- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work The Medical Director 's work includes computer-based review of...of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical … more
- Arvinas (New Haven, CT)
- …Summary** As an important member of the Arvinas Market Access Team, the ** Director , Payer Accounts** will be a key contributor to a strong National Accounts ... organizations, largest downstream regional account clients as well as their assigned state Medicaid payers. They will be a leader in cross-functional teams to ensure… more
- CVS Health (Tallahassee, FL)
- …of Florida primarily, and the Southeast Region (KY, LA and WV). This Medical Director will be a "Work from Home" position primarily supporting the Aetna ... health care more personal, convenient and affordable. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6… more
- Henry Ford Health System (Clinton Township, MI)
- GENERAL SUMMARY: Under the direction of VP Operations, CNO, the Regional Director of Case Management is responsible for the development, implementation, and/or ... service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. . Knowledge of medical… more
- HCA Healthcare (Pasadena, TX)
- …Jump-start your career as a **Patient Navigator** today with **HCA Houston Healthcare Southeast ** . **Benefits** HCA Houston Healthcare Southeast , offers a total ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...the mission, vision and values of HCA Houston Healthcare Southeast . **What you will do in this role:** +… more
- Louisiana Department of State Civil Service (Bogalusa, LA)
- …issuing directives to others, in his/her absence, as directed by the regional medical director , as well as perform such duties as inventory/property control, ... duties primarily in the Washington Parish Health Unit(s) within Office of Public Health's Southeast Region 9 but may also be assigned to work in other parish health… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is responsible for managing the payor contracting functions for the hospitals, ... medical centers, urgent care centers, and employed physicians of...including direct to employer relationships and commercial, Medicare Advantage, Medicaid HMO, and other governmental payors. 4. Routinely evaluate… more
- Henry Ford Health System (Troy, MI)
- …background, preferred. * Ability to work with and interpret detailed medical record documents and communicate effectively with physician, nursing staff, leadership ... and other HFH personnel. * Knowledge of medical coding (facility and professional), related medical ...state regulations related to rules/coverage. * Knowledge of Medicare, Medicaid , Blue Cross and other third-party payers billing and… more
- Henry Ford Health System (Troy, MI)
- …This position will oversee the following: Coordination and aggregation of the medical , billing and coding records and the timely submission of documentation for ... DUTIES AND RESPONSIBILITIES: 1. Manages and coordinates in conjunction with the Director on the planning, organizing, implementation and evaluation of the activities… more