• Director Medicaid - Remote

    Teva Pharmaceuticals (Parsippany, NJ)
    Director Medicaid - Remote Date: Dec 27, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 58940 **Who we ... Units to develop market access strategies to maximize profitability and success across Medicaid accounts. The Director will lead efforts to ensure Teva… more
    Teva Pharmaceuticals (10/31/24)
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  • Medical Director - West Region…

    Elevance Health (Costa Mesa, CA)
    ** Medical Director - West Region Medicaid...be considered. This position will work a hybrid model ( remote and office). The ideal candidate will must live ... will be expected to work primarily Pacific Time Zone hours. The ** Medical Director ** is responsible for the administration of physical and/or behavioral health … more
    Elevance Health (01/22/25)
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  • Medical Director - Florida…

    Elevance Health (Tampa, FL)
    ** Medical Director - Florida Medicaid ** Location: This position will work a hybrid model ( remote and office). The Ideal candidate will must live within 50 ... Health PulsePoint locations. **Build the Possibilities. Make an extraordinary impact.** The Medical Director is responsible for the administration of physical… more
    Elevance Health (01/09/25)
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  • Director Medicaid Plan Marketing

    Elevance Health (TX)
    ** Director Medicaid Plan Marketing** **Location:** This position will work in a hybrid model ( remote and office). The ideal candidate will live within 50 ... miles of the Grand Prairie, TX Elevance Health PulsePoint location. The ** Director Medicaid Plan Marketing** is responsible for the planning and direction of… more
    Elevance Health (01/24/25)
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  • Director of Care Management,…

    Elevance Health (Winston Salem, NC)
    The Children and Families Specialty Plan is looking to hire a Director of Care Management to lead the care management team in Medicaid Regions 1 and 2 in the ... assistance, including highly complex members with varying degrees of medical and behavioral health complexity and acuity. This position...Regions 1 and 2, or in a hybrid model ( remote and in-office) if within 50 miles from our… more
    Elevance Health (01/17/25)
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  • Collections Specialist I - Medicaid

    Community Health Systems (Franklin, TN)
    …AND EXPERIENCE** + Required High School Graduate or GED equivalent + 1 Year Medical collections experience + Minimum 1 year experience in a hospital business office ... accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment;… more
    Community Health Systems (01/19/25)
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  • Manager, FP&A, Medicare/ Medicaid of IL

    CVS Health (Columbus, OH)
    …of this remote role, candidates must have some Medicare and/or Medicaid experience. **Required Qualifications** -5 or more years of relevant financial experience ... As the Manager, FP&A, you will report directly to Director of Finance and will monitor the end to...for the Aetna Better Health of Illinois. In this remote role, you will advise on latest updates from… more
    CVS Health (01/17/25)
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  • Client Success Partner - School-Based…

    Public Consulting Group (VA)
    …support the delivery of health-related services by helping schools access critical Medicaid reimbursement. Client Success Partners (CSP) are key members of the ... This position may report to either a SBS COE Client Success Director or a Client Success Lead. **Duties** **and** **Responsibilities** _Clients_ + Ownandmanage… more
    Public Consulting Group (12/25/24)
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  • Director , Corporate Reimbursement (Hybrid/…

    RWJBarnabas Health (Oceanport, NJ)
    Director , Corporate Reimbursement (Hybrid/ Remote ) - Oceanport, NJReq #:0000180233 Category:Professional / Management Status:Full-Time Shift:Day ... Reimbursement Location: SBC Corporation, Oceanport, Oceanport, NJ 07052 Job Overview: The Director will serve as a key resource to department leadership for… more
    RWJBarnabas Health (12/21/24)
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  • National Director , Consultant Relations…

    Walgreens (Deerfield, IL)
    …including disability/veterans". $159-215-271K \#LI-TO1 **Job ID:** 1414700BR **Title:** National Director , Consultant Relations - Remote **Company Indicator:** ... various other providers, etc), the various lines of business (Commerical, Medicare, Medicaid , etc) and the various healthcare services provided in the overall… more
    Walgreens (12/24/24)
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  • Medical Director - Medical

    CVS Health (Sacramento, CA)
    …**Position Summary** CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director - Medical Affairs. We need a Double Board ... clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director ( Medical Affairs) will report into… more
    CVS Health (01/04/25)
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  • Medical Director - South Central

    Humana (Columbus, OH)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical more
    Humana (01/22/25)
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  • Director , SIU / Fraud Waste and Abuse…

    Molina Healthcare (Columbus, OH)
    …Access, Word and Excel * Knowledge and understanding of claims processing systems and medical claims * Knowledge of HMO, PPO, POS, MCO, Medicare, Medicaid , ... Market Place products, laws, rules and regulations **Preferred Education** * Master's degree **Preferred Experience** * Formalized training/experience in Health Care Insurance Fraud * Experience with Power BI, SAS, SQL other reporting software * ICD-10 CPT-4,… more
    Molina Healthcare (01/21/25)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Columbus, OH)
    …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The ... Corporate Medical Director works on problems of diverse scope and complexity...+ Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Possess analysis and… more
    Humana (01/07/25)
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  • Medical Director - Commercial…

    CVS Health (Columbus, OH)
    …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... effective use of health care resources. **This is a remote based (work from home) role and m** **ust...and consistent responses to members and providers. As a Medical Director you will focus primarily on… more
    CVS Health (11/13/24)
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  • Associate Medical Director

    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
    BlueCross BlueShield of North Carolina (01/03/25)
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  • Mountain - US Medical Value and Outcomes…

    Sanofi Group (Los Angeles, CA)
    **Job Title:** Mountain - US Medical Value and Outcomes Assoc. Director **Location** : Remote , US /Field, Southern California **About the Job** The DCV ... PBMs as well as GPOs, LTC, VA/DOD, IDNs, ACOs, employers, advocacy groups, and Medicaid . + Translate HEOR and medical information into relevant information for… more
    Sanofi Group (01/10/25)
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  • Director , Payer Accounts - Southwest

    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
    Arvinas (11/14/24)
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  • Internal Audit Director , Insurance Segment

    Humana (Louisville, KY)
    …and improve controls, operations, and risk management. The Internal Audit Director , Insurance Segment reports directly to Humana's Chief Audit Executive. The ... Internal Audit Director , Insurance Segment will develop and lead risk based...degree preferred **Additional Information** **Hiring team is open to remote candidates, with strong preference to candidates with a… more
    Humana (01/15/25)
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  • Director , Clinical Regulatory Compliance

    Dana-Farber Cancer Institute (Brookline, MA)
    Reporting to the Senior Director , Quality Assurance and Regulatory Compliance, the Director , Clinical Regulatory Compliance is responsible for the program ... Department of Public Health (DPH), and the Centers for Medicare and Medicaid Services (CMS). This includes understanding and monitoring relevant policy and… more
    Dana-Farber Cancer Institute (01/17/25)
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