- Molina Healthcare (Madison, WI)
- …3+ years HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- Humana (Lansing, MI)
- …first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes ... diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, directs, and monitors… more
- Sharp HealthCare (San Diego, CA)
- …for the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight ... for all of Sharp Health Plan products, (Commercial, Exchange, Medicare , POS/PPO) services, and oversees the health care needs...+ 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons… more
- Ankura (New York, NY)
- …matters generally focused on Medicare and Commercial Risk Adjustment. The Senior Director will also support practice and firmwide business development ... solutions to complex litigation, enforcement, and regulatory challenges. Role Overview The Senior Director will support the Healthcare Payer team within Ankura's… more
- Centene Corporation (Queens, NY)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** The Senior Director , Healthcare Analytics leads analytic service delivery by ... of tools and capabilities and appropriate deployment of supporting analytic teams. The director serves in a leadership function spanning the needs of multiple health… more
- WellSpan Health (York, PA)
- …most complex medical , surgical and behavioral health conditions. The Senior Director of Perioperative Services provides strategic and operational oversight ... Join WellSpan Health as our Senior Director of Perioperative Services at...with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction… more
- Novo Nordisk (Washington, DC)
- …optimal health outcomes. Are you ready to realize your potential? The Position The Senior Director works on complex issues that require an in-depth knowledge of ... include all other Market Access & Public Affairs teams, Finance, Medical , Legal, Compliance, Communications and other key stakeholders locally and globally.… more
- Medtronic (Minneapolis, MN)
- …and decisiveness to put patients first in everything we do. The **Sr. Director of US Market Access** is a leadership position responsible for enhancing, executing, ... vascular therapies. A Day in the Life The Sr. Director of US Market Access is responsible for leading...internal teams and customers. Prepare and present insights to senior leadership. + Leverage advanced analytics and market research… more
- The Cigna Group (St. Louis, MO)
- The Senior Director , GPO Accounting, provides strategic leadership for the GPO Accounting Team within Evernorth. Candidate will: + Influence decision makers ... across the entire organization including the Senior Leadership and cross-functional partners. + Responsible for developing and ensuring the appropriate controls are… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …aspirations. Join Kite and help create more tomorrows. **Job Description** The ** Senior Director ,** **Head of** **US Trade,** **Pricing and Contract** **ing** ... cancer therapies, and help shape where our business and medical science goes next. We believe every employee deserves...+ Extensive understanding of hematology / oncology clinical landscape, Medicare A & B, and the business of cell… more
- BAYADA Home Health Care (York, PA)
- …currently seeking an experienced health care manager to fill the position of **Associate Director ** in our Harrisburg, PA Senior Living office. Are you looking ... industry, preferably in home health care + Knowledge of Medicare regulations, including OASIS and PPS + Knowledge of...Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with… more
- CenterWell (Anderson, SC)
- …on teamwork and providing a positive and welcoming environment for all. The Associate Medical Director has similar job duties as a Physician, namely focusing on ... Senior Primary Care has a strong emphasis on senior -focused primary care for members of Medicare ...of care, health maintenance, and disease prevention. The Associate Medical Director serves as a health-care professional… more
- RWJBarnabas Health (Oceanport, NJ)
- …reports filings. In partnership with the Vice President of Corporate Reimbursement , the Director will manage the completion of DSH, Medicare Bad Debts, Wage ... Director , Corporate Reimbursement (Hybrid/Remote) - Oceanport, NJReq #:0000180233...as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment… more
- CareOregon (Portland, OR)
- … coverage and physician/leader back up is available at all times. + Works with Senior Medical Director to ensure physician availability and oversight at all ... and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to...and must comply with all federal laws. Job Title Medical Director , Physician - Primary Care Requisition… more
- CVS Health (Springfield, IL)
- …you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director , Medical Affairs. These projects can ... **Position Summary** CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director ( Medical Affairs). This is a remote based, work… more
- CenterWell (Jacksonville, FL)
- …a part of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, ... (clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical… more
- Evolent (Helena, MT)
- …Participates in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to ... for utilization management while working in conjunction with the Senior Medical Director . **Qualifications -...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Evolent (Helena, MT)
- …Participates in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to ... for utilization management while working in conjunction with the Senior Medical Director . **Qualifications** +...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Abbott (Washington, DC)
- …spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues ... you dream of + Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO...in the Government Affairs function. As the Government Affairs Director for Corporate Reimbursement, you will develop, lead and… more
- Mount Sinai Health System (New York, NY)
- …in primary care + Based on experience and demonstrated skill set, could consider Senior Medical Director level and associated compensation Compensation range ... improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI,...all populations served, especially our patients covered under a Medicare arrangement (MSSP or MA). The MD will report… more