- Northeast Georgia Health System, Inc (Gainesville, GA)
- …About the Role:Job SummaryUnder the general direction of the Executive Director , Corporate Controller, responsible for the coordination of all CMS reporting ... organization expert on CMS regulatory changes and will make recommendations to senior management related to proposed changes. Takes the lead for the organization's… more
- Southeast Georgia Health System (St. Marys, GA)
- …greet and offer assistance to residents and/or families and visitors entering the Senior Care Center. You will develop and maintain positive relationships with our ... patients, guests, other team members, and medical staff by striving for excellence in service and... appointments and transportation based on requests received from Senior Care Center clinical staff. Contacts responsible party or… more
- CVS Health (Hartford, CT)
- …affordable. Job Purpose and Summary: The LTSS/SAI National Senior Medical Director , reporting to a Regional CMO of Medicaid , will collaborate with Aetna ... members. This position will also lean heavily into the Medicaid cost reduction initiatives such as Scorable action items...team and develops specific actions to manage LTSS related medical cost trends* Develops benchmarks for LTSS clinical staff… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director (Staff Geriatrician or Physician with Ten (10) Years...population health management approaches and metrics specific to the senior population with a strong lens on intersecting behavioral… more
- Novo Nordisk (Plainsboro, NJ)
- …Public Affairs, Commercial, Marketing, Finance, and Marketing. Relationships Reports to Senior Director , Market Access Channel Strategy. Interacts frequently in ... role is based in Plainsboro, NJ. The Position The Director Market Access Channel Strategy is part of a...of landscape, changes, and trends in the Commercial, Medicare, Medicaid , Health Insurance Exchange (HIX) channels across all NNI… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Associate Director , Value-Based Solutions will be responsible for leading the operational performance of ... Humana Healthy Horizon's specialty value-based payment (VBP) model portfolio. The Associate Director will oversee a team of direct reports to implement operational… more
- Elevance Health (Indianapolis, IN)
- ** Medicaid Quality Management Health Plan Director Sr.** **Location:** This position will work a hybrid model (remote and office) out of the Indianapolis, ... reside within 50 miles of the Indianapolis office. The ** Medicaid ** **Quality Management Health Plan Director Sr.**...compliance with regulatory agencies and other objectives. In this senior role, also responsible to assist regional head of… more
- Humana (Frankfort, KY)
- …problems of diverse scope and complexity ranging from moderate to substantial. The Medicaid Pharmacy Director , internally known as a Clinical Pharmacy Lead, ... first** The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes… more
- CVS Health (New York, NY)
- …make health care more personal, convenient and affordable. Position Summary The Senior Manager of Provider Relations manages a team of Provider/Network Relations ... representatives (approximately 4) and reports to the local Lead Director . Oversees the maintenance of working relationships with the existing network and assists in… more
- Humana (Richmond, VA)
- …are in significant conflict with Humana IT's development timelines. + Serves as the ' Senior Business Architect' for Medicaid , with a strong understanding of how ... diverse scope and complexity ranging from moderate to substantial. The Medicaid Lead, Technology Solutions builds strategic partnerships and manages relationships… more
- WellSense (Boston, MA)
- …determinations, product benefits, internal medical policies and InterQual criteria . The senior director also works in collaboration with the Senior ... Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services...Director of Strategy and Operations, the BH Medical Director , the Senior Vice… more
- College of American Pathologists (Northfield, IL)
- …+ We offer a generous compensation and benefits package, 401K, and more The Senior Director , Strategic Sourcing and Procurement (the Senior Director ... needs of the College of American Pathologists (CAP). The departments under the Senior Director 's leadership serve as strategic partners to the broader CAP… more
- Gilead Sciences, Inc. (Washington, DC)
- …a direct impact. Join Gilead and help create possible, together. **Job Description** ** Senior Director , Reimbursement Policy** **Overview** **The Senior ... on both federal and state-level** **public programs like Medicare and Medicaid ** **.** **The scope of responsibilities will include identifying reimbursement policy… more
- Providence (Irvine, CA)
- **Description** \*This role will be based in Irvine, CA The Senior Director Support Services provides leadership, oversight and support to effectively execute ... are not limited to Facilities Engineering, EVS, Safety, Security, Emergency Management. This Senior Director will manage and coordinate the leaders of these… more
- Elevance Health (Columbus, OH)
- …Carelon Medical Benefits Management Clinical Operations team is looking to hire a ** Senior Medical Director ** to manage a team of physicians performing ... for our Musculoskeletal (MSK) Solution. (internal title: Manager Clinical Operations Medical Director ) Responsible for providing day-to-day guidance, support,… more
- DESC (Seattle, WA)
- Senior Director of Clinical Programs Seattle, WA (http://maps.google.com/maps?q=515+Third+Avenue+Seattle+WA+USA+98104) *Clinical Administration Apply Job Type ... population served. As a member of the senior management team, the Senior Clinical Director participates in the planning, coordination and management of… more
- CVS Health (Columbus, OH)
- …resistant illnesses through peer review and educational interventions.* Work with medical director teams focusing on inpatient care management, clinical ... Actively participate in meetings and communication with the state Departments of Medicaid in person as needed* Outward facing position to interact and collaborate… more
- Boehringer Ingelheim (Ridgefield, CT)
- …and benefit programs reflect Boehringer Ingelheim's high regard for our employees. The Senior Associate Director , Medical Science Liaisons will manage a ... area specific MSL team. Leveraging a strong background in leading medical field-based teams and frequent and consistent field-based interactions with MSLs,… more
- Providence (Irvine, CA)
- **Description** The Senior Director , Individual Market Sales & Broker Strategy, is responsible for developing and executing a sales and broker strategy to grow ... Group membership across the Division. In this role, the Senior Director will lead a team who...will maintain a strong relationship and connection with aligned Medical Groups and Affiliated Physicians to achieve growth goals.… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **37407BR** **Extended Job Title:** Senior Director - Medical Coding (School of Medicine/Alberta) **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso ... revenue cycle. The Joint Commission (TJC) accreditation standards, Centers for Medicare/ Medicaid Services (CMS) requirements, data reporting and submission, and core… more
