- Somatus (Kansas City, MO)
- …care management and RenalIQ applications. + Supports the Director of Operations in tracking Somatus Payor partner requirements and standard reports. + ... gathering information from patients for providers etc. + Coordinates with Operations Director to track and share data with corporate teams and customers… more
- Prisma Health (Columbia, SC)
- …Assistance, Medication Reconciliation, Specialized Roles as approved by the Pharmacy Director Cohort that include system level support and processes Essential ... Support, Specialized Roles supporting the health system as approved by the Pharmacy Director Cohort, Narcotics Management as approved by the Pharmacy Director … more
- TEKsystems (Richardson, TX)
- …timely and accurate productivity; solves problems identified by staff and works with payor to resolve trends and issues. This position is highly visible and requires ... Remote work arrangements may be considered upon approval from CBO Director or VP, contingent on operational requirements and individual performance. ORGANIZATIONAL… more
- Prisma Health (Greenville, SC)
- …as in collaboration with Manager, Managed Care Contracting, Financial Project Analysts and Director of Payor Contracting. Coordinate and assists in managing the ... tracking tools. Participate and collaborate on special projects as assigned by Director , of Contracting or Vice President. Performs other duties as assigned.… more
- Prisma Health (Greenville, SC)
- …review. Communicates as needed with the patient, referral source and payor between visits. Completes patient registration, scheduling and billing tasks, ... This is a non-management job that will report to a supervisor, manager, director , or executive. Minimum Requirements Education - Completion of an accredited medical… more
- Prisma Health (Piedmont, SC)
- …review. Communicates as needed with the patient, referral source and payor between visits. Completes patient registration, scheduling and billing tasks, ... This is a non-management job that will report to a supervisor, manager, director , or executive. Minimum Requirements Education - Completion of an accredited medical… more
- Prisma Health (Lexington, SC)
- …review. Communicate as needed with the patient, referral source and payor between visits. Complete patient registration, scheduling and billing tasks, ... This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - Completion of an accredited medical… more
- Prisma Health (Chapin, SC)
- …review. Communicate as needed with the patient, referral source and payor between visits. Complete patient registration, scheduling and billing tasks, ... is a non-management job that will report to a supervisor, manager, director , or executive. Minimum Requirements Completion of an accredited medical assistant program… more
- Prisma Health (Greer, SC)
- …online eligibility or by telephone inquiry to the employer and/or third-party payor . Information obtained through insurance verification must always be documented in ... This is a non-management job that will report to a supervisor, manager, director , or executive. Minimum Requirements Education - High School diploma or equivalent OR… more
- Beth Israel Lahey Health (Wakefield, MA)
- …you're not just taking a job, you're making a difference in people's lives.** The Director , Payor Operations will assist in overseeing and managing ... operations and payer partnerships for all BILHPN contracted payors. The Director will help develop and implement strategic business plans in support of BILHPN's… more
- Fresenius Medical Center (Waltham, MA)
- **Sr Director Managed Care and Payor Strategy** **PURPOSE AND SCOPE:** The Senior Director of Managed Care & Payor Strategy is a strategic leader ... responsible for driving initiatives that strengthen relationships with Managed Care Payor Organizations and optimize contractual performance. This role leads a… more
- WellSpan Health (York, PA)
- …a strong knowledge of all pertinent governmental regulations that pertain to both payor contracts and hospital operations (ie, Act 68, HIPAA, Surprise Billing) ... **General Summary** Participates in third party payor contract negotiations and manages contract performance compliance for the System to ensure fair and adequate… more
- Trinity Health (Mishawaka, IN)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The Executive Director of Clinical Operations , Maternal Child and Inpatient Services at ... Saint Joseph's Health System partners with the Medical Director of the service line to strategically plan and...outcomes. They provide oversight of the overall quality, service, operations and financial performance of the service line and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Director Case Management position is responsible for providing executive leadership and strategic oversight for all hospital-based Case ... Management Directors and the Central Utilization Review Director across the system. This position is responsible for the integration and advancement of a unified… more
- CVS Health (Austin, TX)
- …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 ... **Position Summary** Aetna, a CVS Health company, has an outstanding opportunity for a Medical Director . Ready to take your career to the next level with a Fortune 6… more
- Elevance Health (Woburn, MA)
- ** Director I, Digital Claims Operations (Dir I Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering ... resides within a commutable distance from an office._ The ** Director I, Digital Claims Operations ** will lead...Operations teams and strategy within a large healthcare payor environment strongly preferred. + Proven track record leading… more
- CenterWell (Carson City, NV)
- …a part of our caring community and help us put health first** The Associate Operations Director (AOD) leads Senior Focused Primary Care clinical operations ... RESPONSIBILITIES *Leadership & Operational/Organizational Management: *Proven experience in clinical operations and financial management, including P&L responsibilities. *Proficiency in… more
- HCA Healthcare (Fort Lauderdale, FL)
- …This position is incentive eligible. **Job Summary and Qualifications** The Division Director of Ambulatory Clinical Quality will serve as the lead subject matter ... 160 to 830 providers and may increase as acquisitions occur). The Division Director of Ambulatory Quality is responsible for leading a robust clinical quality, risk,… more
- University of Southern California (Los Angeles, CA)
- The Transplant Finance Officer is responsible for financial operations oversight of the Transplant Institute, to include insurance compliance, charges, billing, ... financial matters including budget preparation, expense monitoring, productivity monitoring, payor mix, FTE tracking/utilization, revenue tracking, and billing integrity.… more
- University of Colorado (Aurora, CO)
- **Clinical Director of Transplant Medicine - Open Rank- Associate Professor - Professor** **Description** **University of Colorado Anschutz Medical Campus** ... **Department: Medicine- Administration** **Job Title:** **Clinical Director of Transplant Medicine -** **Open Rank- Associate Professor - Professor** **Position… more
