- Point32Health (Canton, MA)
- …CMS. Once new product designs are approved by senior leadership, the Senior Manager, in collaboration with the Director , is responsible for all necessary ... are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Manager of Product Implementation and Administration will have two main… more
- Buchanan County Health Center (Independence, IA)
- Program Director Job Purpose The ...of anything that might impact the hospital, patients or Senior Life Solutions in a timely manner - Ensure ... meets Psychiatric Medical Care's (PMC) standards. Supervisor of the program staff, the Program Director 's...all rules associated with the federal government such as Medicare are followed. - Be prepared for surveys by… more
- Elevance Health (Atlanta, GA)
- …required. **Preferred Skills, Capabilities and Experiences** + Knowledge and understanding of Medicare rules and regulations for program areas including but not ... design, develop and lead activities to ensure an effective Compliance program . + Oversees programs for multiple departments/functions with numerous stakeholders and… more
- Sharp HealthCare (San Diego, CA)
- …for the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for ... for all of Sharp Health Plan products, (Commercial, Exchange, Medicare , POS/PPO) services, and oversees the health care needs...the Utilization/Cost Management Program and Quality Improvement Program , in conjunction with the Director of… more
- US Tech Solutions (Canton, MA)
- …on day-to-day program management and significant issues while also aligning with program director 's broader needs and vision for the program . + ... vendors, and/or government agencies. This position works under the direction of the Director , Corporate Program Management Office (CPMO). The Lead Corporate … more
- The Cigna Group (Bloomfield, CT)
- **About The Role:** The Senior Director , Health Plan Growth (Commercial and Regulated Markets) will provide strategic vision, guidance, and industry expertise ... our health plan partners within the commercial and regulated markets space. The Senior Director will be responsible for cultivating innovation to ensure… more
- Walgreens (Deerfield, IL)
- …"An Equal Opportunity Employer, including disability/veterans". **Job ID:** 1494367BR **Title:** Senior Director , Walgreens 340b Program **Company ... intelligence on competitors entering or expanding in the 340B program in a way that is customer-centric and supports...+ Knowledge of 340B and FFS Medicaid, managed Medicaid, Medicare Parts A,D, and Advantageregulations and their applicability and… more
- LA Care Health Plan (Los Angeles, CA)
- Associate Counsel III Senior Director Health Care Legal Services Job Category: Management/Executive Department: Health Care Legal Services Location: Los Angeles, ... net required to achieve that purpose. Job Summary The Associate Counsel III Senior Director Health Legal Services is responsible for diverse legal activities.… more
- Kestra Medical Technologies, Inc (Kirkland, WA)
- …and their care teams harmoniously monitor, manage, and protect life. The Director , People Operations is responsible for effectively developing and managing the ... Performance Management and Organizational Design. This role also collaborates with the Director , Talent Acquisition & Development in the area of Talent & Succession… more
- BrightSpring Health Services (Arlington, TX)
- …+ Tuition Reimbursement- Advance your education with our support. + Employee Discount Program - Enjoy perks that extend beyond the workplace. *Position will be posted ... Achieves productivity goals with regard to calls/claims per hour as determined by the Director and Clinical Hub Manager + Provide clinical support to members of the… more
- Arvinas (New Haven, CT)
- …**Position Summary** As a key member of the Market Access Leadership team, the Senior Director , US Pricing & Contracting Strategy will lead the function ... responsibilities of this role include, but are not limited to: + Provides senior management and cross functional team members with relevant pricing and reimbursement… more
- Magellan Health Services (Albuquerque, NM)
- … and Commercial) and implements and manages programs to support this vision. The Senior Medical Director ensures the delivery of appropriate health care by ... ECFMG and FLEX examinations. Full training in a residency program in the United States or Canada that is...continuous quality improvement (CQI) processes. General Job Information Title Senior Medical Director , Behavioral Health - New… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- The Senior Director , Scientific Marketing, will contribute to the financial success of Injection Brand and will report to the Executive Director , Marketing. ... into strategic medical planning and executing scientific marketing programs eg. Speaker program development and management, peer to peer content + Experience in… more
- Centene Corporation (Raleigh, NC)
- …and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective ... compliance program . Oversees the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas… more
- CVS Health (Sacramento, CA)
- … Director UM decisions. If specifically assigned to one business segment (ie, Medicare clients), each director will become sufficiently skilled in various UM ... a share of special clinical investigations and research as requested by the Senior Medical Director , Medical Affairs. These projects can include brief reviews… more
- CVS Health (Columbus, OH)
- …and quality programs/initiatives * Prior experience in Accountable Care Organizations (ACO), Medicare Shared Savings Program (MSSP), ACO REACH, or other ... more personal, convenient and affordable. Position Summary: The Lead Director (LD), Payer Relations, will have the opportunity to...of the VP of Payer Relations, will oversee existing Medicare Advantage payor programs and the expansion into new… more
- Conviva (Tampa, FL)
- …of our caring community and help us put health first** The Associate Medical Director serves as a health-care professional and capable of handling a variety of ... health-related problems. The Associate Medical Director requires a solid understanding of how organization capabilities...facing and is part of our Tuberculosis (TB) screening program . If selected for this role, you will be… more
- CenterWell (Stone Mountain, GA)
- …of our caring community and help us put health first** The Associate Medical Director serves as a health-care professional and capable of handling a variety of ... health-related problems. The Associate Medical Director requires a solid understanding of how organization capabilities...facing and is part of our Tuberculosis (TB) screening program . If selected for this role, you will be… more
- Mohawk Valley Health System (Utica, NY)
- …partner relationships, and Emergency Department care, including the Comprehensive Psychiatric Emergency Program (CPEP). The Senior Director has overall ... Behavioral Health & Community Services Department: ADMINISTRATION Job Summary The Senior Director , Behavioral Health and Community Services will assume a… more
- BAYADA Home Health Care (Horsham, PA)
- **Hospice Medical Director Opportunity with our Jefferson at home by BAYADA Hospice office located in Horsham, PA!** **Looking for a Medical Director part time, ... to support a patient's quality of life. We are currently hiring a Medical Director to join our team of dedicated, compassionate caregivers to collaborate with office… more
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