- Stanford Health Care (Palo Alto, CA)
- …age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of ... a Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key leadership role within...reports to government agencies, including but not limited to: - Medicare and Medi-Cal cost reports -Financial disclosures to the… more
- Alameda Health System (San Leandro, CA)
- Medical Director , John George Psychiatric Hospital + San Leandro, CA + John George Psychiatric Hospital + Physicians JGP ER + Full Time - Day + Management + ... Hour + Req #:42565-31593 + FTE:1 + Posted:August 8, 2025 **Summary** **SUMMARY:** The Medical Director of John George Psychiatric Hospital is responsible for the… more
- National Health Care Associates (Stafford Springs, CT)
- …understanding of Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements + Interest in the nursing needs of the aged and the ... **-** **A Great Place to Work** ** National Health Care Associates is proud to welcome...& Rehabilitation! **-** **What You'll Do:** As an MDS Director , you will manage the Minimum Data Set (MDS)… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of provider ... network performance, and ensuring compliance with regulatory standards. The Director drives initiatives that enhance operational engagement, member access, provider… more
- Creekview Health and Rehabilitation (Knoxville, TN)
- …Health and Rehabilitation Come join our team and start making a difference! DIRECTOR OF REHABILITATION - FULL TIME - CREEKVIEW - KNOXVILLE, TN Creekview Health ... staff. We are seeking a dynamic therapist as the Director of Rehabilitation to manage our stable in-house team...distribution of caseload Assists in the case management/tracking of Medicare A rehab cases under the PDPM system Recruits… more
- Stanford Health Care (Palo Alto, CA)
- …age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of ... and Privacy Officer in the Office of Compliance and Privacy, the Executive Director - Compliance and Privacy is responsible for implementing and managing the… more
- Somatus (Mclean, VA)
- …the best version of themselves, including: + Subsidized, personal healthcare coverage ( medical , dental vision) + Flexible Paid Time Off (PTO) + Professional ... mental well-being + Community engagement opportunities + And more! **The Senior Director of Value-Based Care** (VBC) is a strategic and influential leader… more
- Seattle Children's (Seattle, WA)
- …Seattle Children's and University of Washington Department of Fetal Surgery leadership, Medical Director MFM and OB Services, Perioperative Services, Nursing to ... national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as… more
- Argon Agency (North Palm Beach, FL)
- …for advancement Paid time off Wellness resources Job Purpose: As our Clinical Director , you'll be the cornerstone of our clinical operations, ensuring the highest ... continuous improvement. Supervision of therapists, counselors, case managers, and medical staff. Handling emergencies, patient crises, and staff conflicts. Innovate… more
- CSL Behring (King Of Prussia, PA)
- …collection and submit all reports needed for compliance. 4. Work with Senior Director , Policy Advocacy & Government Affairs, & Legal to interpret and implement ... **Experience** + Strong knowledge of the regulatory requirements for MDRP, Medicare /IRA, Veteran's Healthcare Act, and other Federal regulations mandating price… more
- Commonwealth Care Alliance (Boston, MA)
- …and quality improvement. - Minimum five (5) years of clinical experience in medical or behavioral health care delivery Required Knowledge, Skills & Abilities: - ... Medicare and Medicaid managed care experience - Demonstrated knowledge...status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information… more
- GRAIL (Washington, DC)
- …compelling policy narratives that resonate with policymakers and align with national health priorities. **Preferred Qualifications** + Bachelor's degree and **15+ ... with **healthcare coverage, reimbursement, and innovation policy** , including Medicare and other federal programs. + Established **network of relationships**… more
- Merck & Co. (VA)
- …the Vaccine Key Customer Leader (VKCL), Vaccine Medical Affairs Leader (VMAL), Region Medical Director (RMD) as well as other members of the extended team.- ... Interpersonal Relationships, Lead Generation, Managed Care, Market Analysis, Marketing, Medical Affairs, Medicare Managed Care, Pharmaceutical Sales Training,… more
- Ultimate Staffing (Long Beach, CA)
- …The Clinical Audit Manager will communicate effectively with the UM Manager and Director of Clinical Operations to ensure CAPs are clearly understood and addressed ... to detail in all deliverables. Provide guidance to claims staff on Medicare , Medi-Cal, and Commercial coding and adjudication rules. Maintain and update coding… more
- Eisai, Inc (Houston, TX)
- …of the US healthcare system across one or more major payer segments ( Medicare , Medicaid, Federal, and Commercial).Experience working with medical and pharmacy ... At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides...Access. Working closely with and reporting to the Associate Director , Access and Reimbursement, the ARM, will be the… more
- Stanford Health Care (Palo Alto, CA)
- …age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of ... federal and state regulations and guidelines, CMS (Centers for Medicare and Medicaid Services) and OIG (Office of Inspector...and other reviews as directed by the Manager and Director of HIMS Coding and Compliance Department. + Evaluates… more
- CSL Behring (King Of Prussia, PA)
- …reimbursement education and training and manages relationships with regional Medicare offices and Carrier Advisory Committees. **Main Responsibilities and ... marketing and sales objectives. + Work directly with third party payers and Medicare offices to insure adequate reimbursement for our products. + Provide monthly… more
- Commonwealth Care Alliance (Boston, MA)
- …performance improvement. The LTSS Program Manager reports to the Senior Director of Delegation Partnerships and Provider Engagement. The Provider Engagement team ... **Required Experience (must have):** + 5+ years + Experience with Medicaid and Medicare products and programs + Experience or knowledge of community based services… more
- Commonwealth Care Alliance (Boston, MA)
- …staff, including nurse reviewers and support personnel. - Act as liaison with medical director , provider relations, case management and quality teams to support ... Management (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care… more
- The Joint Commission (Oakbrook Terrace, IL)
- …appropriate judgment to seek assistance from others, including Central Office, the Field Director on call, the program specific Field Director , the Standards ... periodic performance reviews, evidence of standards compliance reports, complaints, and Medicare out-of-compliance reports. + Collaborate in a productive manner with… more
