- Humana (Columbus, OH)
- …analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director for the National Medicare Outpatient Team provides ... caring community and help us put health first** The Medical Director relies on medical ...or Surgery specialties + Utilization management experience in a medical management review organization, such as Medicare … more
- Cleveland Clinic (Cleveland, OH)
- Director Medicare Coverage Analysis Join Cleveland Clinic's Main Campus where research and surgery are advanced, technology is leading-edge, patient care is ... work collaboratively with the institutes and research billing office to create a Medicare coverage analysis billing grid for research studies with a patient care… more
- AdventHealth (Altamonte Springs, FL)
- …and State Medicaid programs, including changes affecting hospital reimbursement of Medicare bad debt, graduate medical education, disproportionate share hospital ... with the preparation of work papers for the filing of the annual Medicare , Medicaid, and Champus/Tricare cost reports, audit preparation and other cost report… more
- Humana (Columbus, OH)
- …community and help us put health first** Job Description Summary The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... home health per diem, DME, and waiver requests. The Medical Director provides medical interpretation... Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify … more
- Humana (Columbus, OH)
- …and will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical ... caring community and help us put health first** The Medical Director actively uses their medical...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
- RWJBarnabas Health (Oceanport, NJ)
- …strategies across all RWJBarnabas Health hospitals. This includes planning, preparing and reviewing of the annual Medicare /Medicaid cost reports filings. In ... the Senior Vice President of Office of Reimbursement, the Director will manage the completion of DSH, Medicare...and financial health. + Paid Time Off (PTO) + Medical and Prescription Drug Insurance + Dental and Vision… more
- Sharp HealthCare (San Diego, CA)
- …the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp ... + 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons...medical issues and departmental responsibilities. Assists in monitoring, reviewing , and evaluating the quality of health care services… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** The Medical Director of Mental Health is a psychiatrist who oversees mental health services in the Medical Network and provides support ... mental health needs of patients cared for across the Medical Network. The Medical Director ...including maintaining the network of providers for the CSMN Medicare Advantage plan(s). + Assists Contracting with identification, engagement,… more
- Dartmouth Health (Keene, NH)
- …reviews, educating physicians on medical necessity for inpatient/outpatient services, reviewing Medicare Condition Code 44 downgrades, Medicare Outliers ... Overview Associate Medical Director - Cheshire Hospital Medicine Physician Advisor The Cheshire Medical Center’s Department of Hospital Medicine is a… more
- LifePoint Health (Bullhead City, AZ)
- …in the development of root cause analyses (RCA) as directed by the CNO.The Director is responsible for reviewing and formulating policy or organizational changes ... in good standing. Multi-State Licensure accepted. **Job:** **Quality* **Organization:** **Valley View Medical Center* **Title:** * Director Quality & Risk Mgmt -… more
- AdventHealth (Hinsdale, IL)
- …that **together** we are even better. **GENERAL SUMMARY:** Consumer Access Regional Director serves as the market leader integrating practices in coordination with ... leadership, and revenue management executives. Reporting to the Consumer Access Executive Director , directs operational oversight as the subject matter expert in the… more
- Ankura (Chicago, IL)
- …and medical policy review and interpretation. + Conduct "mock" Centers for Medicare and Medicaid Services audits by reviewing cases for clinical decision ... operational, clinical, legal, and regulatory matters. Our clients include academic medical centers, health systems, physician practice groups, post- and sub-acute… more
- HCA Healthcare (Jacksonville, FL)
- …are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Central Business Office Director opening. Qualified ... organization that invests in you as a **Revenue Cycle Director ** ? At Surgery Ventures, you come first. HCA...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Charleston, SC)
- …are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Division Director Regulatory and Accreditation ... an organization that invests in you as a **Division Director Regulatory and Accreditation** ? At HCA Healthcare, you...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Sarasota, FL)
- …are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Assistant Director Central Business Office opening. ... an organization that invests in you as an **Assistant Director Central Business Office** ? At Surgery Ventures, you...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- COH Holdings (St. Paul, MN)
- …initial intake screening form before assignment of direct care staff and talk with Medical Director . + Oversees the maintenance of patient clinical records and ... HOSPICE DIRECTOR OF NURSING/CLINICAL NURSE SUPERVISOR Pay Range: $80,000-100,000...as in-services for current staff. + Responsible for ensuring Medicare , State and ACHC regulations are followed by all… 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, CA, ... to achieve that purpose. Job Summary The Associate Counsel III Senior Director Health Legal Services is responsible for diverse legal activities. This position… 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. This ... in close collaboration with Clinical, Med Affairs and Field Medical to ensure alignment with overall brand and ...would be a plus + Proven track record in reviewing , understanding clinical data and developing scientific marketing strategies… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Director of Product Management is responsible for building great products and for making decisions that lead to highly useable software. ... Experience team) + Organizing market research including analyzing customer segments, reviewing industry research reports, and assessing strengths and weaknesses of… more
- Brookdale Senior Living (Bakersfield, CA)
- …the quality measures on a monthly basis to assist the interdisciplinary team in reviewing and reporting the MDS accuracy and analytical trends. + Participates in the ... Quality Assurance and Performance Improvement Meeting. + Completes medical forms, reports, evaluations, studies, and other administrative duties, as necessary. +… more
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