- City of New York (New York, NY)
- …to function as the Executive Director , of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under the ... for independent initiative, decision making, and judgement, the Executive Director (ED) is responsible for the administration of three...(MAP) divisions: the Office of Mail Renewal (OMR), the Managed Care Program (MCP), and Third-Party Health… more
- MaineGeneral Health (Waterville, ME)
- …We are actively seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects ... of reimbursement, managed care contracts, and payer enrollment. The successful candidate will...issues + Oversee contract management and reporting + Ensure compliance with price transparency regulations + Support the revenue… more
- Nuvance Health (Danbury, CT)
- …to payer contracting efforts for all affiliates of Nuvance Health. 5. Leads managed care efforts and collaborates with internal and external key stakeholder ... Generally pleasant working conditions Company: Nuvance Health Org Unit: 1783 Department: Managed Care Exempt: Yes Salary Range: $57.22 - $106.26 Hourly… more
- ProMedica Health System (Toledo, OH)
- Working with the Director and AVP of Managed Care , this position is responsible for developing and implementing managed care strategies and ... network (ProMedica Health Network). Objective is to provide best in class managed care contracting, analytics, education, and service. ACCOUNTABILITIES 1.… more
- BayCare Health System (Bartow, FL)
- …advancing superior health care throughout the communities we serve. **Title:** Managed Care Negotiator II (Must reside in Florida) **Facility:** BayCare ... + Responsible for monitoring, maintenance, negotiation, and renegotiation of Managed Care contracts under the direction of... contracts under the direction of the manager and/or director . + Evaluates and enforces contract compliance .… more
- ManpowerGroup (Columbia, SC)
- **Title: Coordinator, Managed Care I** **Location: Columbia SC** **Duration: 06 Month's Contract** **Pay Range $25.00 to $31.00/hr.** We are looking for a ... "Coordinator, Managed Care I" to join one of...health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance , options, and services required… more
- ManpowerGroup (Columbia, SC)
- **Title:** ** Managed Care Coordinator UM II** **Location: Columbia SC (Onsite)** **Duration: 3 months** **Pay Range : $31/hr (On W2)** We are looking for a " ** ... Managed Care Coordinator UM II** "to join...Director , Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). + Participates in data collection/input into… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Senior Director , Third Party Compliance Oversight reports directly to the SVP, Corporate Compliance & Ethics and ... Risk Operations, and leads the Third-Party Compliance Oversight department for Commonwealth Care Alliance...Strong acumen and understanding of healthcare, health insurance and managed health care industries and organizations required.… more
- LA Care Health Plan (Los Angeles, CA)
- Director , Care Management Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... net required to achieve that purpose. Job Summary The Director , Care Management will mainly be responsible...Medicare and Medicaid Service (CMS), California Department of Health Care Services (DHCS)], California Department of Managed … more
- US Tech Solutions (Columbia, SC)
- …plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance , options, and services required to support members ... Director , Case Manager, Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates in data collection/input into system for clinical… more
- University of Colorado (Aurora, CO)
- …Certificate. Ability to be fully credentialed with the UCH system and UPI Managed Care . **Assistant Professor** + **Education:** Terminal degree in Medicine or ... Family Physician Medical Director UCHealth Primary Care - Lone...be fully credentialed with the UCH system and UPI Managed Care . **Associate Professor Education:** + **Experience:**… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …documentation, etc. + Assists in coordinating education with Director of Compliance Education to increase and strengthen health care providers' awareness and ... health care management in terms of financial and billing concepts, health care reimbursement, and managed care issues. Experience in a… more
- Ventura County (Ventura, CA)
- …the current principles and techniques of diagnosis and treatment. + Experience with managed care . + Experience and current knowledge of Quality Assurance, ... Medical Director , Ventura County Health Care Plan...of Medicine and includes the following: + Experience with managed care + Experience and current knowledge… more
- Weatherford (Houston, TX)
- …implementation and daily execution of the Company's global standards ensuring compliance throughout the manufacturing and R&M processes. The successful candidate ... addition, the Plant Manager will report to the Sr Director - MPD COE and will manage a team of...Quality policies and takes an active role in the compliance and improvement of Weatherford's Management System + Maintains… more
- Billings Clinic (Billings, MT)
- …Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Director of Regional Human Resources REGIONAL HEALTH ... to join Billings Clinic for our outstanding quality of care , exciting environment, interesting cases from a vast geography,...1.00 = 80 hours (Exempt) Starting Salary DOE The Director Regional Human Resources is responsible for contributing to… more
- CVS Health (Irving, TX)
- …Qualifications:** + Prior experience in a relevant auditing or market conduct exam role in managed care , health care , or PBM. + Prior experience as a ... As a Lead Director , PBM Market Conduct Exam Support within Corporate Compliance , you will: + Contributes to planning and administration of company programs and… more
- University of Colorado (Aurora, CO)
- Primary Care Director / Family (or Adult Gerontology) Nurse Practitioner - 32571 Faculty **Description** **University of Colorado Anschutz Medical Campus** ... **College of Nursing** **Job Title:** **Primary Care Director / Family (or Adult Gerontology)...clinicians to ensure high quality, productive medical and nursing care . **Clinic Description:** SHS is a multi-site, nurse- managed… more
- Nuvance Health (Norwalk, CT)
- …new services and/or programs. Interfaces and coordinates services with Admission, Finance, Managed Care , Medical Records, Home Care , Rehabilitative and ... as appropriate, in an effort to maximize reimbursement. Reviews and edits Managed Care Contract Language relating to Utilization Management Issues. Ensures… more
- S&P Global (New York, NY)
- …**Grade Level (for internal use):** 13 **_The_** **_Role:_** **_Regional Commercial Director - Regulatory Compliance_** **The Team:** This commercial position is ... part of S&P Global Market Intelligence's Regulatory Compliance Division. Reporting to the Commercial Head of Documentation...+ Coordinate and finalize Statements of Work with Sales, Managed Services, and Product teams. + **Platform Design:** +… more
- Mount Sinai Health System (New York, NY)
- …legal for compliance and enforcement of contact terms. + Aligned with managed care contracting, compliance , operations, ACO, and financial leadership in ... to ensure the needs of the system are met. + Works closely with Senior Medical Director , Managed Care and Billing on matters impacting revenue and system… more