and provides thought leadership in achieving the ... and monitoring/auditing strategy for the model participants As the program director , oversees coordination of personnel and resources required to successfully… more
- Eisai, Inc (New York, NY)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... to meet objectives for assigned regional payer accounts including Commercial, Medicare and Medicaid (State Medicaid agencies, managed Medicaid, and select client… 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 ... staff to resolve them in a timely manner. Ensure adherence to Medicare , Medicaid, and agency-specific policies and procedures. Maintain accurate, timely records… more
- The Joint Commission (Oakbrook Terrace, IL)
- …appropriate judgment to seek assistance from others, including Central Office, the Field Director on call, the program specific Field Director , the Standards ... periodic performance reviews, evidence of standards compliance reports, complaints, and Medicare out-of-compliance reports. + Collaborate in a productive manner with… more
- Humana (Topeka, KS)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- CVS Health (Hartford, CT)
- …it all with heart, each and every day. **Position Summary** The Executive Director , Strategic Finance will lead a newly established Strategic Finance function within ... Medicare , working alongside MAPD Finance, Part D & Med...science and broader healthcare strategy and operations, the Executive Director will partner closely with Market Finance, Network/Clinical, Actuarial,… more
- Centene Corporation (Jefferson City, MO)
- …regulatory, state, corporate , and accreditation requirements. + Assists the Chief Medical Director in the functioning of the physician committees including ... fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality… more
- Humana (Lansing, MI)
- …first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes ... diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, directs, and monitors… more
- CVS Health (Hartford, CT)
- …to drive real change and improve the health of millions are endless. As Lead Director , Enterprise Strategy, you play a pivotal role helping to shape strategy for one ... a dynamic, fast-moving profession; related experience within management consulting, corporate development, business analytics, financial analysis, public policy, product… more
- Molina Healthcare (Austin, TX)
- **JOB DESCRIPTION** **Job Summary** Responsible for analysis of Medicaid and Medicare financial reports, trend, and opportunities. Includes evaluation of and ... recommendations relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects or programs. Duties include… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director , Pharmacist, Geriatrics, etc.) to ensure continuity ... Description: Summary: Conducts case management program activities in accordance with departmental, corporate , NYS Department of Health (DOH), Centers for Medicaid & … more
- Mount Sinai Health System (New York, NY)
- …** Director of Enterprise Charge Description Master (CDM) -Patient Financial Services- Corporate 42nd Street-Full-Time -Days- Hybrid** The Director of the ... strategic pricing. This position will report to the Senior Director , Finance of the MSHS. **Qualifications** + Bachelor's degree...for the Charge Description Master, preferably in an academic medical center. + 5 plus years with Epic Experience… more
- Humana (Louisville, KY)
- …part of our caring community and help us put health first** The Associate Director will report directly into the Associate Vice President of Procure to Pay ... and strategic roadmap focused on P2P operations including Travel & Expense, Corporate Cards, and Tax Reporting. This leader will also partner with business… more
- Humana (Topeka, KS)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (San Juan, PR)
- …the Medicare Line of Business. **Additional Information** Typically reports to Lead or Corporate Medical Director , depending on size of region or line of ... caring community and help us put health first** The Medical Director actively uses their medical...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
- AdventHealth (Altamonte Springs, FL)
- …impacts of proposed operational decisions; and serves as subject matter resource for Medicare and Medicaid reimbursement matters. The Director is responsible for ... and State Medicaid programs, including changes affecting hospital reimbursement of Medicare bad debt, graduate medical education, disproportionate share hospital… more
- Integrative Emergency Services (Lawton, OK)
- …+ Eligible to participate in Medicare and Medicaid + Prior experience as a Medical Director or Assistant Medical Director Preferred: + MBA or ... Site Medical Director - Emergency Department Southwestern...are attained. Will interface with key members of IES Corporate , Clinical, Operational, and Hospital leadership regarding the development… more
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