- Aveanna Healthcare (Madison, WI)
- ** 20% Incentive Plan ** Position Overview The Area Executive Director (AED) is responsible for the administrative, operational, and leadership oversight of a ... branches and operational leadership. Essential Job Functions The Area Executive Director is responsible for directly managing all essential operational and… more
- Aveanna Healthcare LLC (Brookfield, WI)
- …and maintain active CPR per agency policy. Preferred: Bachelors degree preferred Medicare Skilled Nursing experience and a basic understanding of OASIS 3+ years ... a healthcare setting (home health preferred) HHH As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
- Optum (Tuscumbia, AL)
- …primary care physician to follow the plan of care Presents agency Executive Director with identification of patient needs to obtain branch approval and acceptance ... met by the agency Works closely with the Executive Director /Clinical Director to drive a vision of...Is able to articulate competitive advantages, specialty programs, and Medicare guidelines. Educates the medical community about the services… more
- The Goodkind Group, LLC (Melville, LA)
- …three (3) years of Insurance Follow-up, multi-specialty experience, and knowledge of Medicare , Medicaid and Government HMO insurance follow-up. As the Supervisor - ... Insurance follow-up you will act as liaison between departments, director , management and staff. more
- Elevance Health (FL)
- **Appeals Medical Director - Medicare ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... law. Alternate locations may be considered. The **Appeals Medical Director ** is responsible for the appeal reviews for physical...required by State contracts or regulations if the Medical Director is filing a role required by a State… more
- CVS Health (Hartford, CT)
- …based (work at home) based anywhere in the US.** **Responsibilities of this Medical Director role are related to Medicare Appeals:** * Direct daily work on ... and Utilization Management Strategy support * Collaborative work with Medicare Quality and Compliance on an ongoing basis *...an ongoing basis * Develop subject matter expertise on Medicare policy for the enterprise * Provide ongoing education… more
- Humana (Honolulu, HI)
- …of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The Corporate Medical ... Director works on problems of diverse scope and complexity...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis… more
- Molina Healthcare (IA)
- …**Job Summary** Responsible for the Management of internal business projects and programs involving department or cross-functional teams of subject matter experts, ... delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs, and monitors… more
- Centers Plan for Healthy Living (Staten Island, NY)
- … Medicare or Sales experience SCOPE INFORMATION # Direct Reports: Director of Medicare Marketing Physical Requirements: The physical requirements described ... they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and... MAP Advisor- Will promote and sale MAP and Medicare Line of Business, maintains relationships, services our existing… more
- UCLA Health (Los Angeles, CA)
- …of our Medicare Advantage products. In this role, you'll partner with the Director of Medicare Product Development and Bids to guide the annual bid process, ... and compliance throughout the member lifecycle. Key Responsibilities: + Lead end-to-end Medicare Advantage product development. + Support and help manage the annual… more
- CVS Health (Springfield, IL)
- … Director UM decisions. If specifically assigned to one business segment (ie, Medicare clients), each director will become sufficiently skilled in various UM ... CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director - Medical Affairs (Oncology) We need a Board Certified Oncologist for this… more
- UCLA Health (Los Angeles, CA)
- Description The Assistant Director , Member Experience will work closely with the Director of Medicare Product Development & Bids to develop, lead, and ... execute the organization's member experience strategy across all Medicare Advantage products. This role is critical to improving CMS Star Ratings by enhancing member… more
- CVS Health (Austin, TX)
- …pre-certification, and predetermination of covered benefits in the Commercial and Medicare environment. This Medical Director provides subject matter expertise ... Health company, has an outstanding opportunity for a Medical Director . Ready to take your career to the next...in the United States. In this role as Medical Director MPO (Medical Policy & Operations) you will be… more
- UTMB Health (Galveston, TX)
- …and for directing staff in preparation of these reports. + Supports Director , Finance-Government Reimbursement in preparing annual Medicare , Medicaid and TDCJ ... to implement appropriate processes and procedures to ensure compliance with Medicare and Medicaid regulations. + Supports Director , Finance-Government… more
- NHS Management, LLC (Tuscaloosa, AL)
- …to the facility Administrator, Director of Nursing, Regional Administrator, Director of Medicare and Rehabilitation and MDS/Clinical Information Consultant. ... to the Administrator, Director of Nursing, Regional Administrator, Director of Medicare and Rehabilitation, and MDS/Clinical Information Consultant.… more
- Idaho Division of Human Resources (Nampa, ID)
- …SHW is accredited by The Joint Commission and certified by the Centers for Medicare & Medicaid Services (CMS). The Director of Nursing Services provides ... Nursing Services Director - SHW Posting Begin Date: 2025/12/03 Posting...with Joint Commission, CMS, and state regulatory requirements. The Director leads nursing education, competency development, and policy implementation,… more
- Aveanna Healthcare (Sheffield, AL)
- …the client's physician, therapists or other care givers. + Provide input to the Medicare Director regarding the need for formulation or modification of agency ... year medical social work experience + Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
- Aveanna Healthcare (Sauk City, WI)
- …the client's physician, therapists or other care givers. + Provide input to the Medicare Director regarding the need for formulation or modification of agency ... at least one year medical social work experience As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
- Aveanna Healthcare (Winchester, VA)
- …the client's physician, therapists or other care givers. + Provide input to the Medicare Director regarding the need for formulation or modification of agency ... + Master's degree in Social Work preferred As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
- Aveanna Healthcare (Hiawatha, IA)
- …the client's physician, therapists or other care givers. + Provide input to the Medicare Director regarding the need for formulation or modification of agency ... work experience + Master's degree in Social Work As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
