• Director Medicare /Medicaid…

    Robert Half Finance & Accounting (Eatontown, NJ)
    …located in Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare /Medicaid Reimbursement. + The Director will have advanced level ... more
    Robert Half Finance & Accounting (06/24/25)
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  • Medical Director - Medicare Appeals

    CVS Health (Hartford, CT)
    …remote based (work at home) based anywhere in the US. Responsibilities of this Medical Director role are related to Medicare Appeals. * Direct daily work on part ... more
    CVS Health (07/30/25)
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  • Behavioral Health Medical Director

    Humana (Concord, NH)
    …community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral ... more
    Humana (08/09/25)
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  • Lead Director , Medicare Business…

    CVS Health (Albany, NY)
    …it all with heart, each and every day. **Position Summary** The Medicare Performance Management Lead Business Consultant will facilitate and support implementation ... more
    CVS Health (08/21/25)
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  • Medical Director - Medicare

    Humana (Frankfort, KY)
    …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... more
    Humana (08/08/25)
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  • Medical Director - Medicare

    Humana (Washington, DC)
    …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 ... more
    Humana (08/26/25)
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  • Medicare -Medicaid Pharmacy Director

    Humana (Lansing, MI)
    …diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, directs, and monitors ... more
    Humana (08/13/25)
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  • Director , Medicare Duals…

    Molina Healthcare (Lincoln, NE)
    …Affairs to assess and provide analyses for proposed changes to Medicare , and other government-sponsored healthcare program contracts, governing regulations and new ... more
    Molina Healthcare (08/22/25)
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  • Senior Medical Director ( Medicare )

    Molina Healthcare (Madison, WI)
    …Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous leadership ... more
    Molina Healthcare (06/13/25)
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  • Medical Director - Medicare Appeals

    CVS Health (Nashville, TN)
    …Internal Medicine / Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight for medical policy implementation. You will ... more
    CVS Health (08/08/25)
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  • Program Director - Medicare Duals…

    Molina Healthcare (San Antonio, TX)
    …**Job Summary** Responsible for the Management of internal business projects and programs involving department or cross-functional teams of subject matter experts, ... more
    Molina Healthcare (08/22/25)
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  • Medical Director - National Medicare

    Humana (Olympia, WA)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... more
    Humana (08/21/25)
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  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    Medicare or Sales experience SCOPE INFORMATION # Direct Reports: Director of Medicare Marketing Physical Requirements: The physical requirements described ... more
    Centers Plan for Healthy Living (07/15/25)
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  • Medical Director (Medical Affairs)

    CVS Health (Springfield, IL)
    Director UM decisions. If specifically assigned to one business segment (ie, Medicare clients), each director will become sufficiently skilled in various UM ... more
    CVS Health (08/09/25)
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  • Director , Appeals & Grievances…

    Molina Healthcare (Des Moines, IA)
    …Summary** Responsible for leading, organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with ... more
    Molina Healthcare (07/18/25)
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  • Director of Quality - Medicare

    Baylor Scott & White Health (Temple, TX)
    …Note: Benefits may vary based on position type and/or level **Job Summary** The Director of Quality for MA Stars will lead strategic initiatives to achieve and ... more
    Baylor Scott & White Health (08/27/25)
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  • Director , Operational Oversight…

    Molina Healthcare (Scottsdale, AZ)
    …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... more
    Molina Healthcare (08/19/25)
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  • Medical Director - Medical Policy…

    CVS Health (Hartford, CT)
    …pre-certification, and predetermination of covered benefits in the Commercial and Medicare environment. This Medical Director provides subject matter expertise ... more
    CVS Health (08/28/25)
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  • Senior Director , Auditing, Monitoring…

    Centene Corporation (Raleigh, NC)
    …management of department overseeing compliance with regulations and laws related to Medicare line of business, which includes implementation of elements of an ... more
    Centene Corporation (07/05/25)
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  • Associate Director of Finance - Government…

    UTMB Health (Galveston, TX)
    …and for directing staff in preparation of these reports. + Supports Director , Finance-Government Reimbursement in preparing annual Medicare , Medicaid and TDCJ ... more
    UTMB Health (08/08/25)
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