- Cambia Health Solutions, Inc (Renton, WA)
- …the following areas: population health management, Provider contracting and reimbursement, managed care , healthcare delivery, risk adjustment, StarsOr equivalent ... Provider Performance Director , Medicare Advantage (HEALTHCARE)Telecommute or Tele-Flex Options (Depending on location) - Must reside in ID, OR, UT or WAWHO WE… more
- Signet Health (Washington, DC)
- …quality improvement and remains up to date on State, Federal and Managed Care regulations, and communicates/implements appropriate changes. Interprets and ... scope of health-related organizations are recognized regionally and nationally for excellence in medical care . MedStar Health has one of the largest graduate … more
- Blue Shield of California (Rancho Cordova, CA)
- … care quality (HEDIS and CAHPS). The Blue Shield Promise Medical Director works collaboratively with Medical Care Services (MCS) and other appropriate ... Your Role The Medical Director provides clinical leadership within...experience, including a minimum of 5 years' experience in managed care is required that can contribute… more
- Blue Shield of California (Rancho Cordova, CA)
- …Role The Medical Director , Commercial is a key member of the Medical Management and Operations staff within Health Care Services. This is a front-line ... This director position will report to the Medical Director of Medical Operations....to bring business conflicts to successful resolution Understand overall managed care organization, business strategies, and financial… more
- Blue Shield of California (El Dorado Hills, CA)
- The Medical Director , Commercial is a key member of the Medical Management and Operations staff within Health Care Services. This is a front-line ... This director position will report to the Medical Director of Medical Operations....to bring business conflicts to successful resolution Understand overall managed care organization, business strategies, and financial… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …with coordinating cardiovascular services with exposure to operations, marketing, finance, managed care , and physician relationships. Other: Preferred Job ... negotiating and developing long term relationships with physicians and physician groups, managed care payers, and other influential organizations as they relate… more
- Option Care Health (Bozeman, MT)
- …Option Care . Description of available services is accurate. Meets with managed care organizations and other accounts to facilitate education regarding ... and oversees the purchase, management and security of all medications, pumps and medical supplies in accordance with the Option Care policies and formulary… more
- Option Care Health (Albany, OR)
- …Experience RequirementsBachelor's degreeFive (5) or more years of experience within the managed care space Basic Qualifications Strong relationships with Key ... no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and...will be contingent upon proof of vaccination, or approved medical or religious accommodation. Proof of vaccination will be… more
- Charlestown by Erickson Senior Living (Catonsville, MD)
- …certification reimbursement, and student loan refinancing partnership programs are available.Onsite medical centers, providing wellness visits and sick care for ... Location:Charlestown by Erickson Senior LivingCharlestown is a beautiful 110-acre continuing care retirement community located just minutes from Baltimore in the… more
- Yoakum Community Hospital (Yoakum, TX)
- …health and welfare benefits package is offered as part of total compensation.Health Care Plan ( Medical , Dental & Vision)Retirement Plan (401k, IRA) and 401(k) ... healthcare since 1922. The 23-bed hospital operates as a not-for-profit hospital managed by Community Hospital Corporation of Plano, Texas. Patients benefit from the… more
- RestoraCare Staffing (Houston, TX)
- …actions to achieve continuous improvement in both areas. Refers cases and issues to Care Management Medical Director in compliance with department procedures ... management, case management, performance improvement, disease or population management and managed care reimbursement. Understanding of pre-acute and post-acute… more
- City and County of San Francisco (San Francisco, CA)
- …including psychiatric services. The Behavioral Health Services (BHS) Deputy Medical Director of Managed Care provides effective leadership and strategic ... the partnership with the areas of service under the Director of Managed Care . +...clinical responsibilities with the remaining 70-90% dedicated to Deputy Medical Director responsibilities, which include: + Supports… more
- The Mount Sinai Health System (Manhattan, NY)
- … Director School Based Health Centers **Grade:** Faculty **Reports to:** Deputy Medical Director of Primary Care , Mount Sinai Adolescent Health Center ... to be a partner with the MSAHC Medical Director ; + Working knowledge and understanding of managed care and healthcare financing; + Personal qualities of… more
- Burrell Behavioral Health (Springfield, MO)
- Job Description: Job Title: Director of Managed Care Enrollment Services Location: Missouri: Springfield, St. Louis, Columbia, Kansas City, Kirksville; ... where you can grow your leadership skills and advance your career? Join our team as the Director of Managed Care Enrollment Services! As the Director of … more
- AccentCare, Inc. (TX)
- Overview Find Your Passion and Purpose as a Director Managed Care Contracting Reimagine Your Managed Care Contracts Career With Us Working for a ... 30 hours per week and their families, including: * Medical , dental, and vision coverage * Paid time off...spending and health savings accounts Qualifications Be the Best Director Managed Care Contracting You… more
- Hilton (Mclean, VA)
- …Hilton's sales, revenue management, call center, and analytics functions\! As a Director , Managed Marketing Strategy\-CALA you will support these areas which ... growth\. On the Americas Marketing team reporting to Senior Director , Hotel\- Level Marketing you will define areas of...You will collaborate with the Americas Marketing team, CALA Managed Regional Commercial Team, and Area Vice Presidents in… more
- Randstad US (Columbus, OH)
- …at least five of which were in a senior leadership position. **OVERVIEW** The Director is responsible for the overall success of each assigned Managed In-House ... efficiencies, new business development and client relations. In addition, the Director will support Cella Inc. with consulting, training, networking and business… more
- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have ... requirements + The unique complex needs of the foster care population + Medicaid Managed Care...functions + Perform other secretarial duties as requested by Medical Director . + Any other related duties… more
- National Vision (Duluth, GA)
- …posting. What Would You Do? The Specifics. + Under the general direction of the Managed Care Operations Director , oversees the daily review of the integrity ... growth is a reality. National Vision is hiring a Managed Care QA Auditor to join our...Learning management systems is preferred. + Working knowledge of medical terminology. + Experience with revenue cycle management is… more
- Sharp HealthCare (San Diego, CA)
- …and maintaining spreadsheets and databases. **What You Will Do** Under the direction of the Director of Managed Care Finance and Supervisor of Managed ... or equivalent work experience. + Previous experience in a managed care setting. + Working knowledge of...setting. + Working knowledge of hospital, physician and health care operations. + Experience in medical management… more
