- Beth Israel Lahey Health (Wakefield, MA)
- …you're not just taking a job, you're making a difference in people's lives.** The Director , Payor Operations will assist in overseeing and managing ... operations and payer partnerships for all BILHPN contracted payors. The Director will help develop and implement strategic business plans in support of BILHPN's… more
- Fresenius Medical Center (Waltham, MA)
- **Sr Director Managed Care and Payor Strategy** **PURPOSE AND SCOPE:** The Senior Director of Managed Care & Payor Strategy is a strategic leader ... responsible for driving initiatives that strengthen relationships with Managed Care Payor Organizations and optimize contractual performance. This role leads a… more
- WellSpan Health (York, PA)
- …a strong knowledge of all pertinent governmental regulations that pertain to both payor contracts and hospital operations (ie, Act 68, HIPAA, Surprise Billing) ... **General Summary** Participates in third party payor contract negotiations and manages contract performance compliance for the System to ensure fair and adequate… more
- Trinity Health (Mishawaka, IN)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The Executive Director of Clinical Operations , Maternal Child and Inpatient Services at ... Saint Joseph's Health System partners with the Medical Director of the service line to strategically plan and...outcomes. They provide oversight of the overall quality, service, operations and financial performance of the service line and… more
- CVS Health (Austin, TX)
- …and can be located anywhere in the United States. In this role as Medical Director MPO (Medical Policy & Operations ) you will be responsible for providing ... **Position Summary** Aetna, a CVS Health company, has an outstanding opportunity for a Medical Director . Ready to take your career to the next level with a Fortune 6… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Director Case Management position is responsible for providing executive leadership and strategic oversight for all hospital-based Case ... Management Directors and the Central Utilization Review Director across the system. This position is responsible for the integration and advancement of a unified… more
- Elevance Health (Woburn, MA)
- ** Director I, Digital Claims Operations (Dir I Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering ... resides within a commutable distance from an office._ The ** Director I, Digital Claims Operations ** will lead...Operations teams and strategy within a large healthcare payor environment strongly preferred. + Proven track record leading… more
- HCA Healthcare (Fort Lauderdale, FL)
- …This position is incentive eligible. **Job Summary and Qualifications** The Division Director of Ambulatory Clinical Quality will serve as the lead subject matter ... 160 to 830 providers and may increase as acquisitions occur). The Division Director of Ambulatory Quality is responsible for leading a robust clinical quality, risk,… more
- Somatus (Kansas City, MO)
- …care management and RenalIQ applications. + Supports the Director of Operations in tracking Somatus Payor partner requirements and standard reports. + ... gathering information from patients for providers etc. + Coordinates with Operations Director to track and share data with corporate teams and customers… more
- University of Southern California (Los Angeles, CA)
- The Transplant Finance Officer is responsible for financial operations oversight of the Transplant Institute, to include insurance compliance, charges, billing, ... financial matters including budget preparation, expense monitoring, productivity monitoring, payor mix, FTE tracking/utilization, revenue tracking, and billing integrity.… more
- University of Colorado (Aurora, CO)
- **Clinical Director of Transplant Medicine - Open Rank- Associate Professor - Professor** **Description** **University of Colorado Anschutz Medical Campus** ... **Department: Medicine- Administration** **Job Title:** **Clinical Director of Transplant Medicine -** **Open Rank- Associate Professor - Professor** **Position… more
- Prime Healthcare (Farmers Branch, TX)
- …seeking new members to join our corporate team! Responsibilities The Corporate Director of Billing Optimization is responsible for the strategy, management and ... optimization and improved metrics across the clearing houses. The Director will partner with revenue cycle and business office.../ exceeding key performance indicators (KPI) relating to billing operations , which include but are not limited to: 837… more
- Boehringer Ingelheim (Ridgefield, CT)
- …realize that our strength and competitive advantage lie with our people. The Director , Medical Affairs Strategy Team Member is responsible to create the Medical ... integration of the US Medical insights and efforts where applicable. The Director , Medical Affairs Strategy Team Member will work with relevant stakeholders to… more
- Boehringer Ingelheim (Ridgefield, CT)
- …partner, providing proactive guidance and practical solutions to support daily operations . The Director ensures the implementation of effective compliance ... **Description** The Director , Compliance Business Partner is responsible for leading...engagement with business partners to embed compliance into daily operations and strategic initiatives. + Maintains a deep and… more
- Munson Healthcare (Traverse City, MI)
- …TEAM! Full-Time | Monday-Friday | No Call Munson Healthcare is seeking a Medical Director for Wound Care to oversee clinical operations , provide direct patient ... the development and provisions of medical services. In this position, the Medical Director is responsible for the oversight of medical services rendered as well as… more
- University of Rochester (Rochester, NY)
- …and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Senior Director , Ambulatory Pharmacy Services is responsible for the oversight, ... provide direction in Ambulatory/Outpatient Pharmacy to include business development, operations management, clinical services, pharmacy data analytics, and pharmacy… more
- Kaleida Health (Buffalo, NY)
- **Revenue Integrity Director FERC Optimization Denial Preve** **Location:** **Larkin Bldg @ Exchange Street** **Location of Job** **: US:NY:Buffalo** **Work Type** ... **: Full-Time** **Shift 1** **Job Description** **The Revenue Integrity Director of FERC Optimization & Denial Prevention is responsible for serving as a primary… more
- Bon Secours Mercy Health (Toledo, OH)
- …and clinicians are recognized for clinical and operational excellence. **Regional Imaging Director ** **** **| Toledo, OH** Regional Imaging Director provides ... planning, legal and regulatory compliance, financial management, relationship development, operations and human resource management for assigned service line. May… more
- Fairview Health Services (St. Paul, MN)
- **Job Overview** The Director of Revenue Cycle Management coding operations provides leadership and accountability for operational excellence of one or more of ... the major functions within Revenue Cycle. The Director of Revenue Cycle will implement effective strategies that...+ . Responsible for managing effective and efficient coding operations including people, processes and technology that results in… more
- Athena Health Care Systems (East Providence, RI)
- We are hiring a Director of Rehabilitation (Therapy) to join our dynamic care team at Waterview Villa Rehabilitation and Health Care Center in East Providence! ... are responsible for the overall administration, clinical planning, development, marketing, and operations of the Rehab program within the facility. You manage and… more