- Brockton Hospital (Brockton, MA)
- …make a difference in the lives and health of our patients. Position Summary: The Assistant Director , Corporate Compliance ( Assistant Director ) is a ... audit methodology, with a focus on government payers including Medicare and Medicaid. + Applies knowledge of Medicare... Medicare and Medicaid. + Applies knowledge of Medicare and Medicaid programs, state insurance and health care… more
- Cedars-Sinai (Los Angeles, CA)
- …MH services, including maintaining the network of providers for the CSMN Medicare Advantage plan(s). + Assists Contracting with identification, engagement, and ... Participates as a provider for e-consultation. + Supervises the Assistant Medical Director for Mental Health + Develops and provides in-service training… more
- ChenMed (Detroit, MI)
- …and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to ... position towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent Center Medical Director … more
- ChenMed (Columbia, SC)
- …and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to ... team. The SCMD will work in collaboration with the operational leader, or Center Director , at their centers to ensure company success. Culture is also very important… more
- University of Miami (Miami, FL)
- …defined clinical practice of the University: Kendall outpatient office for the Medicare Advantage (MSO) population; provides supervision, mentoring, training and ... patient's care. + Provide supervision in case assignment to nurse practitioner/physician assistant , including sign off on charts, where applicable. + Perform other… more
- Martin's Point Health Care (Portland, ME)
- …most major insurance plans. Martin's Point also administers two health plans: Generations Advantage ( Medicare Advantage plans available throughout Maine and ... Medical Executive Committee, under the guidance of the Practice Medical Director and/or primary supervising physician, though the primary supervising physician need… more
- Centerwell (Phoenix, AZ)
- …+ Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in… more
- Centerwell (Las Vegas, NV)
- …+ Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... and training to IPA Physicians and Advanced Practice Providers on Medicare documentation guidelines, HEDIS/Quality measures, and clinic workflows that align with… more
- Conviva (San Antonio, TX)
- …+ Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... community and help us put health first** The Nurse Practitioner/Physician Assistant provides health promotion and maintenance through the diagnosis and treatment… more
- UCLA Health (Los Angeles, CA)
- …You can do all this and more at UCLA Health. Reporting to the Assistant Director , Faculty Practice Group Decision Support Services, you will provide technical ... leading the integration and publishing of current and legacy sources of Medicare Advantage , managed care, clinical, revenue cycle, and other health system data… more
- Centerwell (Brownsville, TX)
- …+ Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... community and help us put health first** The Nurse Practitioner/Physician Assistant provides health promotion and maintenance through the diagnosis and treatment… more
- State of Colorado (Pueblo, CO)
- … Director , Psychiatrist, Nurse Practitioner, Admissions and Coordination, Program Assistant , and Division Director . Position is responsible for reporting ... is completed in an accurate and timely manager, taking advantage of each employee's individual strengths and expertise. Team...safety prior to approval; submits purchase request to Program Director for final approval. Attends and stays up to… more
- LA Care Health Plan (Los Angeles, CA)
- …to the Customer Solution Center Appeals and Grievance Specialists for L. A. Care's Medicare Advantage program. This includes the technical aspects of the time ... assists the Customer Solution Center Appeals & Grievance Manager and Director in meeting regulatory timelines by maintaining an accurate database inventory… more
- Georgetown Univerisity (Washington, DC)
- …of the Assistant Research Manager in partnership with the Research Director , and the oversight of the Principal Investigators, the CRC II conducts the ... offers rigorous academic programs, a global perspective, exciting ways to take advantage of Washington, DC, and a commitment to social justice. Our community… more
- UCLA Health (Los Angeles, CA)
- …and more at UCLA Health. Under the direction and supervision of the RN Assistant Director , the Case Management Coordinator is responsible for patient high risk ... denial * Provide timely care coordination for CM enrolled patients and Medicare Advantage high risk patients to prevent hospital utilization Salary Range: $22.03… more
- Guthrie (Binghamton, NY)
- …when necessary. Responsible for coverage at the cashier window when scheduled by the Assistant Director of Patient Accounts. Corrects all edits within the NDC ... RMSCO, Blue Cross/Blue Shield, Commercial, Compensation/No Fault, Medicaid and Medicare and all other insurance plan, and follow up...as per department standards. Utilizes time to department's best advantage and in a manner to achieve high quality… more