- 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
- Teva Pharmaceuticals (Hartford, CT)
- Director Federal Accounts & Medicaid (V&A) Date:...not covered by the AD's. Location: This is a remote position. **How you'll spend your day** All areas of ... 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
- Cognizant (Albany, NY)
- …will lead employees who are working on-site at client locations throughout the USA and remote WFH associates. This position is WFH and requires some travel to be on ... manage teams that connect uninsured patients with programs that cover their medical expenses, acting as a liaison among patients, hospitals, and government agencies… more
- RWJBarnabas Health (Oceanport, NJ)
- Director , Corporate Reimbursement (Hybrid/ Remote ) - Oceanport, NJReq #:0000180233 Category:Professional / Management Status:Full-Time Shift:Day ... Reimbursement Location: SBC Corporation, Oceanport, Oceanport, NJ 07052 Job Overview: The Director will serve as a key resource to department leadership for… more
- Evolent (St. Paul, MN)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
- Danaher Corporation (Dallas, TX)
- …the Danaher Business System which makes everything possible. The Field Reimbursement Director position is a provider / customer facing role responsible for ... coordinate and engage targeted customers within the US. Reporting to the Senior Director of Market Access Americas, this highly visible role will play a pivotal… more
- Walgreens (Deerfield, IL)
- …Employer, including disability/veterans". \#LI-TO1 **Job ID:** 1414700BR **Title:** National Director , Consultant Relations - Remote **Company Indicator:** ... various other providers, etc), the various lines of business (Commerical, Medicare, Medicaid , etc) and the various healthcare services provided in the overall… 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
- Humana (Jackson, MS)
- **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
- CVS Health (Springfield, IL)
- …Fortune 6 company, has an outstanding opportunity for a Medical Director ( Medical Affairs). This is a remote based, work from home opportunity. The ... clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director ( Medical Affairs) will report into… more
- Humana (Topeka, KS)
- …a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... and preservice appeals. The Corporate Medical Director works on problems of diverse...+ Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products + Must be passionate about… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse...+ Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Must be passionate… more
- 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
- Commonwealth Care Alliance (Boston, MA)
- 023520 Clin Alli-Physicians Group **Position Summary:** Reporting to the Health Plan Chief Medical Officer, the Senior Medical Director for Utilization ... public programming, preferably with a D-SNP plan, MAPD and Medicaid and has excellent clinical judgement. This position is...high quality member care, and improve processes. The Sr. Medical Director for Utilization Review and … more
- Vera Therapeutics (Brisbane, CA)
- Title: Executive Director , Pricing, Contracting and Government Location: Remote About Us: Vera Therapeutics (Nasdaq: VERA), is a late clinical-stage ... mission together, to achieving our ultimate goal to improve medical treatment for patients suffering from immunological diseases. Position...payer access strategy. * Manage and hire our Senior Director , Medicaid : * Lead and identify … more
- AmeriHealth Caritas (Newtown Square, PA)
- …Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Medical Director , Utilization Management provides organizational leadership ... policy and practice initiatives in collaboration with the Corporate Medical Director (s), Utilization Management and the Vice...of 3 years of utilization management experience in a Medicaid , Medicare, dual eligible or commercial health plan. +… more
- Arvinas (New Haven, CT)
- …Summary** As an important member of the Arvinas Market Access Team, the ** Director , Payer Accounts** will be a key contributor to a strong National Accounts ... organizations, largest downstream regional account clients as well as their assigned state Medicaid payers. They will be a leader in cross-functional teams to ensure… more
- Advancing Beyond the Spectrum (Eldersburg, MD)
- **THIS IS A FULL-TIME CENTER DIRECTOR POSITION FOR AN APPLIED BOARD CERTIFIED BEHAVIOR ANALYSIS (BCBA) CENTER IN ELDERSBURG, MD** Mon-Fri. COMPANY OVERVIEW Advancing ... our clients and our communities. JOB SUMMARY The Center Director is a Board-Certified Behavior Analyst (BCBA) and the...over $100k + Career advancement and growth opportunities + Medical insurance coverage through Carefirst BCBA, company pays 50%… more
- St John's Community Services (Ithaca, NY)
- Director of Waiver Services- Ithaca, NY Job Details Job Location Ithaca Sober Living Home - Ithaca, NY Salary Range $75000.00 - $85000.00 Salary Description To be ... Injury (TBI) and Nursing Home Transition and Diversion (NHTD) Medicaid waiver program, and the Home Enabling Supports (OPWDD)...and revenue targets are met. + Works with the Director of SJCS-NY to analyze and identify new service… more
- Vibrant Emotional Health (New York, NY)
- Job Title: Senior Director of Clinical Services Department: Community Services Reports to: Vice President of Community Programs Location: ( Remote /In-House) ... wellness can be a reality for everyone. Position Overview: The Senior Director will be responsible for leading and transforming Mental Health Service Delivery… more