• Medical Director - Medicaid

    Humana (Annapolis, MD)
    …the courage to innovate + **Resides in KY** **Additional Information** Reports to the Lead Medical Director - North Central Medicaid Markets. The Medical ... caring community and help us put health first** The Medical Director relies on medical ...Medical Directors will learn North Central region state Medicaid requirements (currently VA, KY, OH, IN, WI) and… more
    Humana (05/14/25)
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  • Medical Director (Medicare)

    Molina Healthcare (Dayton, OH)
    …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +...**, AS** **S** **O** **C** **I** **A** **TI** **O** ** N ** **:** Current state Medical license without… more
    Molina Healthcare (05/02/25)
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  • Fraud Waste and Abuse Division Director

    State of Colorado (Denver, CO)
    …Department of Health Care Policy and Financing (Department), including the Colorado Medical Assistance Program ( Medicaid ) and the Colorado Children's Basic ... Fraud Waste and Abuse Division Director Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4941547) Apply  Fraud Waste and Abuse Division … more
    State of Colorado (05/15/25)
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  • Director , Net Revenue

    Beth Israel Lahey Health (Charlestown, MA)
    …the Director will develop long- and short- term Medicare, Medicaid , and other government reimbursement revenue strategies, oversee preparation and submission of ... not just taking a job, you're making a difference in people's lives.** The Director , Revenue Finance and Reimbursement, will be a core member of the Revenue Finance… more
    Beth Israel Lahey Health (03/11/25)
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  • Physician Manager 20 - Medical

    State of Michigan (Grand Rapids, MI)
    Physician Manager 20 - Medical Director Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4848644) Apply  Physician Manager 20 - Medical ... about a career at MVH, please click here (https://www.youtube.com/watch?v=o92V-nOxaKs) . Serve as Medical Director for Michigan Veteran Homes at Grand Rapids, a… more
    State of Michigan (05/21/25)
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  • Head, Contract Management, US Oncology…

    Takeda Pharmaceuticals (Boston, MA)
    …knowledge. **Job Description** **About the Role:** The Head of Contract Management ( Director Level) is a highly experience professional responsible for ownership of ... purchasing organizations (GPOs), wholesalers and distributors. Government contracting includes State Medicaid and the VA Federal Supply Schedule contract. The Head… more
    Takeda Pharmaceuticals (04/02/25)
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  • Director , Corporate Strategy

    Humana (Nashville, TN)
    …week). The preferred location for this role is Washington, DC at our 1812 N . Moore, Arlington, VA office. Other locations that will be considered are Louisville, KY, ... Chicago, IL, and Nashville, TN._ As Director , Corporate Strategy, you will provide strategic guidance and...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
    Humana (05/09/25)
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  • Medical /Health Care Program Analyst

    MyFlorida (Tallahassee, FL)
    …received/requested as a result of the review process. - Responsible for maintaining the Medicaid Director 's SharePoint site to ensure information is up to date ... 68024407 - MEDICAL /HEALTH CARE PROGRAM ANALYST Date: May 19, 2025...and accurate. - Liaison for the Medicaid Director 's Office to manage preparation and… more
    MyFlorida (05/20/25)
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  • Medical Coding and Fiscal System…

    State of Colorado (Denver, CO)
    …file, procedure/modifier table, systems lists, edits and audits to ensure appropriate Medicaid claims payment. + Provides medical coding direction and resolves ... Medical Coding and Fiscal System Administrator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4941083) Apply  Medical Coding and Fiscal… more
    State of Colorado (05/16/25)
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  • Special Financing Data Analyst

    State of Colorado (Denver, CO)
    …Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health ... Defined Contribution Plan, plus 401K and 457 plans + Medical (https://dhr.colorado.gov/state-employees/state-employee-benefits/ medical -benefits) , Dental (https://dhr.colorado.gov/state-employees/state-employee-benefits/dental-insurance) , and… more
    State of Colorado (05/14/25)
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  • Project Manager Team Lead

    State of Colorado (CO)
    …Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health ... Defined Contribution Plan, plus 401K and 457 plans + Medical (https://dhr.colorado.gov/state-employees/state-employee-benefits/ medical -benefits) , Dental (https://dhr.colorado.gov/state-employees/state-employee-benefits/dental-insurance) , and… more
    State of Colorado (05/23/25)
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  • Community Risk Reduction (CRR) and Education…

    State of Colorado (Lakewood, CO)
    …Information This position is open only to Colorado state residents. Please Note:A n eligible list established with this recruitment may be used to fill other ... 11 paid holidays per year plus vacation, sick leave, and wellness days. Medical and dental options are available for permanent employees and their dependents. We… more
    State of Colorado (05/20/25)
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  • Manager II, Facilities Operations And Crafts,…

    The County of Los Angeles (Los Angeles, CA)
    …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as… more
    The County of Los Angeles (03/06/25)
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  • Admission Specialist

    WestCare Foundation (Milwaukee, WI)
    Admission Specialist Job Details Job Location Milwaukee - 2821 N Vel R Phillips Ave - Milwaukee, WI Position Type Full Time Education Level High School Salary Range ... with health insurance companies, performing account set-up & management, have medical terminology knowledge, possess excellent computer skills and be detail… more
    WestCare Foundation (03/07/25)
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  • Clinical Donation Coordinator

    Sharing Hope SC (North Charleston, SC)
    …Writes orders in the medical record under the supervision of the SHSC Medical Director or transplant surgeon according to SHSC and hospital protocol. + ... North Charleston, SC Secondary Job Location(s) Undisclosed Remote Type N /A Position Type Full Time Education Level Bachelor Degree...associated protocols under the guidance of the AOC and Medical Director (eg, monitor bedside and laboratory… more
    Sharing Hope SC (05/21/25)
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  • Administrative Assistant (Budgets, Grants,…

    South Bend Empowerment Zone (South Bend, IN)
    …professional leave forms/travel reimbursements from the Special Education budget. Monitor Medicaid reimbursement; provides monthly report to Director of ... TBD - based on exp. Contract Length: Twelve Months Reports to: Director of Exceptional Learners Basic Function: Processes, monitors and modifies special education… more
    South Bend Empowerment Zone (03/20/25)
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  • Fire Prevention Branch Chief

    State of Colorado (Lakewood, CO)
    …enriching professional development opportunities and a wide range of benefits. + Medical and dental options are available for permanent employees and their ... Savings Account when enrolled in HDHP. + Job protected medical leave under the Family Medical Leave...certification within one year. + Centers for Medicare and Medicaid Services (CMS) Certified LSC Inspector, or be able… more
    State of Colorado (05/22/25)
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  • Manager Revenue Cycle - Self-pay Collections

    Houston Methodist (Katy, TX)
    …areas of Revenue Cycle, to include but not limited to: medical coding, insurance billing, collections, patient account resolution, appeals/denials, customer service, ... procedures, and provides quality reviews. Reports results of key performance metrics to director on a timely basis. **FINANCE ESSENTIAL FUNCTIONS** + Assists in the… more
    Houston Methodist (05/01/25)
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  • Prospective Payment Specialist Coordinator

    Corewell Health (Watervliet, MI)
    …Responsible for ensuring optimal reimbursement through analytical review of medical records and collaboration with interdisciplinary teams, including billing, ... coding, and medical team members. Also responsible for obtaining necessary prior...transmission of records to the Centers for Medicare and Medicaid Services (CMS) and other insurances as needed. Monitor… more
    Corewell Health (04/23/25)
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  • Health Informatics Analyst III (Internal…

    Peak Vista (Colorado Springs, CO)
    …Analyst III (Internal Applicants Only) ID:0522-5795 Department Location:3205/3207 N . Academy, Colorado Springs, CO 80917 Category:Administrative / Clerical ... programs and education. We provide integrated health care services including medical , dental, and behavioral health through our 21 outpatient health centers.… more
    Peak Vista (05/24/25)
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