- 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
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …of large and complex Medicaid program(s) and supervision exercised. Differs from Medicaid Deputy Director by the absence of responsibility for the day-to-day ... of Medicaid Application Centers + Disability determinations made by Medical Eligibility Determinations Team (MEDT) + Coordinating Refugee Medical Assistance… more
- Molina Healthcare (Dayton, OH)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +...**, AS** **S** **O** **C** **I** **A** **TI** **O** ** N ** **:** Current state Medical license without… 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
- Beth Israel Lahey Health (Charlestown, MA)
- …the Director will develop long- and short- term Medicare, Medicaid , and other government reimbursement revenue strategies, oversee preparation and submission of ... not just taking a job, you're making a difference in people's lives.** The Director , Revenue Finance and Reimbursement, will be a core member of the Revenue Finance… more
- Takeda Pharmaceuticals (Boston, MA)
- …knowledge. **Job Description** **About the Role:** The Head of Contract Management ( Director Level) is a highly experience professional responsible for ownership of ... purchasing organizations (GPOs), wholesalers and distributors. Government contracting includes State Medicaid and the VA Federal Supply Schedule contract. The Head… more
- Humana (Nashville, TN)
- …week). The preferred location for this role is Washington, DC at our 1812 N . Moore, Arlington, VA office. Other locations that will be considered are Louisville, KY, ... Chicago, IL, and Nashville, TN._ As Director , Corporate Strategy, you will provide strategic guidance and...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- MyFlorida (Tallahassee, FL)
- …received/requested as a result of the review process. - Responsible for maintaining the Medicaid Director 's SharePoint site to ensure information is up to date ... 68024407 - MEDICAL /HEALTH CARE PROGRAM ANALYST Date: May 19, 2025...and accurate. - Liaison for the Medicaid Director 's Office to manage preparation and… more
- State of Colorado (Denver, CO)
- …file, procedure/modifier table, systems lists, edits and audits to ensure appropriate Medicaid claims payment. + Provides medical coding direction and resolves ... Medical Coding and Fiscal System Administrator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4941083) Apply Medical Coding and Fiscal… more
- MyFlorida (Tallahassee, FL)
- …Medicaid policies, national Medicaid -related research and demonstration projects, Medicaid medical assistance program innovations for general and special ... sources of evidence, the Medicaid State Plan, Agency communications, State Medicaid Director Letters, and vendor contracts. Program Planning and Analysis The… more
- State of Colorado (Denver, CO)
- …Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health ... Defined Contribution Plan, plus 401K and 457 plans + Medical (https://dhr.colorado.gov/state-employees/state-employee-benefits/ medical -benefits) , Dental (https://dhr.colorado.gov/state-employees/state-employee-benefits/dental-insurance) , and… more
- State of Colorado (Denver, CO)
- …UHA04095_05.2025 Department Department of Health Care Policy and Financing Division Medicaid Operations Office Opening Date 05/14/2025 Closing Date 5/22/2025 11:59 ... Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health… more
- State of Colorado (Lakewood, CO)
- …Information This position is open only to Colorado state residents. Please Note:A n eligible list established with this recruitment may be used to fill other ... 11 paid holidays per year plus vacation, sick leave, and wellness days. Medical and dental options are available for permanent employees and their dependents. We… more
- The County of Los Angeles (Los Angeles, CA)
- …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as… more
- WestCare Foundation (Milwaukee, WI)
- Admission Specialist Job Details Job Location Milwaukee - 2821 N Vel R Phillips Ave - Milwaukee, WI Position Type Full Time Education Level High School Salary Range ... with health insurance companies, performing account set-up & management, have medical terminology knowledge, possess excellent computer skills and be detail… more
- Sharing Hope SC (North Charleston, SC)
- …Writes orders in the medical record under the supervision of the SHSC Medical Director or transplant surgeon according to SHSC and hospital protocol. + ... North Charleston, SC Secondary Job Location(s) Undisclosed Remote Type N /A Position Type Full Time Education Level Bachelor Degree...associated protocols under the guidance of the AOC and Medical Director (eg, monitor bedside and laboratory… more
- South Bend Empowerment Zone (South Bend, IN)
- …professional leave forms/travel reimbursements from the Special Education budget. Monitor Medicaid reimbursement; provides monthly report to Director of ... TBD - based on exp. Contract Length: Twelve Months Reports to: Director of Exceptional Learners Basic Function: Processes, monitors and modifies special education… more
- Houston Methodist (Katy, TX)
- …areas of Revenue Cycle, to include but not limited to: medical coding, insurance billing, collections, patient account resolution, appeals/denials, customer service, ... procedures, and provides quality reviews. Reports results of key performance metrics to director on a timely basis. **FINANCE ESSENTIAL FUNCTIONS** + Assists in the… more
- Corewell Health (Watervliet, MI)
- …Responsible for ensuring optimal reimbursement through analytical review of medical records and collaboration with interdisciplinary teams, including billing, ... coding, and medical team members. Also responsible for obtaining necessary prior...transmission of records to the Centers for Medicare and Medicaid Services (CMS) and other insurances as needed. Monitor… more
- CenterWell (North Las Vegas, NV)
- … medical expertise with the care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... and providing a positive and welcoming environment for all. ** N . Las Vegas Medical Center** **2335 E....and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of two to five… more
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