- Humana (Salem, OR)
- …Medicare Line of Business. **Additional Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Humana (Salem, OR)
- …and the courage to innovate **Additional Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to… more
- Humana (Salem, OR)
- …and the courage to innovate **Additional Information:** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, ... other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and/or Medicaid requirements, and will understand how… more
- Humana (Salem, OR)
- …join the Healthcare Quality Reporting and Improvement (HQRI) organization as Senior Vice President (SVP), Risk Adjustment Operations and Interoperability. This ... and business value. This role will impact our overall Medicare and Medicaid strategy, as it directly impacts the...not limited to: + Medical Record Retrieval for all Medicare , Medicaid and Commercial Risk + Adjustment functions (retrospective… more
- Humana (Salem, OR)
- …such as MCG(R) or InterQual **Additional Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to… more
- Humana (Salem, OR)
- …an organization by leveraging various tools and capabilities. The MarketPoint Associate Vice President , Technology Solution Implementation role will own a ... are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. **Equal… more
- Prime Therapeutics (Salem, OR)
- …(Managed Medicaid; Commercial; Medicare ; Exchange) under the guidance of the Vice President of Clinical Account Management. **Job Description** + Initiates ... and leads the development of clinical program enhancements, trend monitoring and management strategies, and better practices for assigned clients. Assists with development, enhancement, and maintenance of operational functions, policy and clinical support and… more
- CareOregon (Portland, OR)
- …IS Service Delivery Exemption Status Exempt Department Infrastructure Manager Title Vice President , Technology Services Direct Reports Service Center, Service ... and Health Plan business processes preferred + Strong understanding of Medicaid and Medicare programs preferred Skills and Abilities + Ability to direct and report… more
- CareOregon (Portland, OR)
- …Infrastructure & Security Exemption Status Exempt Department Infrastructure Manager Title Vice President , Technology Services Direct Reports Infrastructure and ... and Health Plan business processes preferred + Strong understanding of Medicaid and Medicare programs preferred Skills and Abilities + Ability to direct and report… more
- Cardinal Health (Salem, OR)
- …care at home. As Senior Counsel, you will report directly to the Vice President , Legal, supporting the AHS business. **_Responsibilities_** + Providing sound, ... and regulations, including the Anti-Kickback Statute, the Beneficiary Inducement Statute, Medicare /Medicaid, False Claims Act, Stark Law, HIPAA and state health… more