- Humana (Dover, DE)
- …of our caring community and help us put health first** The Director of State Public Policy role resides within the Corporate Affairs Department and will ... including our Medicare, Medicaid, and CenterWell businesses. The Director of State Public Policy role resides within the Corporate Affairs Department and… more
- Humana (Dover, DE)
- …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 (Dover, DE)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex… more
- University of Delaware (Newark, DE)
- …partners and build new partnerships with potential funders and donors. + Broadly understand public policy in the state and Mid-Atlantic region. Develop ... Associate Dean & Director , Cooperative Extension Job no: 500932 Work type:...personnel and operating expenses related to federal Smith-Lever funds, state funds, and local funding as well as grants,… more
- GRAIL (Dover, DE)
- …using the power of next-generation sequencing, population-scale clinical studies, and state -of-the-art computer science and data science to enhance the scientific ... please visit www.grail.com . GRAIL is seeking a Senior Director , Market Access & Payer Channel Lead within the...including payer account contracting, revenue/pull-through, and adoption of medical policy . Manage the team to achieve all KPIs as… more
- Humana (Dover, DE)
- …part of our caring community and help us put health first** The Associate Director , Network Adequacy tests the overall network in each county of operations to ensure ... the network is strong enough to support serving customers. The Associate Director , Network Adequacy generates ad hoc reports and regular datasets or report… more
- Humana (Dover, DE)
- …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
- University of Delaware (Newark, DE)
- …Agreements, and more than 5900 Effort Certification Reports. In compliance with 1) US Public Health Service (PHS) Policy on Humane Care and Use of Laboratory ... Director , Animal Care Program & Attending Veterinarian Job...compliance of the Animal Care Program with federal and state regulations and guidelines and the Institution's PHS Assurance.… more
- Highmark Health (Wilmington, DE)
- …who are responsible for reviewing escalated cases electronically and using Medical Policy criteria sets, evaluating the medical necessity and appropriateness of the ... NCQA, URAC, CMS, DOH, and DOL regulations at all times, and the Senior Medical Director will be responsible for ensuring that those measures are met. In addition to… more
- Cardinal Health (Dover, DE)
- …_To read and review this privacy notice click_ here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal-health-online-application-privacy- ... pharmaceutical manufacturers and biotechnology companies. Reporting to the Sr. Director , Business Development, Insights & Engagement Real-World Evidence is an… more
- Sharecare, Inc. (Dover, DE)
- **Job Description:** The Director HIPAA Compliance will ensure that the organization complies with all privacy laws and regulations while safeguarding sensitive ... with all governing laws and regulations including, but not limited to, federal and state regulations, and HIPAA, HITECH and Omnibus as they pertain to our role as… more
- Sumitomo Pharma (Dover, DE)
- …vision, life and disability insurances and leaves provided in line with your work state . Our robust time-off policy includes unlimited paid time off, 11 paid ... ** Director , Accounting** Sumitomo Pharma America (SMPA) is focused...a plus + Minimum 12+ years of corporate and/or public accounting experience + Experience applying IFRS + Relevant… more
- Highmark Health (Dover, DE)
- …standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of ... RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to… more
- Verint Systems, Inc. (Dover, DE)
- …+ Experience selling CCaaS Platforms or Enterprise Software + Experience selling into Public Sector ( State and Local government, DoD, Federal) accounts. + ... opportunities. Learn more at www.verint.com . **Overview of the Job Function:** The Public Sector Account Manager will be responsible for helping to develop existing… more
- University of Delaware (Newark, DE)
- …and manages the Director 's interactions with leaders in University, State , public , and private sector. + Resolves complex administrative/procedural problems. ... THE JOB: The Business Administrator II reports to the Director of the Delaware Geological Survey and is a...II also has responsibility for interacting with government agencies ( state , county, local, and federal), high-level State … more
- Fresenius Medical Center (Talleyville, DE)
- …Team Atmosphere + Strong Collaboration + Supportive Group of Leaders + Parking, Public Transit + Close Proximity to Restaurants and Shops **PURPOSE AND SCOPE:** ... the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality patient care while maintaining… more
- Highmark Health (Dover, DE)
- …and providers for care-coordination. + Participate in rounds with the Medical Director . + Review documentation and processes for consistent practice, and to identify ... counsel, and develop performance improvement plans; promote and terminate per corporate policy ; and encourage career development and support of staff. + Adhere to… more
- University of Delaware (Newark, DE)
- …Developmental Disabilities (UCEDDs) nationwide, and is the largest research, training and public service center in the College of Education and Human Development. ... CDS works in close collaboration with federal agencies and organizations, state agencies, other units at UD, community organizations, service providers, and… more
- Verint Systems, Inc. (Dover, DE)
- …content, and manage industry events. This role reports to the Sr. Director of Analyst Relations. **Principal Duties and Essential Responsibilities:** + Support ... support business growth areas in collaboration with AR Manager and AR Director . + Create and cultivate meaningful relationships with targeted, high-level external… more
- Lumen (Dover, DE)
- …as we digitally connect the world and shape the future. **The Role** Legal's Public Policy and Compliance department is looking for a practical solution-seeker ... SLC, FUSC, and USF) in compliance with federal and state regulations. + Ensure a high degree of accuracy...presented in a compliant manner. + Collaborate with internal Public Policy and Compliance partners to improve/simplify… more