- Tris Pharma (Monmouth Junction, NJ)
- …comprehensive checklist of monthly and quarterly reporting requirements for Federal and State programs including MDRP ( Medicaid Drug Rebate Program), Medicare ... have an opening in our Monmouth Junction, NJ facility for a Director , Market Access, OperationsThis position is responsible for managing the operational… more
- Rock Springs (Georgetown, TX)
- …to the intake department as necessary. Maintain knowledge of regulatory standards (TJC, Medicaid , state and federal laws) and ensure compliance. Perform conflict ... lives of those we serve. Oversees nursing and hospital operations during assigned shifts to ensure quality general and...maintain records of tardiness and absences, and assist the Director of Nursing with payroll. Provide backup nursing and… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …to prioritize meetings, rearrange meetings, and attendees, at the direction of the Medicaid Deputy Director . + Arranging in- state and out-of- state ... Director 's signature. Collaborates with Division staff inclusive of Medicaid leadership, various State agencies, community providers and community partners… more
- Humana (Tampa, FL)
- …or related field. + Certified Public Accountant (CPA) credential. + Prior experience in Medicaid or state partnership financial operations . + Experience with ... (CEO). **Key Responsibilities** + Provides market specific financial leadership in the State Medicaid Market, developing a deep understanding of Humana's … more
- Elevance Health (Indianapolis, IN)
- **Behavioral Health Medical Director - Psychiatrist - Indiana Medicaid ** **Location:** This role enables associates to work virtually full-time, with the ... Director ** is responsible for reviewing cases for IN Medicaid members including child and substance use disorders, and...is required. + Additional experience may be required by State contracts or regulations if the Medical Director… more
- Cognizant (Little Rock, AR)
- …+ Minimum of ten (10) years of experience in state Medicaid and Medicare eligibility, enrollment operations , health plan administration, or regulatory ... the role** **Schedule:** M-F **Traveling Required:** 40% As a Medicaid Eligibility Delivery Director , you will make...and compliance goals + Strong command of federal and state Medicaid policy, including SOC, asset testing,… more
- State of Colorado (CO)
- …Option 1: Experience Only: Six (6) total years of professional experience in: + Medicaid or CHP Operations , + Health care systems development, + Health care ... Two (2) total years of professional experience in: + Medicaid or CHP Operations , + Health care... Personnel Board or request a review by the State Personnel Director . An appeal or review… more
- State of Colorado (Denver, CO)
- …of Colorado. The wide variety of positions in DPA allow individuals to learn about state operations and provide for long-term career growth. If your goal is to ... removed from consideration during the selection process may request a review by the State Personnel Director . As an applicant directly affected by the results of… more
- Humana (Oklahoma City, OK)
- …or related field. + Certified Public Accountant (CPA) credential. + Prior experience in Medicaid or state partnership financial operations . + Experience with ... an impact** **Key Responsibilities** + Provides market specific financial leadership in the State Medicaid Market, developing a deep understanding of Humana's … more
- Commonwealth Care Alliance (Boston, MA)
- …this time._** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. ... that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for timely review and… more
- Commonwealth Care Alliance (Boston, MA)
- …will not be considered at this time._** **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr. Analyst plays ... the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible… more
- New York State Civil Service (Ogdensburg, NY)
- …be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists. If appointed and subsequently listed as ... HELP No Agency Mental Health, Office of Title Deputy Director , Psychiatric Center 1 - Operations , St....Operations - SLPC 44 Holland Avenue City Albany State NY Zip Code 12229 Notes on Applying Qualified… more
- The Joint Commission (Washington, DC)
- …offices and agencies. + Under direction of Director , builds relationships with Medicaid offices and state public health programs and assists Director ... the state policy-related strategy for Joint Commission. Under direction of Director , manages the state relations, including the collection, monitoring, and… more
- State of Minnesota (St. Paul, MN)
- …operational, and planning functions and serves as a principal advisor to the Governor's State Director of Addiction and Recovery and members of the Opioids, ... + Serving as a principal advisor to the Governor's State Director of Addiction and Recovery, as...Six (6) years of experience managing teams involved in Medicaid and/or substance use policy and operations .… more
- Ascendis Pharma (Princeton, NJ)
- …and develop their skills. Ascendis Pharma is looking to hire an experienced Director , Market Access Contract Operations to join our team. Responsibilities will ... tactical, demonstrating strong leadership, project management, and communication skills. As the Director , Market Access Contract Operations , you will oversee all… more
- Highlights Healthcare (Morehead City, NC)
- …skills, growth mentality, and strong business acumen to join us as BCBA - Director of Operations for our Learning Centers. Who is Highlights Healthcare? ... We specialize in serving young learners and families with Medicaid benefits. We believe every child can achieve great...class dining and entertainment. Why should you consider a Director of Operations (BCBA) position with Highlights?… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Managed Care Contracting and Rates (MCCR) Director ** **Job Class: Human Services Manager 4** **Agency: Human Services Dept** + **Job ID** : 90577 + ... do is more than just a job.** At the State of Minnesota, employees play a critical role in...compliance functions for the department. Approximately 85% of the Medicaid and MinnesotaCare enrollees receive their health care services… more
- City of New York (New York, NY)
- …Services Program and/or the Executive Director , Home Care Services Field Operations that impact the CASA field offices, Medicaid procedures, or training. ... CHANGE. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to...request of the Deputy Commissioner, HCSP and/or the Executive Director of HCSP Field Operations in order… more
- Integra Partners (Troy, MI)
- …team. + Ensure consistent, accurate, and compliant application of criteria (LCDs, state Medicaid manuals, InterQual, internal policies, health plan guidelines, ... corrective action plan development. + Ensure adherence to CMS, Medicaid , state DOH, and health plan clinical...and Operational Leadership + Collaborate with the SVP of Operations , UM Director , Credentialing leadership, and other… more
- CVS Health (Albany, NY)
- …given to candidates residing in the eastern time zone._ **Position Summary** The Lead Director of Product Operations will assume full ownership of Mental Well ... and strategic alignment across the MWB portfolio. The Lead Director will lead post-implementation monitoring, drive cross-functional issue resolution, and… more
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