• Medical Director - National Medicare

    Humana (Columbus, OH)
    …May participate on project teams or organizational committees. Reports to a Lead Medical Director . **Required Qualifications** + MD or DO degree + 5+ ... or data requires an in-depth evaluation of variable factors. The Medical Director for the National Medicare Outpatient Team provides medical interpretation… more
    Humana (11/08/24)
    - Save Job - Related Jobs - Block Source
  • Senior Manager, Medicare Product…

    Point32Health (Canton, MA)
    …product strategies in collaboration with Product Strategy counterparts; and 2) lead key aspects of product implementation and administration processes, including ... design, regulatory requirements, and implementation feasibility. The Senior Manager may also lead some workgroups to help flesh out detailed requirements to support… more
    Point32Health (11/08/24)
    - Save Job - Related Jobs - Block Source
  • Lead Sales Director , Growth, CVS…

    CVS Health (Hartford, CT)
    …and supporting providers and payers in successfully delivering on value-based care programs. The Lead Director , Growth, CVS Accountable Care is a key member of ... and deliver solutions to make health care more personal, convenient and affordable. ** Lead Sales Director , Growth, CVS Accountable Care** This is a remote… more
    CVS Health (10/18/24)
    - Save Job - Related Jobs - Block Source
  • Medical Director - Mid West Region

    Humana (Columbus, OH)
    …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... 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
    Humana (10/29/24)
    - Save Job - Related Jobs - Block Source
  • Medical Director --Claims Management

    Humana (Columbus, OH)
    …adapt and the courage to innovate + **Additional Information** Typically reports to a Director of Health Services, Lead , or Corporate Medical Director , ... 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
    Humana (10/29/24)
    - Save Job - Related Jobs - Block Source
  • Medical Director - Acute Rehab Team

    Humana (Columbus, OH)
    …an impact** Additional Information Typically reports to a Regional/Associate Vice President, Lead , or Corporate Medical Director , depending on size of region ... 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
    Humana (11/05/24)
    - Save Job - Related Jobs - Block Source
  • Senior Director Clinical Programs - Remote

    Martin's Point Health Care (Portland, ME)
    …manage care coordination services, and manage success of programs. + Strong project management experience required. + Experience in Medicare Advantage and ... as a "Great Place to Work" since 2015. Position Summary The Senior Director Clinical Programs provides oversight and coordination of care management and disease… more
    Martin's Point Health Care (08/20/24)
    - Save Job - Related Jobs - Block Source
  • Director , Provider Management Solution…

    Healthfirst (FL)
    …variety of digital claims capabilities on our modernization roadmap + Analyzes project needs and determines people, process, and technology resources needed to meet ... influencing impact and progress to senior leadership + Experience with Medicare /Medicaid and Commercial Healthcare + Strong leadership capability with experience… more
    Healthfirst (10/23/24)
    - Save Job - Related Jobs - Block Source
  • Director , Business Transformation

    Convey Health Solutions (Fort Lauderdale, FL)
    …about emerging technologies and industry trends to identify opportunities for innovation. Project Management: * Lead and manage multiple transformation projects ... OVERVIEW The Director of Business Transformation is responsible for driving...and cross-functional teams to identify opportunities for improvement and lead projects that enhance the company's product offerings (existing… more
    Convey Health Solutions (10/22/24)
    - Save Job - Related Jobs - Block Source
  • Director Patient Access & RHM Financial…

    Trinity Health (Dubuque, IA)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** The director leads and directs the work of the assigned Regional Health Ministry (RHM) Patient ... Access and Revenue Excellence functions. **POSITION PURPOSE** The director leads and directs the work of the assigned Regional Health Ministry (RHM) Patient Access… more
    Trinity Health (10/22/24)
    - Save Job - Related Jobs - Block Source
  • Program Director

    Kepro (Albany, NY)
    …cross-functional teams and senior stakeholders + Develop detailed status reports for both project management team and customer + Lead transformation and change ... innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra...the public sector. Acentra is looking for a Program Director to join our growing team. Job Summary: As… more
    Kepro (10/08/24)
    - Save Job - Related Jobs - Block Source
  • Director , Contracting Operations - Job ID:

    Ascendis Pharma (Princeton, NJ)
    …the ability to be both strategic and tactical, demonstrating strong leadership, project management, and communication skills. As the Director , Contracting ... develop their skills. Ascendis Pharma is looking to hire an experienced Director , Contract Operations to join our team. Responsibilities will include implementing… more
    Ascendis Pharma (10/10/24)
    - Save Job - Related Jobs - Block Source
  • Senior Corporate Compliance Director

    University of Michigan (Ann Arbor, MI)
    Senior Corporate Compliance Director - HIPAA Officer Apply Now **Job Summary** The Senior Corporate Compliance Director (?Senior Director ?) is responsible ... (?MM?) statewide Corporate HIPAA Compliance Program (?Program?). The Senior Director ?s responsibilities include, but are not limited to, developing, implementing,… more
    University of Michigan (10/30/24)
    - Save Job - Related Jobs - Block Source
  • Director of Software Quality Assurance…

    Kepro (NC)
    …methodologies (Scrum, Kanban) and a proven ability to create, manage, and execute project plans. + Strong domain knowledge of Medicare , Medicaid, or healthcare ... Acentra is looking for a Software Quality Assurance Director to join our growing team. Job Summary:...in software quality. In this high-impact position, you will lead best practices to achieve a zero-defect production environment,… more
    Kepro (10/21/24)
    - Save Job - Related Jobs - Block Source
  • Medical Director , Behavioral Health (Part…

    Magellan Health Services (San Diego, CA)
    …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May ... the health plan(s) for all lines of business (Medicaid, Medicare , and Commercial) and implements programs to support this...project teams as directed by the senior medical director or vice-president. + Supports senior medical director more
    Magellan Health Services (10/27/24)
    - Save Job - Related Jobs - Block Source
  • Assistant Director , Corporate Compliance

    Brockton Hospital (Brockton, MA)
    …make a difference in the lives and health of our patients. The Assistant Director , Corporate Compliance (Assistant Director ) is a member of the Compliance ... (CCO) with the institutional compliance program planning and execution. The Assistant Director will utilize prior hospital operations experience in support of the… more
    Brockton Hospital (10/19/24)
    - Save Job - Related Jobs - Block Source
  • Accreditation and Audit Director - Hybrid…

    Fallon Health (Worcester, MA)
    …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... of Purpose:** With general direction from the Vice President and Senior Medical Director of Quality and Population Health, the Director of Accreditation and… more
    Fallon Health (11/02/24)
    - Save Job - Related Jobs - Block Source
  • Division of Youth Services, Southern Region…

    State of Colorado (Colorado Springs, CO)
    Division of Youth Services, Southern Region Director - Colorado Springs Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4709329) Apply  ... Division of Youth Services, Southern Region Director - Colorado Springs Salary $103,644.00 - $165,840.00 Annually...residential and non-residential services. Analysis of DYS caseload to project current and future needs. Complete trend analyses of… more
    State of Colorado (11/09/24)
    - Save Job - Related Jobs - Block Source
  • Associate Medical Director

    BlueCross BlueShield of North Carolina (NC)
    **Job Description** The Medical Director brings a unique set of knowledge and skills to the business of Blue Cross North Carolina and frequently serves as an ... position: $200,000 - $212,000 **What You'll Do** **The application of a Medical Director 's knowledge and clinical skills will vary across the Health Care division,… more
    BlueCross BlueShield of North Carolina (10/16/24)
    - Save Job - Related Jobs - Block Source
  • Director , Global Oncology Market Access

    Merck (Rahway, NJ)
    **Job Description** We are currently recruiting for a Director , Global Oncology Market Access. The Director will be developing and executing the market access & ... US payers and health care systems. Responsibilities in understanding Centers for Medicare & Medicaid Services (CMS)and US policies, Food and Drug Administration… more
    Merck (10/17/24)
    - Save Job - Related Jobs - Block Source