• Director of Program Integrity

    Robert Half Legal (Alpharetta, GA)
    …This role will primarily focus on healthcare Medicaid HIPAA compliance. The Director of Program Integrity will be responsible for managing compliance ... Description We are on the lookout for a meticulous program integrity professional to strengthen our team....preferably within the healthcare sector * Demonstrated expertise in Medicaid regulation, Medicaid program and… more
    Robert Half Legal (11/07/24)
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  • Lead Director , CFO Florida Medicaid

    CVS Health (Tallahassee, FL)
    …to make health care more personal, convenient and affordable. **Position Summary** The Lead Director , CFO Florida Medicaid Market role will function as the CFO ... for the Florida Medicaid Health Plan and will lead the respective markets'...+ Leverage prior experience to ensure the quality and integrity of P&L/cost center owner level reporting, membership and/or… more
    CVS Health (10/29/24)
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  • Legal Nurse: Medical Analyst Support…

    New York State Civil Service (New York, NY)
    …ensuring the financial integrity of New York State's $100 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies, ... of state and federal rules and regulations related to health care, particularly the Medicaid program . Duties Description The Office of the New York State… more
    New York State Civil Service (10/02/24)
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  • Executive Director , Office of Mail Renewal…

    City of New York (New York, NY)
    Job Description The Medical Assistance Program (MAP) administers Medicaid and related public health insurance programs, for the City of New York. Applying ... areas: Managed Care Client Services (MCCS), Recipient Restriction Program (RRP), and Comprehensive Medicaid Case Management...state managed care enrollment broker for the managed care program ) to ensure the operational integrity of… more
    City of New York (10/25/24)
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  • Medical Director - Medical Affairs…

    CVS Health (Sacramento, CA)
    …Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director - Medical Affairs. We need a Double Board Certified Oncologist/Internal Medicine ... Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director (Medical Affairs) will report into the Medical Affairs Department… more
    CVS Health (08/23/24)
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  • Assistant Director of Day Program

    CP Unlimited (Brewster, NY)
    Assistant Director of Day Program Type of Position Full time Search Location(s) Brewster, NY Apply Now ... - $65,000 The employee in this position will work closely with The Director of Day Services, Finance, nursing, Human Resources Department, other team members, and… more
    CP Unlimited (10/08/24)
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  • Director , Care Management

    Community Health Action of Staten Island (Staten Island, NY)
    Director of Care Management is the lead manager and administrator for the Medicaid funded Health Home program . They collaborate with all departments to ... develop, deliver, and evaluate program services and oversee all operations. The ...services are provided to clients of the Health Home Medicaid Care Management Program in accordance with… more
    Community Health Action of Staten Island (11/06/24)
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  • Executive Director , Data Analytics…

    City of New York (New York, NY)
    …for Medicare, identifying Medicaid clients who should be part of buy-in program , and identifying SDOH Medicaid clients who should no longer have benefits. ... Services Accountability Office (DSS-AO) is responsible for supporting the integrity of social services programs administered by the New...Staff Analyst NM III to function as an Executive Director , Data Analytics & Verification who will: - Oversee… more
    City of New York (09/27/24)
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  • Director Patient Access & RHM Financial…

    Trinity Health (Dubuque, IA)
    …a working knowledge of applicable Federal, State and local laws/regulations; the Trinity Health Integrity and Compliance Program and Code of Conduct; as well as ... **Employment Type:** Full time **Shift:** Day Shift **Description:** The director leads and directs the work of the assigned Regional Health Ministry (RHM) Patient… more
    Trinity Health (10/22/24)
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  • Lead Director - Actuarial (Plan Support)

    CVS Health (Overland Park, KS)
    …high-performing actuarial team supporting CVS Health and Aetna's exciting and growing Medicaid business. Support CVS Health's financial integrity with sound ... is responsible for anticipating and recognizing matters that materially affect financial integrity and making sound, unbiased reports on these issues. **A Brief… more
    CVS Health (11/02/24)
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  • Assistant Director Patient Access

    HCA Healthcare (Savannah, GA)
    …At HCA Healthcare, we are committed to caring for patients with purpose and integrity . We care like family! Jump-start your career as an Assistant Director ... student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ...by location._** Come join our team as an Assistant Director Patient Access. We care for our community! Just… more
    HCA Healthcare (10/05/24)
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  • Director of Perioperative Services

    Access Dubuque (Dubuque, IA)
    …of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program , Standards of Conduct, as well as other policies ... Director of Perioperative Services **MercyOne** 1 Positions ID:...Watson Health, 100 Top Hospitals; Centers for Medicare & Medicaid Services (CMS), Overall Hospital Quality Star Ratings -… more
    Access Dubuque (10/06/24)
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  • Hospital Health Information Director

    HCA Healthcare (Nashville, TN)
    …Do you want to join an organization that invests in you as an HIM Director Float PRN? At Parallon, you come first. HCA Healthcare has committed up to $300 ... student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ...a difference. We are looking for a dedicated HIM Director Float PRN like you to be a part… more
    HCA Healthcare (08/31/24)
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  • Senior Corporate Compliance Director

    University of Michigan (Ann Arbor, MI)
    …and oversight of Michigan Medicine?s (?MM?) statewide Corporate HIPAA Compliance Program (? Program ?). The Senior Director ?s responsibilities include, ... Senior Corporate Compliance Director - HIPAA Officer Apply Now **Job Summary**...to, developing, implementing, and overseeing the Corporate Compliance HIPAA Program to ensure adherence to Federal and State healthcare… more
    University of Michigan (10/30/24)
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  • Medical Director - Medicare

    Molina Healthcare (Phoenix, AZ)
    …and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality ... of the criteria for medical necessity. + Participates in and maintains the integrity of the appeals process, both internally and externally. Responsible for the… more
    Molina Healthcare (11/02/24)
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  • Market Assistant Director Patient Access

    HCA Healthcare (Nashville, TN)
    …to join an organization that invests in you as a Patient Access Market Assistant Director ? At Parallon, you come first. HCA Healthcare has committed up to $300 ... student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ...are looking for a dedicated Patient Access Market Assistant Director like you to be a part of our… more
    HCA Healthcare (10/22/24)
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  • Director , Pert

    City of New York (New York, NY)
    … for select HRA programs (primarily the Family Independence Administration and the Medicaid Program ). Within OAQ&FI, PERT is tasked with aggressively monitoring ... and lawsuit stipulations. - Collaborate with the Assistant Deputy Commissioner and Deputy Director and various HRA, DHS, and DSS program areas including the… more
    City of New York (10/30/24)
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  • HIM Director

    HCA Healthcare (Nashville, TN)
    …experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity . We care like family! Jump-start your career as an HIM Director ... student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ...by location._** Come join our team as an HIM Director . We care for our community! Just last year,… more
    HCA Healthcare (11/02/24)
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  • Director Clinical Account Services - Remote…

    Prime Therapeutics (Columbus, OH)
    …administration of the programs. Activities address impact on customers, operations, program integrity , pricing, quality and satisfaction. Develops and tracks ... and drives every decision we make. **Job Posting Title** Director Clinical Account Services - Remote Nevada **Job Description...the quality and care cost impact of the clients' program . Provides guidance, assistance and mentoring to assist the… more
    Prime Therapeutics (11/06/24)
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  • Patient Access Director

    HCA Healthcare (St. Petersburg, FL)
    …At HCA Healthcare, we are committed to caring for patients with purpose and integrity . We care like family! Jump-start your career as a Patient Access Director ... student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ...location._** Come join our team as a Patient Access Director . We care for our community! Just last year,… more
    HCA Healthcare (10/31/24)
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