- Novo Nordisk Inc. (Plainsboro, NJ)
- …organization to guide enterprise-wide resource allocations, investment choices, drive core operations and develop insights to drive growth and operational excellence ... customer segments (eg, Managed Care, Non-Federal Hospitals, Long-Term Care, Medicare Part D, Medicaid (FFS & MM), Exchanges and...The position reports to a Senior Manager, an Associate Director , or a Director in Strategic Pricing… more
- Aequor (Piscataway, NJ)
- …administrator position is responsible for directing and planning the day-to-day operations of internal and external group benefit programs (group health, dental, ... the monthly bill is accurate. This position reports to the Human Resources Director and will be responsible for onboarding, offboarding and other human resources… more
- CVS Health (New Albany, OH)
- … business is compliantly and effectively operating in the market. As such, the Lead Director of Medicare Operations supports MAPD and SNP initiatives and ... of the Chief Medicare Officer, may facilitate internal and external Medicare audit activity including CMS and operations integrity audits. Coordinates file… more
- Molina Healthcare (NY)
- …+ 5-10 years' experience in Managed Care, specifically government programs and/or Medicare /Duals Health Plan Operations + Strong leadership in a matrixed ... regulatory requirements. **Job Duties** + Under the leadership of the VP Medicare Segment Lead, this role will facilitate transparent and compliant execution of… more
- Elevance Health (Columbus, OH)
- ** Medicare Medical Director ** Location: This position will work a hybrid model (remote and office). The ideal candidate will must live within 50 miles of one of ... be able to work Eastern Time Zone hours. The ** Medicare Medical Director ** is responsible for the...consultation and serve as clinical/strategic advisor to enhance clinical operations . May identify cost of care opportunities. May serve… more
- Banner Health (AZ)
- …Arizona, Arizona **Department Name:** Sales **Work Shift:** Day **Job Category:** General Operations Your pay and benefits are important components of your journey ... optimal health, while reducing costs. POSITION SUMMARY This position directs the operations of Banner Plans and Networks government owned health plans including… more
- Molina Healthcare (UT)
- …* Directs and coordinates all aspects of Member and Provider Contact Center operations through partnerships with other teams and departments, as well as development ... of their own team. * Meets and exceeds department KPI's including productivity and service quality goals. Implements strategies to meet/exceed goals. * Drives process improvements to ensure performance standard goals including quality goals are met *… more
- Point32Health (Canton, MA)
- …are approved by senior leadership, the Senior Manager, in collaboration with the Director , is responsible for all necessary product filings with CMS and other ... and timelines. The Senior Manager works closely with claims, membership operations , clinical services, care management, customer relations, sales, marketing, and… more
- US Tech Solutions (Canton, MA)
- …and/or government agencies. This position works under the direction of the Director , Corporate Program Management Office (CPMO). The Lead Corporate Program Manager ... and key initiatives. + Proactive and solutions-oriented management of program operations and integration issues, requiring the ability to conceptualize and envision… more
- Ascendis Pharma (Princeton, NJ)
- …and develop their skills. Ascendis Pharma is looking to hire an experienced Director , Contract Operations to join our team. Responsibilities will include ... tactical, demonstrating strong leadership, project management, and communication skills. As the Director , Contracting Operations , you will oversee all aspects of… more
- Humana (Springfield, IL)
- …part of our dynamic Wisconsin leadership team in this position as the Director , Consumer Service Operations . This position works with insurance companies, ... objectives, and improves performance. Provides input into functions strategy. The Director , Consumer Service Operations may perform installation, implementation,… more
- Truecare Homecare Agency (Brooklyn, NY)
- …health begins at home and every community thrives. Reports To: Job Summary: The Director of Operations is a senior leadership role responsible for driving ... solutions, and ensuring organizational resilience through risk management and process improvements. The Director of Operations will serve as a key advisor to… more
- Elara Caring (Greenville, TX)
- …at the Right Time, in the Right Place. **Job Description:** The Area Director of Clinical Operations is responsible for precepting, developing, and training ... Registered Nurse and Clinical Manager team members. The Area Director of Clinical Operations will provide ongoing...defined by accepted clinical standards. + Working knowledge of Medicare , Medicaid, and home care industry trends. + Reliable… more
- Indian Health Service (St. Michaels, AZ)
- Summary this position serves as the Special Assistant to the Director of Field Operations , St. Michaels, Arizona. The primary function of this position is to ... support the Director of Field Operations (DFO) in providing...standards, ie, The Joint Commission (TJC) , Centers for Medicare and Medicaid Services (CMS), etc., and the skill… more
- CVS Health (Sacramento, CA)
- …and can be located anywhere in the United States. In this role as Medical Director MPO (Medical Policy & Operations ) you will be responsible for providing ... Health company has an outstanding opportunity for a Medical Director . Ready to take your career to the next...and predetermination of covered benefits in the Commercial and Medicare environment. In addition, be a subject matter expert… more
- Elevance Health (Chicago, IL)
- …medical policy and Medicare Coverage Determinations. The **Associate Medical Director , Clinical Operations ** is responsible for supporting the medical ... cardiac testing and sleep management services. Medical Directors in Clinical Operations determine the medical necessity of outpatient radiology, cardiology, sleep… more
- ChenMed (Metairie, LA)
- …rapidly expanding and we need great people to join our team. The Center Operations Director directs and administers the day-to-day operations of multiple ... service and clinical metrics, goals and objectives meet and/or exceed expectations. The Director , Center is an individual that, first and foremost, has a strong… more
- Marshfield Clinic (Weston, WI)
- …support the most exciting missions in the world!** **Job Title:** System Director - Staffing Operations **Cost Center:** 301081296 Service Line Admin **Scheduled ... - 5:00 pm (United States of America) **Job Description:** **JOB SUMMARY** The Director - System Staffing Operations oversees the deployment of clinical resources… more
- AccentCare, Inc. (Corona, CA)
- Overview Find Your Passion and Purpose as a Territory Operations Director , Home Health Registered Nurse Reimagine Your Career in Corporate Healthcare As a ... first AccentCare-branded scrubs for patient-facing employees Qualifications Be the Best Territory Operations Director , Home Health Registered Nurse You Can Be If… more
- MetroLink (Los Angeles, CA)
- Assistant Director , Business Information Security Officer Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4748113) Apply Assistant Director , ... operator of the METROLINK Commuter Rail System, is seeking a Assistant Director , Business Information Security Officer, who will understand the key assets and… more
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