• Cambia Health Solutions, Inc (Renton, WA)
    Provider Performance Director , Medicare Advantage (HEALTHCARE)Telecommute or Tele-Flex Options (Depending on location) - Must reside in ID, OR, UT or ... management? We're searching for a talented Government Programs Provider Performance Director to join...a Government Programs Provider Performance Director !Preferred Key Experience: Familiarity with Medicare Advantage… more
    JobGet (04/30/24)
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  • Option Care Health (Bannockburn, IL)
    …JD, MBA, MPH) or clinical certificationDirect experience with a healthcare provider or pharmaceuticalsDirect experience applying knowledge of Medicare , Medicaid, ... Extraordinary Careers. Endless Possibilities. With the nation's largest home infusion provider , there is no limit to the growth of your career. Option Care Health,… more
    JobGet (05/03/24)
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  • Compass Health Network (Union, MO)
    …serve clients in our service areas and need you to make this happen! The Director of Nursing - Primary Care is part of the person-centered integrated care team and ... cycles for process ImprovementKeep informed of, and communicate, any changes to Medicare , Medicaid, and any Private Insurance Carriers regarding covered services and… more
    JobGet (04/29/24)
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  • Option Care Health (York, PA)
    Extraordinary Careers. Endless Possibilities. With the nation's largest home infusion provider , there is no limit to the growth of your career. Option Care Health, ... the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team...direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also… more
    JobGet (05/22/24)
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  • Option Care Health (Brooklyn, NY)
    Extraordinary Careers. Endless Possibilities. With the nation's largest home infusion provider , there is no limit to the growth of your career. Option Care Health, ... the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team...Regional Manager of nursing is responsible for assisting the Sr./ Director , Operations and/or Area Director of Nursing… more
    JobGet (05/07/24)
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  • Option Care Health (Cincinnati, OH)
    Extraordinary Careers. Endless Possibilities. With the nation's largest home infusion provider , there is no limit to the growth of your career. Option Care Health, ... Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we… more
    JobGet (05/09/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …care. Contributes to the provision of quality nursing care through performance improvement processes that demonstrate positive outcomes in patient care. Provides ... care. Contributes to the provision of quality nursing care through performance improvement processes that demonstrate positive outcomes in patient care. Provides… more
    JobGet (05/14/24)
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  • Marion County (Salem, OR)
    …culture. Review supervisors work for completeness, accuracy, quality, and quantity. Provide regular feedback on performance to supervisors and their ... employees. Use reports and data to provide transparent, data-driven feedback on outcomes and ...from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide more
    JobGet (05/21/24)
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  • Atrium Health (Charlotte, NC)
    …quality of care metrics. Assumes accountability as delegated by the Director . Essential Functions: Position manages and develops interprofessional teams, providing ... critical workflows and is responsible for reporting and monitoring key performance measurement activities. Upholds all AAH leadership behaviors while performing… more
    JobGet (04/08/24)
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  • Medicare Affordability Director

    The Cigna Group (Houston, TX)
    …high-quality, and competitive solutions to the market. This critical role on the Medicare Performance Optimization team will be accountable for financial ... The Medicare Affordability Director serves as the...stream strategy, along with plans designed to ensure Cigna's Medicare programs meet key business performance goals.… more
    The Cigna Group (05/11/24)
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  • Medicare Telesales Director - Cigna…

    The Cigna Group (Bloomfield, CT)
    … significant opportunities for a leader to shape a significant component of the Medicare Growth strategy. The Director of Telesales will lead strategy and ... - United States** **Summary** The Direct to Consumer (DTC) Medicare channel is a significant driver of current and...sales execution. **_People_** + Build, motivate and lead a high- performance team. Develop direct reports and provide more
    The Cigna Group (05/18/24)
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  • Associate Director , Group Medicare

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …true colors to blue. Reporting to the SVP, Sales & Client Management, the Director , Group Medicare Sales, is an integral member of the leadership team-driving ... management team to develop strategies that shape BCBSMA's overall direction in Medicare , achieve the company's performance goals and deliver an exceptional… more
    Blue Cross Blue Shield of Massachusetts (04/22/24)
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  • Executive Director , Finance Consolidation…

    CVS Health (Hartford, CT)
    …strategic thought leader in support of business direction. Monitor and report on performance relative to plan and strategic alignment. Provide financial analysis ... team members as required in support of strategic initiatives. Provide business and financial expertise needed to set planning...supporting Medicare , as well as the core Medicare Finance team. This Executive Director will… more
    CVS Health (05/01/24)
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  • Director , Medicare Risk Adjustment…

    Somatus (Mclean, VA)
    Overview The Director , Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of the organization's Risk Adjustment Programs to ... ensure program compliance with governing bodies' regulations, including the Center for Medicare and Medicaid Services. This role will partner with leadership to… more
    Somatus (03/19/24)
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  • Executive Director , FP&A - Medicare

    CVS Health (Hartford, CT)
    …will also play an important part in helping to align and communicate the Medicare Local Market teams around current performance , and the forecasts and Budgets ... Performance Management teams to drive local market performance and accountability across the 4-5 Medicare ...regions. Help set targets for unit cost, VBC and Provider Collaboration oversight, HHVs, Chart collection, In-Office Program, and… more
    CVS Health (05/01/24)
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  • Director , Medicare Compliance…

    Commonwealth Care Alliance (Boston, MA)
    **Why This Role is Important to Us:** The Director of Regulatory Compliance works directly with the Vice President Health Plan Regulatory Compliance/National ... Medicare Compliance Officer to develop and maintain an effective...Program; and disseminating requirements to appropriate internal staff. The Director of Regulatory Compliance is accountable to strengthen internal… more
    Commonwealth Care Alliance (05/15/24)
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  • Medicare Medical Director Clinical…

    Elevance Health (Richmond, VA)
    …content development and practice transformation embedded capabilities to significantly improve provider performance that drive cost of care and improve ... is a proud member of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services to… more
    Elevance Health (05/14/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Columbus, OH)
    …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...healthcare professionals in compliance with review policies, procedures, and performance standards. Represents Humana at Administrative Law Judge hearings.… more
    Humana (05/02/24)
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  • Director of Medicare Risk Adjustment…

    Elevance Health (Woodland Hills, CA)
    ** Director of Medicare Risk Adjustment Analytics and Reporting** **Location:** This position will work a hybrid model (remote and office). The ideal candidate ... miles of our Elevance Health PulsePoint location in Woodland Hills, CA. The ** Director of Medicare Risk Adjustment Analytics and Reporting** is responsible for… more
    Elevance Health (05/14/24)
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  • Assistant Director of Medicare

    UCLA Health (Los Angeles, CA)
    …do all this and more at UCLA Health. As an important member of our Medicare Advantage team, you will provide strategic oversight and leadership for our Member ... and Provider Contact Center. You will be responsible for ensuring...will lead, manage, coach, and develop teams to achieve high- performance standards in alignment with UCLA Health's mission and… more
    UCLA Health (05/08/24)
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