- Humana (Columbus, OH)
- …community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral ... Health Medical Director work assignments involve moderately complex to complex issues...authorized. All work occurs within a context of regulatory compliance and work is assisted by diverse resources which… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources, which...and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will… more
- Conviva (Jacksonville, FL)
- …a part of our caring community and help us put health first** The Associate Medical Director serves as a health-care professional and capable of handling ... a variety of health-related problems. The Associate Medical Director requires a solid understanding of how organization capabilities interrelate across… more
- CenterWell (Stone Mountain, GA)
- …a part of our caring community and help us put health first** The Associate Medical Director serves as a health-care professional and capable of handling ... a variety of health-related problems. The Associate Medical Director requires a solid understanding of how organization capabilities interrelate across… more
- Lancaster General Health (Lancaster, PA)
- …LGHP Hospitalists at LRH, serving as representative of the LGHP Hospitalists practice. The Associate director will report to LGHP Medical Director and have ... clinical staff of LRH. The primary function of the Associate director is to oversee all aspects...the staff of LRH in an effort to ensure compliance with LRH's Medical staff bylaws, Medical staff rules… more
- CareOregon (Portland, OR)
- …is a federal contractor and must comply with all federal laws. Job Title Associate Medical Director - Maternal, Child, and Youth Department Medical Management ... Requisition # 24391 Direct Reports N/A Manager Title Medical Director , CPCCO Pay & Benefits Estimated hiring range $117,000...Quadruple Aim. Direct support may be focused on Medicaid, Medicare , or Maternal, Child, and Youth Strategy lines of… more
- AbbVie (Chicago, IL)
- …Aesthetics on LinkedIn. Allergan Aesthetics | An AbbVie Company Job Description Associate Director , Market Access and Advocacy- Plastic Regenerative Medicine, ... reimbursement. This position will call on commercial payors, managed care organizations, Medicare MACs, state Medicaid, Medicare Advantage and commercial plans… more
- CenterWell (Carson City, NV)
- …a part of our caring community and help us put health first** The Associate Director , Risk Adjustment oversees quality assurance audits of medical records, ... HCPCS codes that are submitted to the Centers for Medicare and Medicaid Services (CMS), other payers, and over...other payers, and over government agencies. In addition, the Associate Director , Risk Adjustment oversees all medical… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …the creation of controls to manage fraud, waste and abuse schemes. + Support the Medicare compliance program by overseeing Medicare fraud waste and abuse ... on fraud waste and abuse work, present to the Medicare Compliance Committee and manage requests and...and that work/life balance is a key part of associate wellbeing. For more information on how we work… more
- State of Colorado (CO)
- Associate Director of Training, Court Services (Psychologist II) - Statewide Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4472560) Apply ... Associate Director of Training, Court Services (Psychologist...and stepwise increase autonomy + Promotes operational and administrative compliance with Forensic Services and CDHS policies and procedures,… more
- Humana (Louisville, KY)
- …part of our caring community and help us put health first** The Associate Director , General Accounting performs general accounting activities, including the ... statements. Conducts or assists in the documentation of accounting projects. The Associate Director , General Accounting requires a solid understanding of how… more
- Humana (Richmond, VA)
- …help us put health first** Humana Healthy Horizons in Virginia is seeking an Associate Director , Care Management (LTSS/ABD) who will lead teams of healthcare ... and guide others in providing integrated services for the clinical teams. The Associate Director , Care Management requires a solid understanding of how… more
- Daiichi Sankyo Inc. (Boston, MA)
- …research areas centered around rare diseases and immune disorders. **Summary:** The Associate Director Field Reimbursement (ADFR) is a critical front-line member ... the appropriate utilization of NCCN/ASCO guidelines, private payer, GPOs, Medicare and Medicaid structure, Specialty Pharmacy systems and reimbursement processes… more
- Conviva (Tallahassee, FL)
- …training program for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify ... coder errors and develop plans to address deficiencies/specific areas of focus. ** Associate Engagement and Retention:** + Develop and implement strategies to foster… more
- Daiichi Sankyo Inc. (Seattle, WA)
- …research areas centered around rare diseases and immune disorders. **Summary:** The Associate Director , Field Reimbursement (ADFR) is a critical front-line ... the appropriate utilization of NCCN/ASCO guidelines, private payer, GPOs, Medicare and Medicaid structure, Specialty Pharmacy systems and reimbursement processes… more
- Organon & Co. (Plymouth Meeting, PA)
- **Job Description** **The Position** This position will support the Director , Patient Access by providing product reimbursement expertise and by managing the ... Company's medications. + Work closely with legal and regulatory departments to ensure compliance with internal and external rules for all programs. + Development of… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
- Humana (Columbus, OH)
- …**Additional Information** Typically reports to a Lead, may also report to a Regional/ Associate Vice President or Corporate Medical Director , depending on size ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- MetroLink (Los Angeles, CA)
- Assistant Director , Finance (Grants) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4648818) Apply Assistant Director , Finance (Grants) ... Questions SUMMARY PURPOSE OF POSITION Metrolink is seeking a highly skilled Assistant Director , Finance to join our Finance team. The Assistant Director , Finance… more