- 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
- CVS Health (Blue Bell, PA)
- …to make health care more personal, convenient and affordable. The Lead Director , Provider Data Governance will develop, enhance, and refine the provider data ... position will be responsible for supporting strategic design and ensuring the end-to-end integrity and accuracy of provider data that is critical for seamless access… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Conducts and directs research and special projects as assigned by the Medicaid Program Manager 4 (Section Chief), the Deputy Director or the Director ... Medicaid Program Manager 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4738427)...Directs preparation of reports/analyses for Medicaid Deputy Director , Medicaid Director , Undersecretary or… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Medicaid Program Manager 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4738178) Apply Medicaid Program Manager 2 Salary ... Work: To administer medium size and moderately complex statewide Medicaid program (s). Level of Work: Manager. Supervision...part of a team providing support to the Louisiana Medicaid Director and Medicaid Deputy… more
- Abt Global Inc. (Cambridge, MA)
- …Associate with deep policy and management consulting experience relevant to Medicaid and Children's Health Insurance Program (CHIP) monitoring and ... and CHIP policy. **Core Responsibilities:** + Serve as project director or equivalent key staff for Medicaid ...and consultants + Demonstrate and apply knowledge of state Medicaid and CHIP program reporting requirements +… more
- 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
- 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
- State of Minnesota (St. Paul, MN)
- …MinnesotaCare health care programs. The Office of Inspector General oversees licensing, program integrity , and background studies and Operations oversees the ... hiring incentive up to $5,000. **Working Title: Legislative Budget Director ** **Job Class: Human Services Program Coordinator**...to eligibility, payment rates, and covered services under the Medicaid program as well as the administrative… more
- 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
- AmeriHealth Caritas (Newtown Square, PA)
- …interaction with all levels of management throughout the organization. + Coordinates with Program Integrity to develop and implement systems and procedures to ... ** Director Compliance_PRX** Location: Newtown Square, PA Primary Job...person responsible for ensuring overall compliance with Medicare and Medicaid compliance requirements relating to PBM program .… more
- 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
- 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
- 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
- ACHIEVE (Binghamton, NY)
- Director of Quality Improvement and Corporate Compliance Binghamton, NY (http://maps.google.com/maps?q=Binghamton+NY+USA+13905) Apply Job Type Full-time Description ... Director of Quality Improvement and Corporate Compliance Full Time,...as oversight of the Agency's investigation process, including the integrity of all reports produced by Trained Investigators and… more
- Volunteers Of America Colorado (Denver, CO)
- …with program and behavioral healthcare personnel, the Associate Division Director oversees, and conducts in limited instances as necessary. . Intakes, screening, ... Director -Behavioral Health Services Denver, CO (http://maps.google.com/maps?q=2660+Larimer+St+Denver+CO+USA+80205) Apply Description...the agency for the next three years, with one program billing case management services to Medicaid .… more
- Arvinas (New Haven, CT)
- …Summary** As an important member of the Arvinas Market Access Team, the ** Director , Payer Accounts** will be a key contributor to a strong National Accounts ... organizations, largest downstream regional account clients as well as their assigned state Medicaid payers. They will be a leader in cross-functional teams to ensure… more
- 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
- The Arc Erie County NY (Williamsville, NY)
- …DOH and OPWDD standards and guidelines. Reporting Relationship: Receives administrative and program supervision from the Director of Clinical Services or ... The Arc Erie County is looking for an Associate Director of Clinical Treatment Who we are: A local...receiving clinic services + Developing and implementing an organized program of supervision for therapists and support staff +… more
- HCA Healthcare (Nashville, TN)
- …want to join an organization that invests in you as a Hospital Health Information Director PRN - Travel? At Parallon, you come first. HCA Healthcare has committed up ... student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ...We are looking for a dedicated Hospital Health Information Director PRN - Travel like you to be a… more
- Molina Healthcare (Long Beach, CA)
- …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