- AmeriHealth Caritas (Newtown Square, PA)
- **Corporate Director , Population Health Clinical Operations , Medicare ** Location: Newtown Square, PA Primary Job Function: Medical Management ID**: 37990 ... of Medicare Care Management and the Chief Medical Officer, the Corporate Director , Population Health Medicare Clinical Operations is responsible for… more
- Elevance Health (Columbus, OH)
- …deliver member-centered, lasting pharmacy care. In this pivotal role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account Director ... preserving and deepening relationships with clients which include Elevance Health Medicare Health Plans. This position, structured around geographic regions and… more
- Molina Healthcare (NY)
- …+ 5-10 years' experience in Managed Care, specifically government programs and/or Medicare /Duals Health Plan Operations + Strong leadership in a matrixed ... regulatory requirements. **Job Duties** + Under the leadership of the VP Medicare Segment Lead, this role will facilitate transparent and compliant execution of… more
- Elevance Health (Atlanta, GA)
- ** Medicare Medical Director ** Location: This position will work a hybrid model (remote and office). The ideal candidate will **must live** within 50 miles of one ... of our Elevance Health PulsePoint locations. The ** Medicare Medical Director ** is responsible for the...consultation and serve as clinical/strategic advisor to enhance clinical operations . May identify cost of care opportunities. May serve… more
- Elevance Health (Columbus, OH)
- ** Director of Medicare Risk Adjustment Analytics and Reporting** **Location:** This position will work a hybrid model (remote and office). The ideal candidate ... will live within 50 miles of our Elevance Health PulsePoint locations. The ** Director of Medicare Risk Adjustment Analytics and Reporting** is responsible for… more
- Molina Healthcare (NY)
- …* Directs and coordinates all aspects of Member and Provider Contact Center operations through partnerships with other teams and departments, as well as development ... of their own team. * Meets and exceeds department KPI's including productivity and service quality goals. Implements strategies to meet/exceed goals. * Drives process improvements to ensure performance standard goals including quality goals are met *… more
- Elevance Health (Atlanta, GA)
- …objectives. + Collaborates with management to set strategic vision; oversees manager(s)/ director (s) with direct reports. + Hires, trains, coaches, counsels, and ... **Preferred Skills, Capabilities and Experiences** + Knowledge and understanding of Medicare rules and regulations for program areas including but not limited… more
- Point32Health (Canton, MA)
- …are approved by senior leadership, the Senior Manager, in collaboration with the Director , is responsible for all necessary product filings with CMS and other ... and timelines. The Senior Manager works closely with claims, membership operations , clinical services, care management, customer relations, sales, marketing, and… more
- US Tech Solutions (Canton, MA)
- …and/or government agencies. This position works under the direction of the Director , Corporate Program Management Office (CPMO). The Lead Corporate Program Manager ... and key initiatives. + Proactive and solutions-oriented management of program operations and integration issues, requiring the ability to conceptualize and envision… more
- Ascendis Pharma (Princeton, NJ)
- …and develop their skills. Ascendis Pharma is looking to hire an experienced Director , Contract Operations to join our team. Responsibilities will include ... tactical, demonstrating strong leadership, project management, and communication skills. As the Director , Contracting Operations , you will oversee all aspects of… more
- Kestra Medical Technologies, Inc (Kirkland, WA)
- …and their care teams harmoniously monitor, manage, and protect life. The Director , People Operations is responsible for effectively developing and managing ... the activities of Kestra's People Operations function as they relate to Operational Development &...and Organizational Design. This role also collaborates with the Director , Talent Acquisition & Development in the area of… more
- New York State Civil Service (Ogdensburg, NY)
- …of Title Director of Inpatient and Outpatient Treatment Services, Deputy Director , Psychiatric Center 1 - Operations , M-4, St. Lawrence Psychiatric Center, ... of Mental Health (OMH) facility, is recruiting a Deputy Director , Psychiatric Center 1 - Operations who...on any of the Federal and/or State Medicaid and Medicare exclusion lists. If appointed and subsequently listed as… more
- Access Dubuque (Dubuque, IA)
- Director Clinic Operations **UnityPoint Health Finley Hospital** 1 Positions ID: 38830491 Posted On 11/15/2024 **Job Overview** **Overview** ** Director of ... Operations ** **UnityPoint Health** **Monday-Friday 8:00AM-5:00PM** **Full Time Benefits** **The Director of Operations is responsible for the operational… more
- CenterWell (Carson City, NV)
- …a part of our caring community and help us put health first** The Associate Director of MSO Operations supports the Las Vegas market. The Associate Director ... level of practice satisfaction and effective management of local field teams. The Associate Director of MSO operations is a relationship manager and leader in… more
- Genesis Healthcare (Charleston, WV)
- Revolutionize Healthcare with AlignMed Partners! We're seeking a dynamic Director of Physician Operations to join our growing team. Are you a seasoned healthcare ... contracted physicians, medical directors, contracted APPS, specialty consultants, medical director agreements with Operators/Centers. + Identifies, develops, implements and… more
- CVS Health (Sacramento, CA)
- …and can be located anywhere in the United States. In this role as Medical Director MPO (Medical Policy & Operations ) you will be responsible for providing ... Health company has an outstanding opportunity for a Medical Director . Ready to take your career to the next...and predetermination of covered benefits in the Commercial and Medicare environment. In addition, be a subject matter expert… more
- AccentCare, Inc. (Dallas, TX)
- Overview Find Your Passion and Purpose as a Director Executive Operations Reimagine Your Career in Corporate Healthcare As a professional, you know that what you ... for your first AccentCare-branded scrubs for patient-facing employees Qualifications Be the Best Director Executive Operations You Can Be If you meet these… more
- Elevance Health (Cerritos, CA)
- …medical policy and Medicare Coverage Determinations. The **Associate Medical Director , Clinical Operations ** is responsible for supporting the medical ... cardiac testing and sleep management services. Medical Directors in Clinical Operations determine the medical necessity of outpatient radiology, cardiology, sleep… more
- Marshfield Clinic (Weston, WI)
- …support the most exciting missions in the world!** **Job Title:** System Director - Staffing Operations **Cost Center:** 301081296 Service Line Admin **Scheduled ... - 5:00 pm (United States of America) **Job Description:** **JOB SUMMARY** The Director - System Staffing Operations oversees the deployment of clinical resources… more
- AbbVie (Mettawa, IL)
- …key partners to deliver meaningful business solutions and impact. The 340B COE Director of Business Operations is a leadership role with technical expertise ... in the business and operations of the 340B program; responsible for leading a...to eliminate duplicate discount scrubbing (Medicaid In-House Medicaid CP, Commercial/ Medicare ), CP Policy, CE eligibility, etc.) + Develop 340B… more