- Molina Healthcare (Columbus, GA)
- …3+ years HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- CVS Health (Nashville, TN)
- …heart, each and every day. **Position Summary** Drive growth for Medicare Advantage External Distribution Partnerships by setting strategic sales goals, crafting ... winning strategies, and optimizing performance. Partner with senior leaders to deliver innovative solutions, streamline processes, and achieve measurable results.… 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
- OhioHealth (Columbus, OH)
- …matter expert in the following areas, S-10, Wage Index, Bad Debts, Medicare Audits, Disproportionate Share, Indirect Medical Education, Graduate Medical ... Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position… more
- Molina Healthcare (Layton, UT)
- **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...early signs of trends or other issues related to medical care cost. + Design and perform actuarial studies… more
- Humana (Miami Lakes, FL)
- …of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll ... of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live… more
- Sharp HealthCare (San Diego, CA)
- …for the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight ... for all of Sharp Health Plan products, (Commercial, Exchange, Medicare , POS/PPO) services, and oversees the health care needs...+ 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons… more
- Ankura (New York, NY)
- …matters generally focused on Medicare and Commercial Risk Adjustment. The Senior Director will also support practice and firmwide business development ... solutions to complex litigation, enforcement, and regulatory challenges. Role Overview The Senior Director will support the Healthcare Payer team within Ankura's… more
- Centene Corporation (Queens, NY)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** The Senior Director , Healthcare Analytics leads analytic service delivery by ... of tools and capabilities and appropriate deployment of supporting analytic teams. The director serves in a leadership function spanning the needs of multiple health… more
- WelbeHealth (CA)
- …senior care by providing an all-inclusive care option to our most vulnerable senior population. The Senior Director , Eligibility Excellence is accountable ... participant experience. **This role is different because the Sr. Director , Eligibility Excellence at WelbeHealth:** + Leads at scale...about our team members. That's why we offer:** + Medical insurance coverage ( Medical , Dental, Vision) +… more
- WellSpan Health (York, PA)
- …most complex medical , surgical and behavioral health conditions. The Senior Director of Perioperative Services provides strategic and operational oversight ... Join WellSpan Health as our Senior Director of Perioperative Services at...with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction… more
- WellSpan Health (York, PA)
- The Senior Director of Research and Development is a unique and compelling opportunity to join WellSpan Health in an integral leadership role on an aspirational ... fully embraced the mission of making healthcare a better consumer experience. This Senior Director position is a key contributor to transformational efforts,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Director of Health Services - Utilization Management Location: Hybrid ... join us. The Impact You Will Have As the Senior Director of Health Services, Utilization Management...to achieve and maximize value. * Works with Commercial, Medicare , and Medicaid leadership to ensure programs and products… more
- Bristol Myers Squibb (Princeton, NJ)
- …and in their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Senior Director , Health Systems Analytics, is responsible for leading ... policies. It includes providing analytical support for strategies related to Medicare and Medicaid reforms, Pharmacy Benefit Manager (PBM) reforms, Inflation… more
- Bristol Myers Squibb (Washington, DC)
- …at work and in their personal lives. Read more: careers.bms.com/working-with-us . The Senior Director , Policy and Research will lead the development and ... US Policy & Government Affairs (USPGA) team . The Senior Director is responsible for shaping and...refine BMS positions on key issues including IRA implementation, Medicare Part B and D, 340B, and PBM reform.… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …aspirations. Join Kite and help create more tomorrows. **Job Description** The ** Senior Director ,** **Head of** **US Trade,** **Pricing and Contract** **ing** ... cancer therapies, and help shape where our business and medical science goes next. We believe every employee deserves...+ Extensive understanding of hematology / oncology clinical landscape, Medicare A & B, and the business of cell… more
- Akumin (Miami, FL)
- Role is based in the Miami/Fort Lauderdale, FL area. Outpatient Imaging. The ** Senior ** ** Director of Operations** manages the daily operations, and planning the ... Requirements:** + High School Diploma or Equivalent Experience. + Previous medical industry experience required with outpatient imaging experience + Excel,… more
- BAYADA Home Health Care (Harrisburg, PA)
- …currently seeking an experienced health care manager to fill the position of **Associate Director ** in our Harrisburg, PA Senior Living office. Are you looking ... industry, preferably in home health care + Knowledge of Medicare regulations, including OASIS and PPS + Knowledge of...Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with… more
- Geisinger (Danville, PA)
- …maintain payer compliance, and enable accelerated revenue capture across the academic medical center and its affiliated entities. This individual will lead a ... cross-functional team and collaborate closely with Human Resources, Medical Staff Services, Revenue Management, Legal/Compliance, and Clinical Operations to ensure a… more
- CenterWell (Honolulu, HI)
- …and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy ... community and help us put health first** The National Medical Director for Home-Based Care Programs is...medical direction, clinical oversight, and advancement of CenterWell Senior Primary Care's (and Conviva Senior Primary… more