- Elevance Health (Washington, DC)
- …Health Medical Director ** is responsible for reviewing cases for DC Medicaid members including pharmacy, child, and substance use disorders, and all levels of ... - Psychiatrist - District of Columbia (aka Washington DC) Medicaid ** **Location:** This role requires associates to be in-office...is required. + Additional experience may be required by State contracts or regulations if the Medical Director… more
- Elevance Health (Durham, NC)
- **Behavioral Health Medical Director - Psychiatrist - North Carolina Medicaid ** **Location:** This role enables associates to work virtually full-time, with the ... Director ** is responsible for reviewing cases for NC Medicaid members including child and substance use disorders, and...is required. + Additional experience may be required by State contracts or regulations if the Medical Director… more
- Humana (Indianapolis, IN)
- …or related field. + Certified Public Accountant (CPA) credential. + Prior experience in Medicaid or state partnership financial operations . + Experience with ... an impact** **Key Responsibilities** + Provides market specific financial leadership in the State Medicaid Market, developing a deep understanding of Humana's … more
- Commonwealth Care Alliance (Boston, MA)
- …this time._** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. ... that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for timely review and… more
- The Joint Commission (Washington, DC)
- …offices and agencies. + Under direction of Director , builds relationships with Medicaid offices and state public health programs and assists Director ... the state policy-related strategy for Joint Commission. Under direction of Director , manages the state relations, including the collection, monitoring, and… more
- State of Colorado (Denver, CO)
- …Director position. This position reports to the Deputy Medicaid Director and provides executive leadership for the State 's comprehensive implementation of ... performance analytics, and compliance and reporting. This position reports to the Deputy Medicaid Director with responsibilities in briefing the HCPF Executive … more
- Ascendis Pharma (Princeton, NJ)
- …and develop their skills. Ascendis Pharma is looking to hire an experienced Director , Market Access Contract Operations to join our team. Responsibilities will ... tactical, demonstrating strong leadership, project management, and communication skills. As the Director , Market Access Contract Operations , you will oversee all… more
- State of Indiana (Indianapolis, IN)
- …The role of Director of Provider Experience serves providers within Indiana Medicaid to enhance their ability to serve Medicaid members, improve health ... Director Provider Experience Date Posted: Jan 6, 2026...Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest… more
- New York State Civil Service (Queens Village, NY)
- …can execute strategic decisions to serve as Director of the Developmental Disabilities State Operations Office in Region 6 (DDSOO 6 - Bernard Fineson- Queens ... and consistency throughout the state in strategic core business operations . Director assures that the DDSOO maintains regulatory compliance, billing… more
- New York State Civil Service (NY)
- …With Developmental Disabilities, Office for Title Licensed Psychologist (Assistant Director ) Occupational Category Health Care, Human/Social Services Salary Grade 25 ... County To Be Determined Street Address TBD City TBD State NY Zip Code 00000 Duties Description The Licensed...Description The Licensed Psychologist will serve as the Assistant Director for the Bureau of Technical Support (BTS). BTS… more
- Highlights Healthcare (Morehead City, NC)
- …skills, growth mentality, and strong business acumen to join us as BCBA - Director of Operations for our Learning Centers. Who is Highlights Healthcare? ... We specialize in serving young learners and families with Medicaid benefits. We believe every child can achieve great...class dining and entertainment. Why should you consider a Director of Operations (BCBA) position with Highlights?… more
- Integra Partners (Troy, MI)
- …team. + Ensure consistent, accurate, and compliant application of criteria (LCDs, state Medicaid manuals, InterQual, internal policies, health plan guidelines, ... corrective action plan development. + Ensure adherence to CMS, Medicaid , state DOH, and health plan clinical...and Operational Leadership + Collaborate with the SVP of Operations , UM Director , Credentialing leadership, and other… more
- Humana (Frankfort, KY)
- …caring community and help us put health first** The Associate Director , Database Administration manages and maintains all production and non-production databases. ... data storage, maintenance, access and security administration. The Associate Director , Database Administration requires a solid understanding of how organization… more
- UPMC (Pittsburgh, PA)
- …} tr th { background-color: #f5f5f5; } We are seeking an accomplished Director of Operations to provide strategic and operational leadership for outpatient ... or accrediting bodies (ie JCAHO, PA Department of Health, Medicaid ). + Manages day to day operations ...years of experience + Advanced knowledge of applicable federal, state , and local laws as they pertain to physician… more
- Integra Partners (Troy, MI)
- …audit activities as needed, including NCQA accreditation, health plan audits, and state Medicaid reviews. + Notify leadership of observed trends, potential ... The Utilization Review Medical Director is responsible for conducting clinical reviews of...and related requests to support Integra's Utilization Management (UM) operations . This full-time, salaried role functions within a structured,… more
- Aveanna Healthcare (Omaha, NE)
- Home Health RN Executive Director of Operations ApplyRefer a FriendBack Job Details Requisition #: 212445 Location: Omaha, NE 68144 Category: Nursing Salary: ... has a 15% incentive bonus plan ** Position Overview: The Executive Director is directly responsible for the administrative and leadership functions associated with… more
- State of Michigan (MI)
- Physician Manager 20 - Medical Director Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4848644) Apply Physician Manager 20 - Medical ... Director Salary $103.12 - $138.51 Hourly Location Multiple Locations...or Chesterfield), both CMS-certified 128-bed long-term care facilities. Direct operations of the Home for medical care, treatment, and… more
- St Croix Hospice (Mendota Heights, MN)
- …regulations, and drives the overall financial performance of the organization's revenue cycle operations . The Director will lead a team of billing and ... team of caregivers, then come work where you matter. Director of Revenue Cycle Management Position Overview The ...financial performance. + Ensure compliance with all federal and state regulations governing Medicare and Medicaid billing… more
- Fallon Health (Worcester, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... of purpose:** With the general direction from the VP Sr. Medical Director Clinical Management and SVP/Chief Medical Officer will provide strategic leadership and… more
- State of Indiana (Richmond, IN)
- Clinical Director Date Posted: Dec 17, 2025 Requisition ID:...Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest ... employers in the state , offering a range of opportunities across 60+ agencies....primary clinical leader to assist the Superintendent and Medical Director in ensuring exceptional patient care. + Manage, oversee,… more
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