- Elevance Health (Columbus, OH)
- … members. -Understanding of the benefit design and formularies, specifically for Part D . -Experience in a pharmacy benefit management organization leading ... pharmacy care. In this pivotal role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account... Sales and Account Management team, the Pharmacy Account Director is tasked with the responsibility of developing, preserving… more
- CVS Health (Austin, TX)
- …and member/nonparticipating providers). * Provide direct support to appeal nurses and dedicated Medicare part D pharmacists; supervision and participation in ... at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Medicare Appeals. * Direct daily work on part C appeals… more
- Central Maine Medical Center (Lewiston, ME)
- …and for each other every day. Position Summary: Reporting to the Nursing Director , the Nurse Leader is responsible for the day-to-day operations of assigned ... evaluating the operation of their assigned department. In conjunction with the Director , the Nurse Leader is responsible for overseeing implementation of patient… more
- Marshfield Clinic (Eau Claire, WI)
- …communication with referral network across system; work with regional specialty director (s) to address deficiencies d . Identify new services/service expansion; ... in the world!** **Job Title:** Assistant Service Line Medical Director - Hematology/Oncology **Cost Center:** 301081251 Systems Operations **Scheduled Weekly… more
- Access Dubuque (Dubuque, IA)
- …Direct Support Professional Dyersville, Area Residential Care Occupational Health Physician Medical Director - D UnityPoint Health Finley Hospital **Share this ... Director of Perioperative Services **MercyOne** 1 Positions ID:...Hospitals; Fortune/IBM Watson Health, 100 Top Hospitals; Centers for Medicare & Medicaid Services (CMS), Overall Hospital Quality Star… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- Summary The Prosthetist-Orthotist Regional Clinical Director , provides leadership for regional O&P Services and works under the supervision of the Regional ... Amputation Center Medical Director in collaboration with the VISN Prosthetic Representative (VPR)...in spoken and written as required by 38 USC 7402( d ). Grade Determinations: Experience. Completion of 1 year of… more
- Option Care Health (West Palm Beach, FL)
- …Understanding of billing and reimbursement procedures for medical offices and hospitals (Commercial Insurance, Medicare Part B & D , Fee for Service Medicaid, ... a two-year recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is building a **thriving workforce that is as diverse… more
- Bayer (Whippany, NJ)
- …free trial programs, eVouchers and inventory management; + Strong understanding of CMS, Medicare Parts A, B, and D , commercial payers, and legislative/policy ... to make a real difference, there's only one choice.** ** Director Patient Support Services Strategy Operations** The Director...better life, we encourage you to apply now. Be part of something bigger. Be you. Be Bayer. To… more
- Arvinas (New Haven, CT)
- …(HIPAA regulations), product reimbursement and product access. + Knowledge and experience in Medicare Part A- D , Medicaid, and private payer policies, ... member of the Market Access Leadership team, the Senior Director , US Pricing & Contracting Strategy will lead the...Benefit Design & Economics associated with Commercial, Medicaid and Medicare reimbursement for oral drugs with Oncology Customers +… more
- Dr. Reddy's Laboratories (Remote, OR)
- …access strategies to assigned National Accounts. + Demonstrate knowledge and experience in Medicare Part A- D , Medicaid, and commercial payer policies, ... with a less traditional background. **Job Description** We are seeking a Director / Senior Director National & Regional Payer Accounts to lead the execution of… more
- AbbVie (Mettawa, IL)
- …dynamics that drive profitability + Support all channels of payer contracting including Commercial, Medicare Part D , Medicaid and other Government channels + ... We are smart, fun, quirky, and innovative - and we' d love for you to join us. The individual...to join us. The individual hired as the Associate Director , Payer Contract Analytics - National Accounts, within the… more
- AdventHealth (Rome, GA)
- …satisfaction. Understands the impact of dissatisfaction on the business goals of the unit. d . In coordination with the Director of Surgical Services, is involved ... + Career Development + **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the… more
- Walgreens (Deerfield, IL)
- …able to address/understand/discuss complex reimbursement systems and flow of the healthcare dollar ( Medicare Part B/ D , ACOs, GPOs, Hospitals, etc.). **This ... variety of tools, and internal resources as an integral part of the sales interaction. + Leads cross functional...experience with billing procedures for hospital, medical offices and Medicare (B / D benefits). + Experience… more
- Access Dubuque (Dubuque, IA)
- …John Deere - Dub UnityPoint Health Finley Hospital Occupational Health Physician Medical Director - D UnityPoint Health Finley Hospital **Share this Job** ... patient with a payment receipt. + Validates medical necessity (LMRP/LCD review) of Medicare and Non- Medicare cases to ensure clinical and financial clearance.… more
- Conviva (New Braunfels, TX)
- **Become a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a ... Our care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based… more
- Conviva (Wesley Chapel, FL)
- **Become a part of our caring community and help us put health first** Humana's Primary Care Organization is one of the largest and fastest growing value-based care, ... Our care team consists of doctors, advanced practice professionals, pharm D , care coach nurses, medical assistants, behavioral health, specialists, quality-based… more
- Hackensack Meridian Health (Edison, NJ)
- …+ Recent hospital experience. + Knowledge of Pathophysiology and Disease Process. + Knowledge of Medicare Part A. + Familiar with Medicare Part B. ... interdisciplinary care team members, coding staff, Coding Compliance Manager, Department Director and Emergency Trauma Dept. + Screens ED inpatient admissions and… more
- CenterWell (Durham, NC)
- **Become a part of our caring community and help us put health first** CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary ... has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary… more
- Access Dubuque (Dubuque, IA)
- …Hospital Dubuque, IA UnityPoint Health Finley Hospital Occupational Health Physician Medical Director - D UnityPoint Health Finley Hospital **Share this Job** ... with support and development opportunities (https://uphtotalrewards.com/my-personal-growth/) is an essential part of delivering a remarkable employment experience. + **Community… more
- CenterWell (Wichita, KS)
- **Become a part of our caring community and help us put health first** Humana's Primary Care Organization is one of the largest and fastest growing value-based care, ... serve. Our care team consists of doctors, advanced practice professionals, Pharm D , Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral… more