- UNC Health Care (Morrisville, NC)
- …and well-being of the unique communities we serve. **Job Summary:** The System Executive Director - Managed Care position is responsible for planning, ... and procedures, processes, and measurement tools. The System Executive Director - Managed Care is...to track and trend issues and provides information to senior management. Monitors managed care … more
- J&J Family of Companies (Titusville, NJ)
- … Markets (Payers, MCOs, PBMs, Employer Groups, IDNs, Medicare, Medicaid) and other Managed care organizations. This individual will evaluate potential new data ... Associate Director , Data Management - Managed Markets...collaborate successfully across multi-functional teams and work well with senior leadership. + Familiarity with data privacy regulations and… more
- Randstad US (Columbus, OH)
- …within an in-house creative team, 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 Agency/Studio (MIA). This includes managing, developing and...new business development and client relations. In addition, the Director will support Cella Inc. with consulting, training, networking… more
- LA Care Health Plan (Los Angeles, CA)
- Senior Director II, Regulatory Operations Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 ... and to support the safety net required to achieve that purpose. Job Summary The Senior Director II, Regulatory Operations serves as a senior leader within… more
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The Senior Director of Risk Adjustment Operations in our Health Plan is responsible ... oversight of Medicare Risk Adjustment initiatives and operations. The Senior Director is also responsible for all...Bachelor's Degree + 10 years of experience in health care , managed care , health insurance… more
- WellSense (Boston, MA)
- …compliance anddatareportingfor all products and in all markets. The Senior Director ensures that the delivery of care management and related ... policies, procedures, practice standards, and applicable contract and regulatory care requirements. The Senior Director ...with a minimum of 3 years' experience in a managed care setting . A minimum of… more
- UPMC (Moosic, PA)
- … Senior Medical Director to join our leadership team with UPMC Community Care ! As Senior Medical Director , you will assure the quality and efficiency ... the provider network for the clinical needs of Community Care members. The Senior Medical Director...5 years of management experience preferred. + Experience in managed care setting preferred. + Ability to… more
- ChenMed (Detroit, MI)
- …knowledge and skills: + Excellent clinical skills. + Knowledge and experience in a managed care delivery system. + Knowledge of clinical outcomes and quality ... is a transitional position towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent Center Medical… more
- University of Pennsylvania (Philadelphia, PA)
- …and wellness programs and resources, and much more. Posted Job Title Senior Managing Director , University Initiatives, University Development Job Profile Title ... to the Senior Associate Vice President of University Development, the Senior Managing Director of University Initiatives (SMD) will lead an integrated… more
- University of Washington (Seattle, WA)
- …UW Medicine Advancement (https://give.uwmedicine.org/) has an outstanding opportunity for a Senior Director for Collaborative Fundraising Strategy. At UW ... Montana, Idaho) region, UW Medicine provides the most up-to-date care for each individual patient, leads one of the...donors to support the mission of UW Medicine. The Senior Director for Collaborative Fundraising Strategy (Development… more
- Marriott (Columbus, OH)
- …Type** Management **JOB SUMMARY** **_ Must have hospitality procurement experience _** The ** Senior Director , Procurement US + Canada** reports to the Vice ... taking ideas into implementation across all brands, disciplines, and continents. The Senior Director leads the US/CAN procurement team responsible for… more
- Stanford University (Stanford, CA)
- Senior Associate Director for Licensing and Strategic Transactions **Dean of Research, Redwood City, California, United States** Compliance Legal Post Date Feb ... and dynamic professional to join our team as the Senior Associate Director for Licensing and Strategic...Develop and direct strategic plans for organization or program(s) managed . May develop multi-year business plans. Identify and resolve… more
- Integra Partners (Troy, MI)
- …as well as other Payers such as TPAs, self-insured and employer groups. The Senior Director of Implementations is a key leadership role within Integra's Payer ... delivery of Integra's solutions for our Payer clients. As Senior Director of Implementations, you will lead...+ Clear understanding of health insurance, healthcare delivery, and managed care organizations. + Strong client management… more
- CVS Health (Columbus, OH)
- …years of training in a medical specialty). * 3+ years of experience in the managed care industry. * 1 year LTSS/MLTSS experience. * Experience in leading ... teams. * Solid understanding of and concurrence with evidence-based medicine (EBM) and managed care principles.* Domiciled in the State of Ohio / Residency… more
- BeiGene (Emeryville, CA)
- Senior Field Medical Director , Southcentral, Solid...the health care delivery system, including the managed care arena and its impact on ... Senior Medical Science Liaison** role and an individual contributor role. The ** Senior Field Medical Director (FMD)** will support BeiGene Pre-Clinical and… more
- ChenMed (Columbia, SC)
- …knowledge and skills: + Excellent clinical skills. + Knowledge and experience in a managed care delivery system. + Knowledge of clinical outcomes and quality ... patient care across their respective teams. + Joins national director biweekly meetings and attends annual/biannual clinical leadership conferences. + Plays an… more
- Commonwealth Care Alliance (Boston, MA)
- …with, the Vice President, Population Health & Network Quality, the Senior Director , Quality Performance and Value Based Care is responsible for leading the ... value-based care strategies across CCA markets. The Senior Director works closely with other enterprise...documented in State Medicaid and Medicare contracts and Medicare managed care manual and work with quality… more
- Providence (Irvine, CA)
- **Description** The Senior Director , Individual Market Sales & Broker Strategy, is responsible for developing and executing a sales and broker strategy to grow ... Group membership across the Division. In this role, the Senior Director will lead a team who...Medicaid Services (CMS), Covered California, and the Department of Managed Health Care (DMHC) + Demonstrates ability… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Director , Product Development & Innovation **Job Description Summary** Provide ... and launching new products and enhancements. **Job Description** The Senior Director , Product Development and Innovation is...10 years experience in product development preferably within the managed care industry plus 5+ or more… more
- Capital One (Richmond, VA)
- West Creek 8 (12080), United States of America, Richmond, Virginia Senior Director , Risk Management, Customer Channels (Hybrid) Capital One, a Fortune 500 ... servicing experiences as we reimagine the future of customer care . Our Horizontal Services team is looking for a...for a talented individual to lead Enterprise Services, Well Managed , and Complaints operations to support our servicing destination.… more