• Administrative Coordinator

    Gentiva (Bellaire, TX)
    …to join our team. This position will directly report to the Assistant Director PC, AVP of Managed Care , Branch Director, Branch Director PC, Office Manager ... **Our Company** Girling Personal Care is a member of the Gentiva family...leader in hospice, palliative, home health, and personal home care . Our place is by the side of those… more
    Gentiva (05/08/24)
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  • AVP , Quality Improvement & Risk Adjustment…

    Molina Healthcare (Topeka, KS)
    …in quality compliance/HEDIS operations, customer service or provider service in a managed care setting with previous leadership experience to include managing ... **Job Description** **Work Location - Kansas** **Job Summary** The AVP , Quality Improvement & Risk Adjustment is responsible for...10+ years experience in Quality leadership role with a Managed Care Payer with experience in all… more
    Molina Healthcare (03/01/24)
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  • Associate Vice President ( AVP

    BlueCross BlueShield of North Carolina (NC)
    …**What You'll Do:** + Lead and support a team of high performing managed care professionals and teams including utilization management, clinical programs, trend ... Blue Cross NC Corporate Pharmacy Department is seeking an Associate Vice President ( AVP ) for Government Pharmacy. The role involves leading teams in the Medicare… more
    BlueCross BlueShield of North Carolina (03/03/24)
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  • AVP , Provider Network Management…

    The Cigna Group (Anaheim, CA)
    …+ Intimate understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models + Team player with ... or Travel out to in-person meetings with Providers._** The ** AVP , Network Management** serves as an integral member of...of life. We guide our customers through the health care system, empowering them with the information and insight… more
    The Cigna Group (05/09/24)
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  • AVP , Provider Contracting - Atlanta, GA…

    The Cigna Group (Atlanta, GA)
    …+ Intimate understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models + Team player with ... meetings with Providers AND several days at Home_** The ** AVP , Provider Contract Network Management** serves as an integral...of life. We guide our customers through the health care system, empowering them with the information and insight… more
    The Cigna Group (03/27/24)
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  • AVP , Health Plan Operations - New Mexico

    Molina Healthcare (Albuquerque, NM)
    …* 7-10 years' experience in Healthcare Administration, Health Plan Operations, Managed Care , and/or Provider Services. * Experience managing/supervising ... or related field. **Preferred Experience** Experience with Medicaid and Medicare managed care plans. To all current Molina employees: If you are interested… more
    Molina Healthcare (04/19/24)
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  • AVP , Government Contracts - Kansas

    Molina Healthcare (Topeka, KS)
    …Public Policy or Business Administration. **Preferred Experience** Experience working in the managed care industry, particularly with health plans that contract ... Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations.… more
    Molina Healthcare (02/23/24)
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  • AVP , Provider Network Contracting - NY…

    The Cigna Group (New York, NY)
    …+ Intimate understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team player with ... health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the… more
    The Cigna Group (05/09/24)
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  • AVP , Business Unit Risk Manager

    Banc of California (Santa Ana, CA)
    …key risks and works with other business units to ensure risks are managed appropriately. Performs all duties in accordance with the Bank's policies and procedures, ... (including religious dress and grooming practices), denial of Family and Medical Care Leave, disability (mental and physical) including HIV and AIDS, marital status,… more
    Banc of California (04/11/24)
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  • Assistant Vice President of Payer Engagement

    HCA Healthcare (Brentwood, TN)
    …industry, paying particular attention to those that involve healthcare reform, managed care , ERISA and health insurance. + The AVP will practice and adhere ... payment discrepancies and other claims adjudication issues from HCA's managed care book of business. Note: This...process. **General Responsibilities:** + The primary responsibility of the AVP is to be a leader in the centralized… more
    HCA Healthcare (05/03/24)
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  • Assistant Vice President, Clinical Operations…

    HSS (New York, NY)
    …the ambulatory settings. The AVP is a critical member of HSS's Patient Care Services and will be responsible for ensuring the smooth operations of all aspects of ... Clinical Operations Regional Ambulatory Surgery Centers (ASC's) Full-Time Overview: The AVP , Clinical Operations of Regional Ambulatory Surgery Centers, will serve… more
    HSS (04/10/24)
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  • Assistant Vice President of GME

    HCA Healthcare (Charleston, SC)
    …eligible. **Introduction** In partnership with the Division Vice President of GME, the AVP of Graduate Medical Education ( AVP GME) is responsible for the ... Education (GME) development and maintenance in the Division. The AVP GME works with the DVP to resolve complex...as needed to ensure that faculty agreements/contracts are being managed timely by each hospital + Assist Hospital to… more
    HCA Healthcare (03/20/24)
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  • Assistant Vice President Finance, Mobile Health…

    RWJBarnabas Health (Franklin, NJ)
    …with internal system partners such as hospital operational leadership, corporate finance, managed care , and IT, as well as external community partners ... Medicine, Hospitalist Medicine, and Mobile Health service line, the AVP of Finance for Mobile Health will foster a...of the job posting. + Tuition Reimbursement + Health Care /Dependent Care Flexible Spending Accounts + Wellness… more
    RWJBarnabas Health (05/06/24)
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  • Financial Analyst I - Huntsville Central Pharmacy

    UTMB Health (Huntsville, TX)
    …Managerial & Finance UTMB Health Requisition # 2402010 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... experience. **_PREFERRED EDUCATION/EXPERIENCE_** **:** + Experience working in Health Systems and Managed Care . + Working knowledge of PeopleSoft FMS, Oracle or… more
    UTMB Health (04/19/24)
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  • Director Finance and Business Operations

    Morehouse School Of Medicine (Atlanta, GA)
    …of the health professional and scientific workforce; * Address primary health care through programs in education, research and service; With emphasis on people ... a matrixed reporting relationship to the Department Chair, the AVP of Finance and Business Operations leader for the...detailed information regarding the largest operating budget you have managed within the last 5 years. (Open Ended Question)… more
    Morehouse School Of Medicine (04/19/24)
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  • Advanced Practice Nurse

    RWJBarnabas Health (NJ)
    …s team of medical providers inclusive of the Cardiac Navigators, and interdisciplinary care team to ensure patients are being managed with guideline directed ... appropriate follow up. This position will work alongside the AVP of Cardiovascular Services and the Chief Medical Officer...Services and the Chief Medical Officer to standardize the care of admitted HF patients, achieving programmatic goals and… more
    RWJBarnabas Health (04/30/24)
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  • Mgr, Growth & Comm Engagement Field-Based…

    Molina Healthcare (Yakima, WA)
    …this role is approximately 50-75% travel. + Healthcare experience of some kind. Managed Care is a big plus! + Sales/Marketing experience and/or previous ... Cities or Yakima. **KNOWLEDGE/SKILLS/ABILITIES** + Works closely with the AVP /Director to develop and execute the enrollment growth strategy...approximately 50-75% travel. + Healthcare experience of some kind. Managed Care is a big plus! +… more
    Molina Healthcare (05/07/24)
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  • VP of Operations

    HCA Healthcare (Denver, CO)
    …the healthcare industry, paying particular attention to those that involve healthcare reform, managed care and health insurance + Practice and adhere to HCA's ... states and the United Kingdom. We are looking for aVP of Operations for our HealthONE Colorado Care...office practice operations. + Knowledge of ACO/CIN operations. + Managed Care experience, specifically in the areas… more
    HCA Healthcare (05/03/24)
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  • Director, Healthcare Services (Must reside in TX)

    Molina Healthcare (Dallas, TX)
    …Healthcare, Social Work, or related field. **Preferred Experience** + 10+ years managed care experience. + Operational and process improvement experience. ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
    Molina Healthcare (05/10/24)
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  • Risk Adjustment Coder

    Apex Health Solutions (Houston, TX)
    …Minimum of three (3) years of experience in a hospital, a physician setting or a Managed Care Organization as a medical coder. * Minimum of five (5) years ICD-9 ... coding and compliance with risk adjustment requirements. Reports to: AVP , STARs & Risk Adjustment Location: Houston, TX EDUCATION:...required. * Current AAPC or AHIMA credential required. * Managed Care Experience preferred. * Knowledge of… more
    Apex Health Solutions (03/13/24)
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