- Albany Medical Center (Albany, NY)
- …financial, and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target recommendations in ... conjunction with AMHS Finance and other stakeholders. The Director possesses deep marketplace and payer contracting expertise to meet the high level,… more
- The Cigna Group (Columbus, OH)
- **WORK LOCATION: Cleveland or Independence, OH area.** The **Provider Contracting Director ** serves as an integral member of the Provider Contracting Team ... and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic direction and management of the day to day contracting … more
- Beth Israel Lahey Health (Wakefield, MA)
- …job, you're making a difference in people's lives.** Reporting to the Executive Director of Contract Finance, the Manager, Contracting Analytics will be ... produce complex documents, perform analysis and maintain databases. **Key Relationships:** 1 VP, Contracting 2 Director , Contracting 3 Director , Contract… more
- Mount Sinai Health System (New York, NY)
- …+ Seek to improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI, who will (1) be responsible for ... primary care + Based on experience and demonstrated skill set, could consider Senior Medical Director level and associated compensation Compensation range from… more
- Integra Partners (Troy, MI)
- The Senior Medical Director ( Senior MD) serves as the clinical and strategic leader for Integra's Utilization Management (UM) and Credentialing programs. ... representing Integra's clinical position to internal and external stakeholders. The Senior Utilization Review Medical Director 's responsibilities include but are… more
- Pfizer (Tampa, FL)
- **ROLE SUMMARY** The Sr. Director , AI & Data is responsible for directly overseeing and organizing wide-reaching Pfizer initiatives through digital-wide initiatives, ... architects and technical SME's towards a common technical vision. + Advise Senior leadership on emerging technology landscape externally and internally and enable… more
- Pfizer (Cambridge, MA)
- **ROLE SUMMARY** The Sr. Director , Pfizer Global supply chain is responsible for directly overseeing and organizing wide-reaching Pfizer initiatives through ... architects and technical SME's towards a common technical vision. + Advise Senior leadership on emerging technology landscape externally and internally and enable… more
- UNC Health Care (Morrisville, NC)
- …improve the health and well-being of the unique communities we serve. Summary: The HCS Director of Managed Care Contracting serves as one of the Health Care ... and leading efforts to develop plants to execute such projects. The HCS Director of Managed Care Contracting will optimize the organization's contract… more
- Cedars-Sinai (Los Angeles, CA)
- …organization where needed. Work with HR compliance to contribute to physician contracting , onboarding, credentialing, privileging, and alignment to employment ... organization where needed. Work with HR compliance to contribute to physician contracting , onboarding, credentialing, privileging, and alignment to employment… more
- Commonwealth Care Alliance (Boston, MA)
- …relations, contracting , or network operations, including 3-5 years in a director or senior management role. * Experience with value-based payment models, ... 011230 CA-Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of provider… more
- Huron Consulting Group (Chicago, IL)
- …team as the expert you are now and create your future. At Huron, a Senior Director leads with expertise and collaboration, partnering with Huron and client ... leaders to create sustainable solutions that drive meaningful results. As a Senior Director with our Healthcare team, you will lead complex healthcare consulting… more
- University of Washington (Seattle, WA)
- …within the finance and grants and contracts/research work groups. The Associate Director will direct all aspects of the department financial reporting, , including ... act as the primary contact for external organizations regarding contracting , has shared oversight of clinical research finance. The...to the Vice Chair of Finance and Administration (SOM Director ), and represent the Vice Chair in interpreting and… more
- Mount Sinai Health System (New York, NY)
- …within Mount Sinai. The team includes 400+ employees with clinical, contracting , finance, IT, analytics, operations, and product development expertise. MSHP is ... Health Officer and Chief Clinical Integration Officer of Mount Sinai. The **Associate Director of Quality** role is both strategic and operational. The Associate … more
- Penn Medicine (Philadelphia, PA)
- … documentation requirements.The CDI Physician Advisor role will report to the Senior Director of Health Information Management with a dotted line reporting ... Hours: M-F, 8hr days, hybrid Summary: + The CDI Physician Advisor is a key member of the healthcare...understanding impacts to clinical workflows + Provide feedback to Contracting on payer denial patterns relating to clinical documentation… more
- BrightSpring Health Services (Louisville, KY)
- …health management responsibilities + More than five years progressive leadership in PALTC/ senior care; prior multiple medical director or enterprise clinical ... Our Company Abode Care Partners Overview This physician executive provides clinical leadership to elevate quality, safety, and regulatory readiness across one or… more
- Surgery Care Affiliates (NJ)
- …more per week + Confidence and demeanour to gain the respect of senior executives and physician leadership of independent specialty groups + Outstanding ... more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals....If you join our team, they will. Responsibilities The Director of Practice Operations will work closely with the… more
- Henry Ford Health System (Troy, MI)
- …Medical Officer AVP, Population Health Management AVP, Quality Improvement and Management Senior Director Medicare Stars, HEDIS, and Reporting HAP Medical ... The HAP Medical Director represents the plan and its interests in...business processes and departmental goals and objectives between provider contracting , provider relationship management, medical directors and medical management… more
- CommonSpirit Health (Englewood, CO)
- **Job Summary and Responsibilities** The Director , Strategic Sourcing Purchased Services is responsible for overseeing a National Perspective and Strategic Focus for ... Services value improvement goals while preserving quality, safety, and patient/ physician satisfaction. + Maintain sourcing calendar ensuring proper lead time… more
- Texas Health Resources (Arlington, TX)
- …transition management principles. Escalates issues to Chief Quality Medical Officer (CQMO), Physician Advisor, and/or Senior Director as appropriate. Fiscal ... Director Care Transition _Are you looking for a...in a timely manner. Reviews and discusses patient, staff, physician , and other department complaints Education Bachelor's Degree Nursing… more
- Molina Healthcare (St. Clair Shores, MI)
- …Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... provider information on all claims and provider databases. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy, issue… more
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