- 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
- Elevance Health (Seattle, WA)
- **Plan Performance Medical Director - Washington Medicaid ** **Location:** This role requires associates to be in-office 3 days per week, fostering ... to 5:00 pm PST. Weekend rotation: once a month.** The **Plan Performance Medical Director ** is responsible for serving as the lead clinician for a plan.… more
- CVS Health (Springfield, IL)
- …do it all with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout ... opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California,...Better Health Plan of Illinois. This UM (Utilization Management) Medical Director will be a "Work from… more
- CVS Health (Frankfort, KY)
- …do it all with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout ... Better Health of Kentucky primarily, and the Southeast Region (FL, LA and WV). This Medical Director will be a "Work from Home" position primarily supporting the… more
- Molina Healthcare (Seattle, WA)
- **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to ... quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …operating with a budget of nearly $7 billion. Reporting directly to the Iowa Medicaid Director , the Medicaid Chief Medical Officer is a key member of the ... Medicaid Chief Medical Officer Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4949306) Medicaid Chief Medical Officer Salary… more
- ChenMed (Richmond, VA)
- …preferred. + Strongly prefer one (1) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population + Board ... preferred. + Preferred to be an existing high performing PCP partner and/or Medical Director within the ChenMed core model, with a proven ability to manage a… more
- Teva Pharmaceuticals (Hartford, CT)
- Director Federal Accounts & Medicaid (V&A) Date: May 15, 2025 Location: Hartford, United States, Connecticut, 06103 Company: Teva Pharmaceuticals Job Id: 61986 ... are met on an annual basis. As well, the Director is responsible for providing Medicaid specific...account, leveraging cross-functional teams (to include Pricing & Contracting, Medical , Value & RWE as appropriate) ⦁ Collaborate with… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- … Medicaid Deputy Director for Finance is one of five assistants to the Medicaid Director , and a member of the Director 's Executive Team. This position ... Medicaid Deputy Director Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4951728) Apply...is located within the Louisiana Department of Health / Medical Vendor Administration / Director 's Office -… more
- New York State Civil Service (New York, NY)
- NY HELP No Agency Attorney General, Office of the Title Legal Nurse/ Medical Analyst: Medicaid Fraud Control Unit (6388) Occupational Category Legal Salary Grade ... Justice Division Medicaid Fraud Control Unit - New York City Medical Analyst, Opportunity for Registered NursesReference No. MFCU_NYC_ MA_6388Salary is $80,537 +… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …operating with a budget of nearly $7 billion. Reporting directly to the Iowa Medicaid Director , the Strategic Initiatives Manager is an important member of the ... Medicaid Strategic Initiatives Manager Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4950841) Medicaid Strategic Initiatives Manager Salary… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …Iowans, operating with a budget of nearly $7 billion. Reporting directly to the Iowa Medicaid Director , the Chief Financial Officer is a key member of the ... Medicaid Finance Officer Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4949325) Medicaid Finance Officer Salary $127,524.80 - $181,105.60… more
- Abbott House (Bronx, NY)
- …+ Oversees all business functions + Perform other secretarial duties as requested by Medical Director . + Any other related duties as required Educational & ... Job Summary: The Medicaid Managed Care Liaison is the primary contact...Oversee and support program audits + Responsible for closed medical records + Arrange Single Case Agreements with out… more
- Northwell Health (Staten Island, NY)
- …or their representative. + * Determines patient's potential eligibility for Medicaid and completes application in accordance with departmental policies and ... procedures. + * Follows up all incomplete patient's Medicaid applications either by verbal or written contract as required. + * Records and updates all Medicaid … more
- State of Georgia (Fulton County, GA)
- Operations Analyst for Medicaid New Option Waiver/Comprehensive Supports Waivers Georgia - Fulton - Atlanta ... Sign Up for Job Alerts Job Description Job Title: Operations Analyst for Medicaid New Option Waiver/Comprehensive Supports Waivers Pay Grade: J Job Summary: ➢ Serves… more
- Cognizant (Albany, NY)
- …manage teams that connect uninsured patients with programs that cover their medical expenses, acting as a liaison among patients, hospitals, and government agencies ... to ensure eligibility for Medicaid , social security, county indigent, or other types of...leadership awareness or input. + Collaborate regularly with the Director on key performance measures set by the client.… more
- Fallon Health (Worcester, MA)
- …is responsible for the presentation of the member appeal to the FH Medical Director , Center for Medicare/ Medicaid Services, contracted reviewer, as ... staff. Work with Team Leaders, Department Managers, Department Chairs and/or Medical Director to resolve member complaints; formulate improvement measures… more
- Centene Corporation (Dover, DE)
- …and Supports (LTSS) and Medicare- Medicaid Duals populations. Additionally, the Medical Director will collaborate with other key stakeholders to provide ... with the LTSS Director and Care Coordination Director to manage and optimize LTSS and Medicare- Medicaid...LTSS Only:** A full-time Long Term Services and Supports Medical Officer/ Medical Director (LTSS CMO)… more
- 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
- Humana (Dover, DE)
- **Become 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 work assignments involve moderately complex to complex issues...of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical … more