- UnitedHealth Group (Fort Washington, PA)
- …to make a difference? Join us to start Caring. Connecting. Growing together. The Director of Actuarial within UHC Medicare & Retirement will lead an actuarial ... claim forecasting, Identifying and quantifying trends in medical cost drivers for Medicare Supplement products. The director will perform critical data analysis,… more
- Central Maine Healthcare (Lewiston, ME)
- …with all regulatory requirements. Work collaboratively with the Physician Advisor and Medicare Director of Care management in determining coverage of requested ... services; and in collaboration with other disciplines, provide planning and action for quality improvement. Regulatory Requirements: Meets and maintains the minimum qualifications for the position including: *Current State of Maine RN licensure. *Three (3) or… more
- EmpowerMe Wellness (Palos Verdes Peninsula, CA)
- …Therapy services for the residents at this community are covered by private insurance and/or Medicare Part B. As a Clinic Director , you will be responsible for: ... Overview Clinic Director - Certified Occupational Therapy Assistant (COTA) Make...Certified Occupational Therapy Assistant (COTA) to serve as Clinic Director at a senior living community that offers one… more
- The Curare Group (Detroit, MI)
- A physician owned and led managed care network is seeking a clinic medical director for an upcoming clinic located in Detroit. The ideal candidate will have ... experience with Medicare Advantage plus at least a year of leadership...weekend clinics (office hours 7:30 AM to 5:00 PM) Clinic Director for Outpatient Managed Care Practice Metro Detroit… more
- Novo Nordisk Inc. (WA)
- …potential? This role can sit in Plainsboro, NJ or Washington, DC. The Position The Director - US Tax, Trade, IP works on complex issues that will require an in-depth ... globally. Relationships Reports to the Market Access and Public Affairs Senior Director , Policy. Other internal relationships include a dotted line with Corporate… more
- Enhabit Home Health & Hospice (Tucson, AZ)
- …with a review and approval from the regional vice president or regional director . Medicare home health or hospice experience is preferred. Requirements Must ... possess a valid state driver license Must maintain automobile liability insurance as required by law Must maintain dependable transportation in good working condition Must be able to safely drive an automobile in all types of weather conditions Must possess… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …around rare diseases and immune disorders. SummaryThe purpose of the Senior Director , Forecasting & Business Analytics is to lead the forecasting and financial ... of all channels of managed care environment in the US (commercial, Medicare , Medicaid, etc.); preferredSufficient understanding of financial matters to challenge and… more
- StateJobsNY (New York, NY)
- Duties Description As an Assistant Director Nursing 1 Psychiatric, you will will oversee Quality, Education, and Training to develop, coordinate, execute, and ... Placement - Statewide (NY HELPS) program as an Assistant Director Nursing 1 Psychiatric if they have: *License and...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
- Bluebird Health (Meridian, ID)
- …by the fiscal intermediary with the billing information system, and prepares the annual Medicare cost report for Executive Director review. Supervises the use of ... behalf of agency in resolving conflicts with payers. Advises Executive Director in matters of accepting/declining problematic payers. Maintains comprehensive working… more
- TRANZACT (Tampa, FL)
- …leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage, Medicare Supplement and Life & Supplemental ... motivated and skilled professional to join our Sales Center Team as a Bilingual Sales Director . How the Position Works The Sales Director will oversee the daily… more
- CVS Health (Bronx, NY)
- …And we do it all with heart, each and every day. The Regional Director of Operations (RDO) is responsible for the operational rigor and oversight across multiple ... collaboration with regional leaders such as the Senior Medical Director , the Population Health Director , and the...be'', providing personalized primary care for older adults on Medicare , with the goal of keeping patients healthy and… more
- Catholic Charities of Denver (Denver, CO)
- …House and WES (Women Emergency Services) clinical functions, including regulatory, Medicaid/ Medicare and Grant(s) oversight. The Clinical Director provides ... are accepted on an ongoing basis until position is filled. Clinical Director - Denver Shelters (LCSW/LPC/LAC) OUR PURPOSE Catholic Charities of the Archdiocese of… more
- Optum NV (Las Vegas, NV)
- Optum NV is seeking a Network Medical Director to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work ... a high touch model of care. The IPA Medical Director in NV will report to the Nevada Market...market oversight and direction of Outpatient Care Management Services, Medicare Risk Adjustment Factor (RAF) education as well as… more
- Enhabit Home Health & Hospice (Kingwood, TX)
- Overview The Director of Nursing / Branch Director role will oversee the operations of our home health agency in Kingwood, TX, ensuring the highest standards of ... patient care and compliance with Medicare regulations. In this role, you will provide leadership,...health care. Office Location: Kingwood, TX Responsibilities As Branch Director , you supervise the clinical operations of your team… more
- CVS Health (Dallas, TX)
- …heart, each and every day. Company: Oak Street Health Title: Center Medical Director Location: Farmers Branch- 2740 Valwood Parkway, Farmers Branch, TX 75234 Role ... Description: The purpose of the Center Medical Director role at Oak Street Health is to lead...be'', providing personalized primary care for older adults on Medicare , with the goal of keeping patients healthy and… more
- Ensign Therapy (Oxnard, CA)
- DIRECTOR OF REHABILITATION - FULL TIME SOLIMAR POST ACUTE - OXNARD, CA Occupational, Physical or Speech Therapist Help us build something great in Oxnard as a ... dedicated Director of Rehab! Solimar Post Acute in Oxford, CA,...distribution of caseload Assists in the case management/tracking of Medicare A rehab cases under the PDPM system Recruits… more
- LITTLE CITY FOUNDATION (Grayslake, IL)
- …and Resume. Salary range: $ 50,000- 63,000/ year PURPOSE: The Assistant Director is responsible for providing leadership, direction, and operation oversight of ... and improve wellbeing while implementing defined structured programming. The Assistant Director ensures rules and regulations are followed, that documentation is… more
- Creative Solutions in Healthcare (Desoto, TX)
- Join Our Team as a Director of Rehabilitation Lead a Passionate Team Dedicated to Resident Success Creative Solutions in Healthcare is currently seeking an ... experienced and enthusiastic Director of Rehabilitation to join our in-house team of...(PT, OT, or SLP). Monitor and ensure compliance with Medicare , Medicaid, and other reimbursement regulations. Evaluate and counsel… more
- Brooklyn Community Services (Brooklyn, NY)
- Position: Assistant Director Program: PROS (Personalized Recovery Oriented Services) Department: Services for People Living with Disabilities Work Location: 1310 ... adults increase independence and their overall Well-being. POSITION SUMMARY The Assistant Director is responsible for direct supervision of program staff and interns… more
- Blue Shield of California (Oakland, CA)
- …emergence of a value-based health care system in California. The Senior Medical Director FEP Prior Authorization and Post Review will report to the Vice President, ... and Grievances, and provider claims dispute reviews. The Senior Medical Director for FEP Prior Authorization and Post Review facilitates performance management… more
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