- Elevance Health (Topeka, KS)
- ** Medical Director - Kansas Medicaid ** **Location: This is a hybrid position. Candidates** **MUST** **live within 50 miles of an Elevance Health ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for...State agency. **Preferred Qualifications:** + Ability to obtain a Kansas medical license. + Internal Medicine, Family… more
- The Cigna Group (St. Louis, MO)
- **Job Purpose/Description** The Legal Compliance Senior Director - Express Scripts Medicaid and Commercial is responsible for the development, implementation, ... the organization to identify and mitigate compliance risks. The Legal Compliance Senior Director - Express Scripts Medicaid and Commercial will serve as the… more
- CVS Health (Oklahoma City, OK)
- …health care more personal, convenient and affordable. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 ... opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California,...Better Health Plan of Oklahoma. This UM (Utilization Management) Medical Director will be a "Work from… more
- CVS Health (Tallahassee, FL)
- …health care more personal, convenient and affordable. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 ... Better Health of Florida primarily, and the Southeast Region (KY, LA and WV). This Medical Director will be a "Work from Home" position primarily supporting the… more
- Children's Mercy Kansas City (Kansas City, MO)
- …hospital, for eleven consecutive years. Children's Mercy is in the heart of Kansas City - a metro abounding in cultural experiences, vibrant communities and thriving ... quality assessment/process improvement (QAPI) in accordance with Centers for Medicare and Medicaid and other regulatory bodies. At Children's Mercy, we are committed… more
- Children's Mercy Kansas City (Kansas City, MO)
- …hospital, for eleven consecutive years. Children's Mercy is in the heart of Kansas City - a metro abounding in cultural experiences, vibrant communities and thriving ... for organization of the Transplant Center programs, under the director of the Transplant Center Program Director ...you and have any concerns about receiving these vaccines, medical and/or religious exemptions can be further discussed with… more
- Children's Mercy Kansas City (Kansas City, MO)
- …lives of children beyond the walls of our hospital. Overview Reporting to the Director of Medicaid OPS and Provider Relations, (or ICS Population Health ... hospital, for eleven consecutive years. Children's Mercy is in the heart of Kansas City - a metro abounding in cultural experiences, vibrant communities and thriving… more
- CenterWell (Kansas City, MO)
- … medical expertise with the care team through daily huddles. . Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The Medical Director brings a unique set of knowledge and skills to the business of Blue Cross North Carolina and frequently serves as an ... for this position: $200,000 - $212,000 **What You'll Do** **The application of a Medical Director 's knowledge and clinical skills will vary across the Health… more
- The Cigna Group (Bloomfield, CT)
- …Delivery and cross-functional teams. * Works with the Evernorth Workplace Care Senior Medical Director , and other clinical leaders, in identifying emerging and ... **_Evernorth Workplace Care - Personalized Care Where You Are_** ** Director , Occupational Health Services** Provides strategic thought leadership and directs… more
- Truman Medical Centers (Kansas City, MO)
- …Truman Medical Center **Job Location** University Health 4 (UH4) Kansas City, Missouri **Department** Corporate Professional Billing **Position Type** Full time ... UH is the safety net healthcare system for Jackson County/ Kansas City. We are an academic medical ...insurance company, third-party and government reimbursement programs; ie Medicare, Medicaid , MC+, etc. + Knowledge of medical … more
- Intermountain Health (Columbus, OH)
- …shifts is required. 2. Strong knowledge base of current Medicare and Medicaid regulations. 3. Working knowledge of medical terminology, billing, reimbursement ... operational owners implementing government payer changes. 5. Collaborates with the Sr. Director and Directors in RSC, educates the applicable leaders and associates… more
- The Cigna Group (Bloomfield, CT)
- …relationships; + Performing other duties as assigned by the practice manager or medical director . + Perform HRA (health risk assessments) on patient panel ... The Cigna Group, is the premier home-based healthcare provider and medical services company. We are an innovative, multi-specialty practice experiencing tremendous… more
- Mental Health Association of SCK (Wichita, KS)
- …required progress notes/billing information in a timely manner as per agency, MCO/ Medicaid , and COMCARE guidelines and contracts. This includes providing s ervice ... of personal and other supports consistent with consumer status. Notifies physician and Director &/or Coordinator of case management of change in consumer status. 13.… more
- CenterWell (Durham, NC)
- …Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas , ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...the care team through daily huddles. + Helps RegionalMedical Director and Center Administrator in setting a tone of… more
- Motion Recruitment Partners (Durham, NC)
- …refers organization determinations that require a clinical review to a nurse or Medical Director . * Conducts reviews of authorizations entered to ensure accuracy ... Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas , Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Ohio, Oklahoma,… more
- The Cigna Group (Bloomfield, CT)
- …and support trend management. + Collaborates with case management, behavioral clinician, Medical Director , and member's provider to provide whole-person health ... perform thorough internet research, clinical reference materials, and evidence-based medical literature. **Preferred requirements:** + Successful completion of an… more
- Mental Health Association of SCK (Wichita, KS)
- …Leader FLSA CLASSIFICATION: Non-Exempt REPORTS TO: Residential Coordinator and Director of Residential Clinical Services POSITIONS SUPERVISED: Behavioral Health ... and cleanliness. The Residential Care Team Leader will provide AC/PR/TCM Medicaid billable services. Completion of state required, annual internal, and program… more
- Mental Health Association of SCK (Wichita, KS)
- …Peer Assistant Case Manager FLSA CLASSIFICATION: Non-Exempt REPORTS TO: Sr. Director of Adults and Children's Services, Coordinator of Operation Community ... Maintains accurate and timely documentation of service provision per MHA, MCO/ Medicaid , and COMCARE guidelines and contracts. Completes treatment plans, strengths… more