- Merck & Co. (North Wales, PA)
- Job DescriptionAssociate Director , Pulmonary Arterial Hypertension (PAH) Payer Marketing & Access Strategy As Associate Director , PAH & Rare Disease Payer ... initiatives for US Payer & PBM (Health Plan, PBM, Medicaid , Medicare, Federal, Employer) to achieve market access goals.Proactively...your employment may pose an undue burden to business operations , in which case you may not be offered… more
- 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/64187/ medicaid -chip- eligibility -assistant-program- director /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834477830) **New to Serco?** Join… more
- Conduent (Hamilton, NJ)
- …part of a culture where individuality is noticed and valued every day. ** Director , Medicaid Eligibility ** **_(Relocation Assistance & $ign-On Bonus ... This is an exciting opportunity to utilize your expertise to transform operations in a stimulating and rewarding environment. **Responsibilities** + Directing the… more
- Loretto Management Corporation (Syracuse, NY)
- Overview The primary purpose of the Medicaid Eligibility Coordinator is to assist potential PACE CNY participants and families in the application process for ... & Marketing. + Responsible for maintaining a log of Medicaid Eligibility . + Work with potential PACE... Medicaid system and benefits; have experience in Medicaid operations and understand financial assets such… 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
- CVS Health (Princeton, NJ)
- …partnership with the ABHNJ CMO, CFO, MLTSS Director , Integrated Case Management Director , Medicaid Operations and Performance Medicaid Vendor ... all ABHNJ vendors and all aspects of participant direction operations . The Director of Vendor Management and...Managing oversight of all ABHNJ vendors in consultation with Medicaid Vendor Management Director + Managing the… more
- Elevance Health (Columbus, OH)
- …reviews for our Musculoskeletal (MSK) Solution. (internal title: Manager Clinical Operations Medical Director ) Responsible for providing day-to-day guidance, ... radiology, cardiology and oncology. Carelon Medical Benefits Management Clinical Operations team is looking to hire a **Senior Medical... team is looking to hire a **Senior Medical Director ** to manage a team of physicians performing clinical… 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
- New York State Civil Service (Queens Village, NY)
- …and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain QHP Status and Medicaid /Medicare ... and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain QHP Status and Medicaid /Medicare… 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
- Elevance Health (Raleigh, NC)
- …our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral health medical services, to ... Amerigroup, is a proud member of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services… 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
- HCA Healthcare (Brentwood, TN)
- …Do you want to join an organization that invests in you as a Director of Payer Engagement? At HCA Healthcare, you come first. HCA Healthcare has committed ... 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
