- The Cigna Group (Philadelphia, PA)
- The Director of Medicaid and Marketplace Strategy leads a team of Client Strategists to support health plan clients in achieving quality and regulatory goals, ... of both proposed and existing regulatory requirements in relevant markets. Additionally, the Director will represent, influence, and guide the development of a… more
- CenterWell (Dover, DE)
- …a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical ... Director , Primary Care work assignments involve moderately complex to...Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or… more
- Humana (Dover, DE)
- …the broader business objectives. You will champion automation across the development lifecycle to minimize manual toil and improve efficiency. You will build ... community and help us put health first** The Associate Director of DevOps Engineering is a strategic and technical...partnerships across the software development and operations engineering teams and be a conduit… more
- IQVIA (Wayne, PA)
- Job Description Summary: **Associate Director Finance Operations** Directs financial planning and accounting practices including budgeting, costing, financial ... long-range forecasting for **pharmacy rebates from manufacturers** . Partners with the business , providing subject matter expertise and direction for the business… more
- Sumitomo Pharma (Dover, DE)
- …to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on ... a dynamic, highly motivated, and experienced individual for the position of Associate Director , Market Access Engagement - Rare Disease, who will act as the face… more
- Baylor Scott & White Health (Dover, DE)
- **Job Summary** The Director , Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial ... management function for Baylor Scott and White Health (BSWH). The Director , Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified… more
- AmeriHealth Caritas (Newtown Square, PA)
- …drive growth for Medicaid and other AmeriHealth Caritas products. Reporting to the Director Business Development (Market Leader), the Business ... **Role Overview** The Business Development department identifies and cultivates... development and execution of business development strategies for assigned markets for Medicaid … more
- Penn Medicine (Philadelphia, PA)
- …analysis + Collaborates with management to establish competitive pricing for business development by reviewing competitor pricing and recommending adjustments ... academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will… more
- AmeriHealth Caritas (Philadelphia, PA)
- …assessments of participants homes as needed. + Travel as determined by manager and/or director to meet the needs of the business in Pennsylvania. ; **Education/ ... www.amerihealthcaritas.com . **Responsibilities:** Under the supervision of the LTSS Manager/ Director for Utilization Management, this position is responsible for… more
- Danaher Corporation (Philadelphia, PA)
- …on a global scale, within an environment that fosters career growth and development . Our mission drives us to develop groundbreaking solutions for the world's most ... MORE change to the world. Learn about the Danaher Business System (https://www.danaher.com/how-we-work/danaher- business -system) which makes everything possible.… more
- Penn Medicine (Philadelphia, PA)
- …utilization analysis Collaborates with management to establish competitive pricing for business development by reviewing competitor pricing and recommending ... academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will… more
- Penn Medicine (Philadelphia, PA)
- …utilization analysis. Collaborates with management to establish competitive pricing for business development by reviewing competitor pricing and recommending ... academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will… more
- Cardinal Health (Dover, DE)
- …and compliance issues. **Compliance Audit Manager** Reporting to the Compliance Director , this position supervises and manages compliance audits to determine ... services and/or hospital (technical) services. This position will also support the Director with transactional audit diligence and integration planning, as well as… more
- Cardinal Health (Dover, DE)
- … division of Cardinal Health. This is a high-impact role reporting to the Director of Business Transformation and Change Management. This consultant will be ... Transformation and Change office. **Qualifications** . Bachelor's degree in Business , Organizational Development , Healthcare Administration, or related field,… more
- Humana (Dover, DE)
- …total revenue and earnings. Team members partner with senior leaders of the business unit, and more broadly with leaders throughout the enterprise, as they deliver ... projects and initiatives, with an emphasis on Medicare Advantage strategy development . As a Senior Strategy Advancement Professional, you will deconstruct issues… more
- Highmark Health (Dover, DE)
- …and providers for care-coordination. + Participate in rounds with the Medical Director . + Review documentation and processes for consistent practice, and to identify ... staff achieve the minimal qualification of their position through ongoing staff development , counsel, individual and group education. + Ensure direct reports meet… more
- Penn Medicine (Philadelphia, PA)
- …academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will ... clinical IVF laboratory work and coordination of projects as directed by the Laboratory Director . The candidate will be expected to be a leader in the embryology… more