- Novo Nordisk Inc. (Plainsboro, NJ)
- …Public Affairs, Commercial, Marketing, Finance, and Marketing. Relationships Reports to Senior Director , Market Access Channel Strategy. Interacts frequently in ... role is based in Plainsboro, NJ. The Position The Director Market Access Channel Strategy is part of a...understanding of landscape, changes, and trends in the Commercial, Medicare , Medicaid, Health Insurance Exchange (HIX) channels across all… more
- CVS Health (New York, NY)
- …for energetic team member to bring discipline and strategic thinking to our Medicare Marketing Efforts. The Lead Director , Medicare Marketing Strategic ... Planning will play a critical role in enabling, optimizing and advancing the Aetna's Medicare Marketing. This role will serve as a key member of the Medicare … more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …workgroups and projects as a subject matter expert (SME) + Collaborate with Director and Senior Program Consultants to identify/ implement workflows ... integral part of HMM Quality and Compliance team, the Senior Medicare Clinical Compliance Consultant works through...+ Accurately plan and scope projects; keep project leads, senior consultants, and Director informed of key… more
- CVS Health (Jackson, MS)
- …solutions to make health care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment ( Medicare ) will be responsible for leading Risk ... Adjustment for the Georgia & the Gulf States Medicare Market, specifically in Mississippi. This role will have...working with providers. This position reports to the Lead Director of Risk Adjustment for the Georgia & the… more
- CVS Health (Atlanta, GA)
- …solutions to make health care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment ( Medicare ) will be responsible for leading Risk ... Adjustment for the Georgia & the Gulf States Medicare Market. This role will have specific responsibility for...working with providers. This position reports to the Lead Director of Risk Adjustment for the Georgia & the… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …fulfill the goals and objectives of the Medicare Advantage Compliance Program , in collaboration with senior management and stakeholders. Plan, execute, and ... administrative elements of the Companies' (LHSIC, HMOLA, and VHP) Medicare Advantage Compliance Program , including development and...manage people + This role reports to this job: Director , Medicare Advantage Compliance & Medicare… more
- WellSense (Boston, MA)
- …The Senior Director ensures a compliant quality based utilization management program . The Senior Director is responsible for the development of and ... Senior Director of BH Clinical Programs... Senior Director of BH Clinical Programs WellSense Health Plan...systems such as Jiva . Experience managing teams in Medicare , Medicaid and duals program . Experience… more
- VIP Care (Tampa, FL)
- …enable the company to expand the program into new markets. This Senior Medical Director must be effective at influencing community physicians and providers, ... Summary/Objective: The Senior Medical Director is responsible for...performance improvement strategies to ensure success in our existing ( Medicare Advantage) as well as net new LOBs. They… more
- Providence (Irvine, CA)
- **Description** \*This role will be based in Irvine, CA The Senior Director Support Services provides leadership, oversight and support to effectively execute ... are not limited to Facilities Engineering, EVS, Safety, Security, Emergency Management. This Senior Director will manage and coordinate the leaders of these… more
- ChenMed (Detroit, MI)
- …is a transitional position towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent Center Medical ... Director and Center Operations + ChenMed Leadership Pathways Program + Medical Economics and Center Financial Performance +...to increasingly assume the role and responsibilities of a Senior Medical Director , which may include: +… more
- BrightSpring Health Services (Arlington, TX)
- …focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh ... Company paid STD and LTD Tuition Assistance Employee Discount Program 401k Paid-time off Tuition reimbursement Non-retail/Closed-door environment Our Pharmacy… more
- Arvinas (New Haven, CT)
- …**Position Summary** As a key member of the Market Access Leadership team, the Senior Director , US Pricing & Contracting Strategy will lead the function ... responsibilities of this role include, but are not limited to: + Provides senior management and cross functional team members with relevant pricing and reimbursement… more
- ChenMed (Columbia, SC)
- …+ Medical Director and Center Operations + ChenMed Leadership Pathways Program + Medical Economics and Center Financial Performance + Sales and Growth Essentials ... organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a...work in collaboration with the operational leader, or Center Director , at their centers to ensure company success. Culture… more
- Abbott (Alameda, CA)
- …a high-performing team, please take a look at qualifications below. The Sr. Director , Payor Marketing & Patient Support Program Strategies is responsible for ... for experienced candidates with strategic payor marketing and patient support program (PSP) leadership experience. If you are an experienced strategic commercial… more
- Providence (Seattle, WA)
- **Description** **THE ROLE** The Senior Director Utilization Management & Denials - Administration is 100% remote. The role requires a broad knowledge and focus ... clinical claims audit, clinical appeals and reconsiderations, medical policy, and program management. Responsible for meeting Federal and applicable State regulatory… more
- CVS Health (Hartford, CT)
- …more personal, convenient and affordable. Job Purpose and Summary: The LTSS/SAI National Senior Medical Director , reporting to a Regional CMO of Medicaid, will ... in line with industry standards and best practices.* Assists with new program implementation and supports the health plan in-source LTSS services as appropriate.*… more
- Brookdale Senior Living (Jacksonville, FL)
- …bus-line + Training Provided + Jeans Day Fridays! + Monthly Associate Recognition program Overview Voted by Newsweek in 2024 as one of America's Greatest Workplaces ... management guidance. Contact sources include legal and financial professionals, senior organizations, appropriate special interest groups, hospital discharge planners,… more
- CVS Health (Springfield, IL)
- … Director UM decisions. If specifically assigned to one business segment (ie, Medicare clients), each director will become sufficiently skilled in various UM ... a share of special clinical investigations and research as requested by the Senior Medical Director , Medical Affairs. These projects can include brief reviews… 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...) is dedicated full time to the Indiana Pathways program to assist the Utilization Management, Care Management, and… more
- University of Washington (Seattle, WA)
- …reports to the Assistant Vice President for Medical Affairs, University of Washington, Senior Director of Business & Regulatory Affairs, UW Medicine, General ... Counsel for UW Medicine Nonprofit Entities (" Senior Director /General Counsel"). The UW Medicine Clinical Regulatory Affairs Office is part of the UW Medicine… more
