• Director Medicaid - Remote

    Teva Pharmaceuticals (Parsippany, NJ)
    Director Medicaid - Remote Date: Oct 30, 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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  • Director , Medicaid Insurance…

    Humana (Columbus, OH)
    …of providing frameworks to maximize available resources to achieve growth. The ** Director ,** ** Medicaid Insurance Product Management - Growth & Innovation** will ... caring community and help us put health first** Humana Medicaid is seeking exceptional candidates to join our ...(10% of time) This position is open to working remote within the US but prefer the qualified candidate… more
    Humana (11/06/24)
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  • Medicaid Quality Management Director

    Elevance Health (Buffalo, NY)
    ** Medicaid Quality Management Director ** Location: This position will work a hybrid model ( remote and office). The candidate must live within 50 miles of the ... expert knowledge of current industry standards, quality improvement activities, and strong medical management skills. + Serves as a resource for the design and… more
    Elevance Health (10/25/24)
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  • Project Manager - Medicaid

    Motion Recruitment Partners (Canton, MA)
    Project Manager - Medicaid Canton, Massachusetts **Open to Remote ** Contract $65/hr - $65/hr Our client is looking for a contract Project Manager - Medicaid . ... to Canton, MA. However, the client is amenable to remote work as long as the candidate resides in...in CST or EST. As the Project Manager - Medicaid , you will be the driving force behind the… more
    Motion Recruitment Partners (09/19/24)
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  • Medical Director , Behavioral Health…

    Magellan Health Services (San Diego, CA)
    …After Hours coverage may be required. General Job Information Title Medical Director , Behavioral Health (Part Time, Remote ), Licensed/Reside in CA Grade 36 ... This position is remote in California, candidates must be licensed and...activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May… more
    Magellan Health Services (10/27/24)
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  • Accreditation and Audit Director - Hybrid…

    Fallon Health (Worcester, MA)
    …**Brief Summary of Purpose:** With general direction from the Vice President and Senior Medical Director of Quality and Population Health, the Director of ... the regulations promulgated by the Centers of Medicare and Medicaid , the Massachusetts Division of Medical Assistance,...Medicare and Medicaid , the Massachusetts Division of Medical Assistance, and the Division of Insurance. This position… more
    Fallon Health (11/02/24)
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  • Director , Specialty Clinical Solutions-…

    Prime Therapeutics (Columbus, OH)
    …our passion and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions- RPH/PharmD required- REMOTE **Job Description ... Summary** Responsible for support and development of Medical Pharmacy program strategy as part of the Medical Pharmacy Specialty Clinical Solutions team.… more
    Prime Therapeutics (08/20/24)
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  • Associate Director , Security Architecture(…

    Conviva (Columbus, OH)
    …of our caring community and help us put health first** The Associate Director , Security Architecture will play a key role in implementing security architecture, ... ensure the enterprise can achieve the enterprise security strategy. The Associate Director , Security Architecture will play a key role in implementing security… more
    Conviva (10/30/24)
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  • National Director , Healthcare Consultant…

    Walgreens (Deerfield, IL)
    …disability/veterans". $159-215-271K \#LI-TO1 **Job ID:** 1414700BR **Title:** National Director , Healthcare 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 (09/24/24)
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  • Director - Occupational Health Services…

    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
    The Cigna Group (10/19/24)
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  • Director , Provider Contracts / Health Plan…

    Molina Healthcare (Starkville, MS)
    …Committees. * Manages and reports network adequacy for Medicare, Marketplace, and Medicaid services. * In conjunction with direct management and senior leadership, ... re-contracting initiatives. Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads preparation… more
    Molina Healthcare (10/13/24)
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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 (08/23/24)
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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 (11/08/24)
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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 and ... preservice appeals. The Corporate Medical Director works on problems of diverse...+ Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Must be passionate… more
    Humana (10/29/24)
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  • Supervisory Medical Director

    Centene Corporation (Sacramento, CA)
    …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Supervisory Medical Director at Centene plays a critical role in ... of high-quality, cost-effective care to our members. This role further assists the Senior Medical Director or Chief Medical Officer in execution of strategic… more
    Centene Corporation (10/06/24)
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  • Senior Medical Director , Behavioral…

    Magellan Health Services (Albuquerque, NM)
    …Commercial) and implements and manages programs to support this vision. The Senior Medical Director ensures the delivery of appropriate health care by overseeing ... This position is remote in New Mexico, candidates must be NM...physician advisors. Ensures adequate physician resources. Develops and manages medical director and physician advisor budgets, travel… more
    Magellan Health Services (10/02/24)
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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 (10/16/24)
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  • Assistant Director of Service…

    State of Indiana (Indianapolis, IN)
    Assistant Director of Service Administration Date Posted: Nov 8, 2024 Requisition ID: 451638 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a ... Institutional Care for the Elderly and Disabled) and administration of two Medicaid waiver programs providing home- and community-based services for older adults and… more
    State of Indiana (11/09/24)
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  • Senior Corporate Compliance Director

    University of Michigan (Ann Arbor, MI)
    Senior Corporate Compliance Director - HIPAA Officer Apply Now **Job Summary** The Senior Corporate Compliance Director (?Senior Director ?) is responsible ... (?MM?) statewide Corporate HIPAA Compliance Program (?Program?). The Senior Director ?s responsibilities include, but are not limited to, developing, implementing,… more
    University of Michigan (10/30/24)
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  • RN Director Care Coordination

    Dignity Health (Bakersfield, CA)
    **Overview** This position is remote within California, Nevada or Arizona (with the ability to possibly travel for meetings), with a clear and current CA RN ... types and geographies and will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is dedicated to… more
    Dignity Health (11/05/24)
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