- 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
- CaroMont Health (Gastonia, NC)
- …customers. The Senior Director initiates and maintains relationships with managed care organizations, providers, governmental payors and employers. Develops ... Job Summary: The Senior Director , Clinically Integrated Network (CIN) provides strategic leadership,...on behalf of CaroMont Health System. Includes insurance products, managed care contracts, wellness products and … more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals ... **within California** **.** Working in a collaborative environment, the Director will be a hands-on leader to the Enrollment...growth of the department. Experience with IPA or network managed care , EZCAP and analytics strongly preferred.… 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
- 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 ... physicians of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract… more
- BayCare Health System (Clearwater, 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: 4101 Percival Road Columbia SC 29229 US (Hybrid)** **Duration: 04+ Contract** **Pay Range $25.00 to ... - 5:00 PM)** We are looking for a "Coordinator, Managed Care I" to join one of...and refer cases to appropriate internal departments (eg, Medical Director , Case Manager, Quality of Care Referrals).… more
- ManpowerGroup (Columbia, SC)
- + **Title:** Managed Care Coordinator UM II + **Location:** Initial on-site work required for the first week, followed by remote work. + **Hours:** ... + Identify and make referrals to appropriate staff (eg, Medical Director , Case Manager, Preventive Services, etc.). + Participate in data collection/input… 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
- IHG (Atlanta, GA)
- Responsible for the performance of the AMER Luxury and Lifestyle managed and franchise portfolio of hotels with total annual revenues exceeding USD $2billion. Manage ... the value of IHG brands and services, and ensures compliance with quality and operational standards. + Act as...market returns. + Provide direction and Support to the Director of Operations Support to deliver exceptional guest experiences… more
- City of New York (New York, NY)
- …to hire one (1) Administrative Staff Analyst NM I who will function as Director , Contract Monitoring and Compliance who will: Under the general direction of ... Cash Assistance (CA), Supplemental Nutrition Assistance Program (SNAP), child care , eviction prevention services, adult protective services, job training,...the Senior Director , Contract Monitoring and Compliance unit and… 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
- 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
- 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)
- …Level (for internal use):** 12 **_The_** **_Role:_** **_Regional Commercial Associate 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
- City of Detroit (Detroit, MI)
- Animal Care and Control Director (APPOINTED) Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/4692698) Apply Animal Care and Control ... General + Description + Benefits + Questions Description The Director of Detroit Animal Care and Control...and shelter services are well-coordinated, effective, efficient, and in compliance with City of Detroit, State, and Federal regulations,… 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 ... and staff meetings + Collaborates with the CU Medicine Director of Primary Care Operations and the...be fully credentialed with the UCH system and UPI Managed Care . **Associate Professor:** + **Education:** Terminal… more
- Morehouse School Of Medicine (Atlanta, GA)
- Director Finance and Business Operations Bookmark this Posting Print Preview | Apply for this Job Please see Special Instructions for more details. No staffing or ... of the health professional and scientific workforce; * Address primary health care through programs in education, research and service; With emphasis on people… more
- Martin's Point Health Care (Portland, ME)
- …new or redesigning existing product programs to achieve the triple aim. The Senior Director Care Management leads a team to execute on program strategy, design ... organization. Partnering with all Health Plan and shared service departments, the Senior Director Care Management will support the above through coordination of… more