- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Associate Director , Value -Based Solutions will be responsible for leading the ... specialty value -based payment (VBP) model portfolio. The Associate Director will oversee a team of...direct reports to implement operational processes, administer, and evaluate Medicaid VBP models to drive improved provider experience and… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... (10) Years of Clinical Practice with Older Adults (Medical Director ) is dedicated full time to the Indiana Pathways...as well as a focus on collaborative business relationships, value based care, population health, or disease or care… more
- Humana (Columbus, OH)
- …community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new delivery models. ... components, and work is performed without direction. The Behavioral Health Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Richmond, VA)
- …the strategic management and oversight of financial operations for Humana's Virginia Medicaid Plan, and oversees the budget, financial reporting, and all audit ... **POSITION RESPONSIBILITIES:** * Provides market specific financial leadership in the State Medicaid Market, developing a deep understanding of Humana's Medicaid … more
- Humana (Richmond, VA)
- …diverse scope and complexity ranging from moderate to substantial. The Medicaid Lead, Technology Solutions builds strategic partnerships and manages relationships ... drives solutions at an organizational level to provide maximum value and align to the overarching IT strategy. They...+ **The CIO is dedicated full-time to the Virginia Medicaid product lines and must reside in the state… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Manager, Medicaid Compliance to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health ... McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees...the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and… more
- Conviva (Daytona Beach, FL)
- …a part of our caring community and help us put health first** The Associate Medical Director serves as a health-care professional and capable of handling ... a variety of health-related problems. The Associate Medical Director requires a solid understanding...Willingness and ability to learn/adapt to practice in a value -based care setting + Basic computer skills, including email… more
- Centerwell (Edinburg, TX)
- …a part of our caring community and help us put health first** The Associate Medical Director serves as a health-care professional and capable of handling ... a variety of health-related problems. The Associate Medical Director requires a solid understanding...Willingness and ability to learn/adapt to practice in a value -based care setting. + Basic computer skills, including email… more
- Humana (Columbus, OH)
- …will implement operational processes to support payments and reporting for external value -based partners. The Associate Director , Business Intelligence ... a part of our caring community and help us put health first** The Associate Director , Business Intelligence will be responsible for leading the operational… more
- CSL Behring (King Of Prussia, PA)
- The Associate Director , Corporate Accounts is responsible for managing all aspects of CSL's business & portfolio brands within a defined group of Specialty ... Pharmacies, Commercial Payors (MCOs), Pharmacy Benefit Managers (PBMs) and Medicaid FFS. This includes acting as the primary point...relationship while adhering to CSL Behring Core Values. The Associate Director , Corporate Accounts is a member… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Associate Director , Software Engineering codes software applications based on business ... requirements. The Associate Director , Software Engineering requires a solid...technology and delivery methods to drive speed to customer value ? Do you have a passion for leading and… more
- Vanderbilt University Medical Center (Nashville, TN)
- …and research. **Organization:** Finance-Operations Reporting **Job Summary:** JOB SUMMARY The Associate Director supervises, coordinates and monitors the work ... operating budgets; recommends, evaluates and interprets personnel actions and policies. . Associate Director Lab Services To provide financial support for… more
- Daiichi Sankyo Inc. (Portland, OR)
- …research areas centered around rare diseases and immune disorders. **Summary:** The Associate Director , Oncology Account Manager (ADOAM) is responsible for ... future portfolio. Create and deliver persuasive presentations focused on the clinical value proposition, contract value , and commercial insights to increase… more
- Humana (Columbus, OH)
- …matter experts and business units within the Humana enterprise including our Medicare, Medicaid , and CenterWell businesses. The Director of State Public Policy ... caring community and help us put health first** The Director of State Public Policy role resides within the...will serve as an expert in state public payer, Medicaid and dual eligible public policy while working with… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Richmond, VA)
- …for Medicaid members in Virginia. They will collaborate closely with the Associate VP, Clinical Services, the Director , BH & Addictions and Recovery ... including Care Management (CM), Utilization Management (UM), Quality Improvement, and value ‐based payment programs. The Behavioral Health Director will be… more
- University of Colorado (Aurora, CO)
- …initiatives to include but not limited to NCQA/PCMH, RAEs, Primary Care 1st, Medicaid UPL, and other value -based programs. + Identifies and leverages ... Medical Director Department of Family Medicine Innovation Practice -...Practice** **Open Rank -Senior Instructor - Assistant Professor - Associate Professor - Professor** **Position # 815624 Requisition #31241**… more
- Humana (Columbus, OH)
- …enjoy working in a team-based environment. Medical Directors support Humana value throughout all activities. **Responsibilities** The Medical Director provides ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- CareFirst (Baltimore, MD)
- …office; therefore, candidates must live within driving distance.** **PURPOSE:** Director , Pharmacy Government Programs is responsible for implementing the ... organization's pharmacy vision and strategic plan for government programs (Medicare and Medicaid ). This role has oversight of pharmacy staff and develops and… more
- University of Colorado (Aurora, CO)
- …data; prepares reports; and demonstrates improvement + Prepares status reports for the Executive director , Associate Dean of the CCA and the Board of Directors ... Primary Care Director / Family (or Adult Gerontology) Nurse Practitioner...Must be willing and able to obtain valid Colorado Medicaid Provider number within 30 days of hire date… more