- Serco (Washington, DC)
- … eligibility reviews, including eligibility review policies, business process; operations and contract deliverables, for estimating Medicaid and CHIP ... other legally protected characteristics. Click here to apply now (https://careers-sercous.icims.com/jobs/63797/ medicaid -chip- eligibility -assistant-program- director /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834477830) **New to Serco?** Join… more
- Conduent (Hamilton, NJ)
- …culture where individuality is noticed and valued every day. **Job Description:** ** Director , Medicaid Eligibility ** **_(Relocation Assistance & $ign-On ... This is an exciting opportunity to utilize your expertise to transform operations in a stimulating and rewarding environment. **Responsibilities** + Directing the… more
- CareOregon (Portland, OR)
- …Nevada, Texas, Montana, or Wisconsin. Job Title Actuarial Services Manager - Medicaid and Medicare Exemption Status Exempt Department Finance Manager Title ... Director , Actuarial Services Direct Reports Actuarial Staff Requisition #...position is responsible for managing actuarial analysis related to Medicaid and Medicare Advantage lines of business with a… more
- Humana (Richmond, VA)
- …diverse scope and complexity ranging from moderate to substantial. The Medicaid Lead, Technology Solutions builds strategic partnerships and manages relationships ... + **The CIO is dedicated full-time to the Virginia Medicaid product lines and must reside in the state...here on the previous bullet. + Collaborate with Market Operations /leadership in problem solving and help with workarounds as… more
- City of New York (New York, NY)
- …to process applications including screening, intake, and assessment and monitoring of Medicaid eligibility and all related community alternative health care ... the day-to-day direction of the personnel engaged in processing applications, monitoring Medicaid eligibility and conducting eligibility assessments for… more
- Serco (Washington, DC)
- … policies and medical records; medical reviews, data processing reviews, and eligibility reviews of selected state Medicaid and CHIP fee-for-services (FFS) ... insurance eligibility and/or claims processing policy, particularly for the Medicaid and Children's Health Insurance Program, as well as technical understanding… more
- Elevance Health (Columbus, OH)
- …ask you for payment as part of consideration for employment. **Senior Medical Director , Clinical UM Operations ** + Job Family: MED > Licensed ... reviews for our Musculoskeletal (MSK) Solution. (internal title: Manager Clinical Operations Medical Director ) Responsible for providing day-to-day guidance,… more
- WellSense (Boston, MA)
- …criteria . The senior director also works in collaboration with the Senior Director of Strategy and Operations , the BH Medical Director , the Senior ... Senior Director of BH Clinical Programs WellSense Health Plan...and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical… more
- Serco (Washington, DC)
- …review policies, business process; operations and contract deliverables, for estimating Medicaid and CHIP eligibility error rate and improper payments. + ... **Position Description** Serco is seekinga motivated Assistant Program Director for Medical Claims Review to join our...and medical records; medical reviews, data processing reviews, and eligibility reviews of selected state Medicaid and… more
- City of New York (New York, NY)
- …of independent judgement and initiative, the Director of the Out-Stationed Eligibility Division (OED) manages the operations of staff involved in the ... New York. Applying individuals and families are approved for eligibility against applicable Federal and State guidelines. Those found...no cost. Under the general direction of the Senior Director of Medicaid Community Offices with wide… more
- University of Colorado (Aurora, CO)
- …routine provider meetings and staff meetings + Collaborates with the CU Medicine Director of Primary Care Operations and the Department of Family Medicine ... Medical Director Department of Family Medicine Innovation Practice -...the clinic is hosting learners **Administrative/Professional Development** + Maintain eligibility for School of Medicine Faculty. + -Keep abreast… more
- HCA Healthcare (Nashville, TN)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... and performing the day‐to‐day operations and workflow of the facility-based HIM operations . You will assist the Regional HIM Director with the oversight and… more
- HCA Healthcare (Brigham City, UT)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... and performing the day‐to‐day operations and workflow of the facility-based HIM operations . You will assist the Regional HIM Director with the oversight and… more
- HCA Healthcare (Las Vegas, NV)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... and performing the day‐to‐day operations and workflow of the facility-based HIM operations . You will assist the Regional HIM Director with the oversight and… more
- CareFirst (Baltimore, MD)
- …office; therefore, candidates must live within driving distance.** **PURPOSE:** Director , Pharmacy Government Programs is responsible for implementing the ... organization's pharmacy vision and strategic plan for government programs (Medicare and Medicaid ). This role has oversight of pharmacy staff and develops and… more
- HCA Healthcare (San Antonio, TX)
- …Do you want to join an organization that invests in you as a(an) Director of Transplant Clinics? At Methodist Hospital Specialty and Transplant, you come first. HCA ... on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** You contribute… more
- University of Oregon (Eugene, OR)
- …successful completion of a criminal background check and routine screening of Medicaid and Medicare Exclusion Lists. Employee loses eligibility for employment ... Assistant Director , Diagnostic Services Apply now (https://secure.dc4.pageuppeople.com/apply/726/gateway/default.aspx?c=apply&lJobID=533625&lJobSourceTypeID=831&sLanguage=en-us) Job no:… more
- CVS Health (Richmond, VA)
- …processing, utilization management, case management, network access requirements, and Medicaid eligibility and capitation.* Advanced data analytics skills, ... to make health care more personal, convenient and affordable. Position SummaryThe Sr. Director of Value Based Payment Transformation (Sr. Director ) is a key… more
- HCA Healthcare (Salt Lake City, UT)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... duties as assigned by the Regional Patient Access Director or Patient Access Director in relation to daily operations of all functions. **What you will do… more
- HCA Healthcare (Anchorage, AK)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... where diversity and inclusion thrive? Submit your application for our Patient Access Director opening with Alaska Regional Hospital today and find out what it truly… more