- Blue Cross Blue Shield Association (Chicago, IL)
- …package of benefits including paid time off, 11 holidays, medical /dental/vision insurance, generous 401(k) matching, lifestyle spending account and many ... and business issues for Plans. Works closely with BCBSA senior executives, Plan executives, and Plan workgroups, to assure...one or more of the following health policy areas: Medicaid and/or Medicare issues which may include dual eligibles,… more
- Blue Cross Blue Shield Association (Washington, DC)
- …package of benefits including paid time off, 11 holidays, medical /dental/vision insurance, generous 401(k) matching, lifestyle spending account and many ... evaluate strategic and business issues for Plans. Works closely with BCBSA senior executives, Plan executives, and Plan workgroups, to assure Plan business issues… more
- Ironwood Pharmaceuticals (Boston, MA)
- …RoleReporting to the Vice President, Global Market Access, Reimbursement, and Distribution, the Senior Director , Market Access Strategy and Marketing will play a ... with severe, rare conditions for which there is a significant unmet medical need. The lead product candidate, apraglutide, is a next-generation, best-in-class,… more
- MedStar Health (Washington, DC)
- …than one organization is preferred) required.Minimum of five (5) years in a senior leadership role within a Medicaid organization required.Knowledge, Skills, and ... General Summary of PositionThe Vice President (VP) - Executive Director is the visionary leader responsible for the long-term success and sustainable growth for… more
- ASSOCIATION FOR COMMUNITY AFFILIATED PLANS (Washington, DC)
- …more than one organization is preferred.Minimum of five (5) years in a senior leadership role within a Medicaid organization required.Knowledge, Skills, and ... The Vice President (VP) Executive Director is the visionary leader responsible for the...with strategic expertise in navigating the complexities of the Medicaid program and leading the organization through dynamic regulatory… more
- Baylor Scott and White Medical Center - Frisco (San Francisco, CA)
- …and provide feedback regularly. Prepare periodic A/R and other reports for the Senior Director , Revenue Cycle. Continually monitor cash collections to ensure ... remedies through continuous customer satisfaction data and employee involvement. The Department Director works with Senior Management in meeting Facility goals.… more
- GW Medical Faculty Associates (Washington, DC)
- …to enhance payer value and alignment for value-based care programs. The Director , Payer Contracting collaborates with senior leadership regarding business ... The Director of Payer Contracting leads and executes the...plans, evaluate contract economics, and develop creative growth strategies.Advise senior leadership and other enterprise-wide stakeholders on payer strategy,… more
- Humana (Juneau, AK)
- …across the function or segment. This role will report to the Senior VP, MarketPoint.The Director , Broker Digital Sales (Innovation Portfolio Strategy) ... part of our caring community and help us put health firstThe Director , Broker Digital Sales (Innovation Portfolio Strategy) utilizes ideas, identifies innovation… more
- AlohaCare (HI)
- …Operations Officer. Frequent interaction and coordination with Plan Operations leaders to include the Senior Director of Plan Operations, Senior Director ... The Company: AlohaCare is a local, non-profit health plan serving the Medicaid and Medicare dual eligible population. We provide comprehensive managed care to… more
- The Cigna Group (Bloomfield, CT)
- **Job Purpose/Description** The Legal Compliance Senior Director - Express Scripts Medicaid and Commercial is responsible for the development, implementation, ... across the organization to identify and mitigate compliance risks. The Legal Compliance Senior Director - Express Scripts Medicaid and Commercial will serve… more
- CVS Health (Hartford, CT)
- …new and exciting ways every day. Aetna is recruiting for an Executive Director , Medicaid Provider Experience Standardization who is responsible for ensuring the ... variations that currently exist across multiple Medicaid Health plans specific to provider contracting, credentialing, provider onboarding, loading and maintenance… more
- CVS Health (Blue Bell, PA)
- …actuarial team supporting CVS Health and Aetna's exciting and growing Medicaid business. Support CVS Health's financial integrity with sound reserving and ... issues. **A Brief Overview** The primary responsibility of this director role will be leading Actuarial market support for...be leading Actuarial market support for the Southeast region's Medicaid contracts (KY, LA, OHRISE, WV, & VA). Within… more
- Elevance Health (Overland Park, KS)
- …proposal support. + Supports health plan leaders with business operational reviews with senior Medicaid leadership. + Meets with the key regulatory contacts ... **Kansas Medicaid Compliance Consultant Senior ** **Location: Must...of Kansas. This includes working closely with the Compliance Director and Manager around complaint resolution and understanding of… more
- University of Colorado (Aurora, CO)
- CU Medicine Family Medicine - Louisville Medical Director Open Rank - Senior Instructor Series - 34358 Faculty **Description** **University of Colorado ... Medicine** **Job Title:** **CU Medicine Family Medicine - Louisville Medical Director ** **Open Rank - Senior ...but not limited to NCQA/PCMH, RAEs, Primary Care 1st, Medicaid UPL, and other value-based programs. + Identifies and… more
- CVS Health (Lansing, MI)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** The Senior Medical Director , Health Equity will report to the VP ... of health equity into programs, products, and services. The Senior Medical Director will also...They should have extensive knowledge and experience working with Medicaid and Medicare, ideally within a health plan, as… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Senior Director Regulatory and Accreditation? At HCA Healthcare, you come first. HCA ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...make a difference. We are looking for a dedicated Senior Director Regulatory and Accreditation like you… more
- Magellan Health Services (Albuquerque, NM)
- …Medicare and Commercial) and implements and manages programs to support this vision. The Senior Medical Director ensures the delivery of appropriate health ... assurance and continuous quality improvement (CQI) processes. General Job Information Title Senior Medical Director , Behavioral Health - New Mexico Grade 37… 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
- Banner Health (Phoenix, AZ)
- …impact that accurate risk adjustment has on the performance of our MA, MSSP, Medicaid , and commercial lines of business. This includes our wholly owned health plans ... (MA, DSNP, Commercial, Medicaid ), and our fully delegated arrangements when our Clinically...will serve as the clinical DYAD to the Executive Director of Risk Adjustment, co-leading a robust team that… 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 Department of Medicaid in person as needed. * Outward facing position to interact and collaborate… more
