- Centene Corporation (Jefferson City, MO)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Ensures the Medicare Enterprise Quality results aligned with the 5-year CNC ... and long terms strategies to address quality performance gaps to support Medicare businesses. Directs, develops, and implements the core processes of performance… more
- The Cigna Group (Atlanta, GA)
- …Relations, and Network Development & Solutions). Reporting to the Network Operations Senior Manager or Director , this individual ensures the effective ... network for his/her assigned sub-market and/or provider groups. The role of Senior Advisor with the Provider Performance Enablement team takes ownership for… more
- Martin's Point Health Care (Portland, ME)
- …certified as a "Great Place to Work" since 2015. Position Summary The Senior Director Clinical Programs provides oversight and coordination of care management ... activities, objectives, and analysis for the Martin's Point Health Plan. The Senior Director is responsible for Care Management design, implementation and… more
- CVS Health (Lansing, MI)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** The Senior Medical Director , Health Equity will report to the VP and ... and implementation of health equity into programs, products, and services. The Senior Medical Director will also support successful engagement with internal… 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 ... assurance and continuous quality improvement (CQI) processes. General Job Information Title Senior Medical Director , Behavioral Health - New Mexico Grade 37… more
- CVS Health (San Juan, PR)
- …and professional thought process of the prescriber as a partner across the enterprise 's decisions and planning. - Each Director is responsible for providing ... Director UM decisions. If specifically assigned to one business segment (ie, Medicare clients), each director will become sufficiently skilled in various UM… more
- Billings Clinic (Billings, MT)
- …policies, processes, and best practices for reimbursement functions across all enterprise entities, including Medicare Cost Reporting, monthly and annual ... to assist with long range financial decision making. Works collaboratively with senior leadership to ensure consistency across all enterprise entities. *… more
- Point32Health (Canton, MA)
- …and professional manner within and through a matrixed business environment. The Director will collaborate with division and enterprise business and medical ... guides strategy, policies, and protocols in accordance with organizational strategy. The Director will ensure collaboration and coordination with enterprise or… more
- Elevance Health (Norfolk, VA)
- **Reporting and Analytics Director - CAHPS/STARS** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates ... KY, Wilmington, DE, Tampa, FL or Nashville, TN. The **Reporting and Analytics Director - CAHPS/STARS** is responsible for high-priority analytical projects for the … more
- Molina Healthcare (Long Beach, CA)
- …into business requirements. In partnership with Plan Growth Leaders, the Director , Customer Experience is responsible for developing, implementing and monitoring a ... to achieve Molina's Medicaid membership retention goals & objectives across the enterprise for the Medicaid lines of business (TANF, ABD, Expansion, CHIP) including… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** Associate Director of Digital Experience Solutions (DES) Architecture In support of our vision to ... and to enable effectiveness and efficiency of technology decisions. The Associate Director of Digital Experience Solutions (DES) Architecture is a highly visible… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** Director of Enterprise Information Protection (EIP) Cybersecurity Engineering focused on building ... + Strong analytical and critical thinking skills, with the ability to influence senior leaders across Enterprise Information Protection + Have a bias towards… more
- Waystar (Louisville, KY)
- …A Waystar Regional Director must effectively communicate with target account senior leaders and executives, and coordinate strategy with managers, end users, and ... corporate meetings, etc. + Defines and executes regional and enterprise strategic account plans + Develops strategy and tactics...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- AbbVie (Madison, NJ)
- …teams. Accountable for HEOR strategies and execution, looks to shape brand/asset/ enterprise strategies by bringing in expertise and experience within and beyond ... meetings + Executive presence and ability to engage with senior leaders in a cross functional setting. + Could...For problems surrounded by complex rules and regulations, the Director must be able to direct compliance knowledgeably and… more
- MetroLink (Los Angeles, CA)
- …worker or supervisor duties. SUPERVISION EXERCISED AND RECEIVED + Receives supervision from Director , Senior Manager, and Manager II roles. + The position may ... Senior Contract & Compliance Administrator Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4642379) Apply...and Excel) or equivalent. + Oracle or other similar enterprise resource planning. + Planet Bids or other automated… more
- Elevance Health (Columbus, OH)
- **JR130960 Business Change Director (Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager ... projects, programs and plans that support the achievement of business unit and enterprise goals. The work here will be Test Program Management for our pharmacy… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Senior Financial Analyst - Remote **Job Description Summary** This position requires significant ... and resolving complex problems and issues. + If supporting Medicare Part D, will be responsible for implementing CMS...focus **Reporting Structure** + Reports to Manager or Sr Director in the Finance department **Responsibilities** + 3+ years… more
- Banner Health (Mesa, AZ)
- …across the continuum of care. This position identifies and collaborates with senior leadership to prioritize appropriate resources related to opportunities in Peer ... of the organization to achieve objectives such as Annual Initiatives, Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (JC) standards of… more
- Banner Health (AZ)
- …a team of 4 Inpatient Coding Managers who cover for each other and report to the Director of Acute Care Coding. Each Associate Director leads a team of no more ... for growth in this exceptional team environment. Looking for a motivated, experienced ** Senior Complex Inpatient Facility | Acute Care | HIMS Coder -Remote | Medical… more
- New York State Civil Service (Albany, NY)
- …Serving under the IES Technical Director , we are looking for a hands on Senior Technical Architect who's ready to roll up their sleeves and dive deep into the ... Technology Services, Office of Title Integrated Eligibility System (IES) Senior Technical Architect (Project Coordinator) ref# 8398 Occupational Category IT… more