• Medical Director - Medicaid

    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
    Humana (05/14/25)
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  • Director Federal Accounts & Medicaid

    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
    Teva Pharmaceuticals (05/16/25)
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  • Associate Director Market Development…

    Humana (Madison, WI)
    …responsible for all growth-related initiatives and communications to iCare and Inclusa Medicaid products. The Associate Director , Market Development requires a ... first** Become a part of our dynamic Wisconsin leadership team as the Associate Director , Market Development. The Associate Director , Market Development, is… more
    Humana (05/20/25)
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  • Sr Project Manager ( Medicaid )

    Humana (Topeka, KS)
    …health first** Humana Healthy Horizons is a seeking a Senior Project Manager ( Medicaid Network Implementation) who is accountable for working with the Director , ... driving efficient management of end-to-end provider-related functions in new Medicaid market implementations. The Senior Project Manager makes decisions supporting… more
    Humana (05/20/25)
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  • Director , Corporate Reimbursement (Hybrid/…

    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
    RWJBarnabas Health (03/21/25)
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  • Field Medical Director

    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
    Evolent (04/30/25)
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  • Field Reimbursement Director - EAST…

    Danaher Corporation (Atlanta, GA)
    …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
    Danaher Corporation (04/01/25)
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  • Regional Director , Quality Solutions…

    Molina Healthcare (Santa Fe, NM)
    **JOB DESCRIPTION** **Job Summary** This role provides the option for remote work, ideally suited for candidates living in the Eastern Time Zone. Regional ... Director Quality Solutions (QS) is responsible for contributing to...expert in all functional areas in, quality improvement (primarily Medicaid ) and data capture/supplemental data submission and coordinating national… more
    Molina Healthcare (04/30/25)
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  • National Director , Consultant Relations…

    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
    Walgreens (03/25/25)
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  • Medical Director , LTSS - Delaware

    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
    Centene Corporation (05/01/25)
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  • Medical Director - Pacific SW Region

    Humana (Salem, OR)
    **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
    Humana (05/10/25)
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  • Medical Director ( Medical

    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
    CVS Health (04/20/25)
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  • Corporate Medical Director

    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 (04/24/25)
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  • Medical Director - Medicare…

    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
    Humana (05/14/25)
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  • Executive Director , Pricing, Contracting…

    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
    Vera Therapeutics (05/08/25)
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  • Director , Payer Accounts - Northeast

    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
    Arvinas (05/15/25)
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  • Director of Payor Relations

    Monte Nido (Miami, FL)
    …save lives while providing the opportunity for people to realize their healthy selves. ** Director of Payor Relations** **Monte Nido** ** Remote ** For more than 25 ... and strategic leader to join our team as the Director of Payor Relations. The Director of...a strategic mindset for enhancing Monte Nido's payor partnerships. \#LI- REMOTE Total Rewards: Discover a rewarding career with us… more
    Monte Nido (05/20/25)
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  • Director , 340B Policy Strategy

    Bristol Myers Squibb (Washington, DC)
    …every treatment we pioneer. Join us and make a difference. **Position Summary** The Director , 340B Policy Strategy, will serve as a deep technical expert in the ... plan for 340B across the BMS Enterprise . The Director will lead 340B strategies that shape public policy...acute focus on 340B but including other Medicare / Medicaid programs and key priority policies. + Assist in… more
    Bristol Myers Squibb (05/13/25)
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  • ABA Center Director (ABA) Full-Time

    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
    Advancing Beyond the Spectrum (05/16/25)
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  • Director of Waiver Services

    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
    St John's Community Services (05/01/25)
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