- Novo Nordisk Inc. (WA)
- …Insurance, Medicare , Medicaid, Reference Pricing, Pricing / Price Increases, Reimbursement , Privacy, Labor / Employment Develop NNI's policy positions, in line ... in Plainsboro, NJ or Washington, DC. The Position The Director - US Tax, Trade, IP works on complex...savings plan; flexible spending accounts; employee assistance program; tuition reimbursement program; and voluntary benefits such as group legal,… more
- Sanctuary Hospice (Cleveland, OH)
- Overview Sanctuary Hospice is looking for a Program Director to oversee our Hospice Program in Cleveland! The Hospice Director will provide overall leadership ... financial management, customer service and quality care delivery. As the Hospice Program Director , you will take on a dynamic role in overseeing and administering… more
- Wealthy Group of Companies LLC (Overland Park, KS)
- …nationalexpansion. This role is 100% in office, in Paola Kansas. The Executive Director at our Paola, Kansas facility is the highest-ranking leader in our flagship ... for servingaddiction treatment clients. Following the departure of our currentExecutive Director , who joined during a transitional period and ledthe facility to… more
- Regal Medical Group, Inc. (Northridge, CA)
- Position Summary: The role of the Director , Prior Authorization Clinical RN is to manage the prior authorization nurse case managers and support staff ... medical groups for which this position has oversight. The Director coordinates, plans and manages staff activities; develops with...state, and federal regulatory requirements (eg, DMHC, Medicaid, CMS Medicare Part C & D, NCQA where applicable) to… more
- Medical Mutual (Cleveland, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Oversees the procurement ... have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of… more
- Opportunity Home San Antonio (San Antonio, TX)
- …07/10/2025 Closing Date: 7/25/2025 5:00 PM Central Description Summary The Assistant Director of Affordable Housing Communities, under the direction of the ... Director , is a senior management position responsible for performing...MCGRIFF INSURANCE SERVICES This is a voluntary benefit. Medical reimbursement and Dependent Care reimbursement accounts allow… more
- Healogics (Ashland, OH)
- …patients that would benefit through our out-patient clinic partnerships The Program Director or Program Manager is responsible for the management and the strategic ... financial management, quality/performance improvement, and community education. The Program Director /Program Manager is also responsible for maintaining collaborative and… more
- Vertex Pharmaceuticals (Boston, MA)
- Job Description Reporting to the Director , Contract Operations, this role is responsible for the lifecycle management process of agreements within the US Market ... Access Organization (Commercial and Government (ex: Medicare Advantage and Part D)) Full Line Wholesalers, Specialty Distributors, Specialty Pharmacies, Group… more
- CommuniCare Family of Companies (Frostburg, MD)
- Medical Director - Physician The Personalized Health Partners medical practice is currently recruiting a physician to serve as Medical Director covering Keyser ... Healthcare Center located in Keyser, WV . As Medical Director , you will be part of an exciting new model of care combining good old fashioned bedside manner with… more
- Presbyterian Medical Services (Alamogordo, NM)
- …Affairs. Administrative supervision is provided by the program Administrator . The Medical Director must operate in accordance with the terms and conditions of the ... hospital, if applicable. *DEA license and New Mexico Controlled Substance Registration (CSR). * Medicare PIN and UPIN numbers. *Medicaid number. *Have or be able to… more
- Tennessee Hospital Association (Brentwood, TN)
- …waiver proposals, and others. 5. Develops and maintains a working knowledge of Medicare reimbursement systems in order to make strategic recommendations for ... to support member hospitals, including, but not limited to, Medicare and TennCare reimbursement . This position assists...1. Guidance and direction are provided by the Senior Director of Financial Policy, THA SVP of Finance and… more
- DHR Health (Edinburg, TX)
- …criteria and review processes highly desirable. Knowledge and understanding of Medicare and Medicaid guidelines and regulations pertaining to utilization review and ... and reports individual practitioner variances appropriately to PA or Department Director . Participates in respective nursing unit meetings providing Case Management… more
- NorthShore (Arlington Heights, IL)
- …Explains, secures and witnesses all required signatures. Completes the Medicare Secondary Payer (MSP) questionnaire when applicable. Scans insurance cards, ... IDs, insurance referrals and authorizations, consents, physician orders, HIPAA, Medicare Advance Beneficiary Notice and other regulatory paperwork into hospital's… more
- NorthShore (Arlington Heights, IL)
- …multiple access services areas or sites to provide information to maximize reimbursement and ensures timely and thorough information to all other providers and ... meet internal, regulatory or payer requirements. When applicable, completes the Medicare Secondary Payer (MSP) questionnaire and discusses potential deferral of… more
- CVCH (Chelan, WA)
- …quality of care for CVCH patients in coordination with Clinical Services Director , Nursing Supervisor, and nursing staff. 12. Responsible for maintenance of ... and participates in CVCH committees as directed by Medical Director . 14. Leads by example and sets a standard...BLS. All Providers must be eligible for enrollment in Medicare and must not be currently opted out of… more
- City of El Segundo, CA (El Segundo, CA)
- …AND EXERCISED: Receives general supervision from the Community Development Director . Provides direct supervision to administrative, technical and support staff. ... to established personnel policies and procedures and in consultation with the Director and Human Resources; Regularly and predictably attends works; and Performs… more
- Apple Rehab (Mystic, CT)
- …and CMA Appeal Requests to ensure timely submission to the Corporate Clinical Reimbursement Director Prepares and mails resident account statements quarterly and ... in long-term care billing and collections; working knowledge of State Medicaid and Medicare law and third party insurance. Patience, tact and a positive attitude… more
- UCare (Minneapolis, MN)
- ABOUT UCARE UCare offers Medicare , Medicaid, Individual and Family health plans - powered by the hardest working people in the industry. Our people powered teams ... and growth/expansion markets. Support the Provider Relations and Contracting Director , in collaboration with legal, on Participating Provider Agreements, Letters… more
- Children's Health (Dallas, TX)
- …Health System of Texas. Assist both the Manager of Accreditation and Sr. Director in overall continual regulatory readiness and compliance with all standards and ... Resources and other regulatory agencies such as Centers for Medicaid and Medicare . Participate in and coordinate ongoing readiness activities for the healthcare… more
- City of Glendora, CA (Glendora, CA)
- …is HIGHLY desirable. Under general direction from an Assistant Public Works Director , plans, organizes, oversees, coordinates and supervises the day to day ... (CIP); provides technical assistance and direction to the Assistant Public Works Director assigned to the Water Division, other management staff, and other City… more
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