- Aveanna Healthcare (Madison, WI)
- …job description and applying promptly. Position Overview The Area Executive Director (AED) is responsible for the administrative, operational, and leadership ... branches and operational leadership. Essential Job Functions The Area Executive Director is responsible for directly managing all essential operational and… more
- OhioHealth (Columbus, OH)
- …matter expert in the following areas, S-10, Wage Index, Bad Debts, Medicare Audits, Disproportionate Share, Indirect Medical Education, Graduate Medical ... Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position… more
- UCLA Health (Los Angeles, CA)
- …of our Medicare Advantage products. In this role, you'll partner with the Director of Medicare Product Development and Bids to guide the annual bid process, ... Description We're seeking a strategic Senior Product Manager to lead the design, development,...throughout the member lifecycle. Key Responsibilities: + Lead end-to-end Medicare Advantage product development. + Support and help manage… more
- Integra Partners (Troy, MI)
- The Senior Medical Director ( Senior MD) serves as the clinical and strategic leader for Integra's Utilization Management (UM) and Credentialing programs. ... and representing Integra's clinical position to internal and external stakeholders. The Senior Utilization Review Medical Director 's responsibilities include… more
- Humana (Sanford, FL)
- …of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll ... of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live… more
- Ankura (New York, NY)
- …matters generally focused on Medicare and Commercial Risk Adjustment. The Senior Director will also support practice and firmwide business development ... solutions to complex litigation, enforcement, and regulatory challenges. Role Overview The Senior Director will support the Healthcare Payer team within Ankura's… more
- Henry Ford Health System (Traverse City, MI)
- …is required. GENERAL SUMMARY: Responsible for the retention and growth of the Medicare line of business (both Individual and Group) accounting for more than $400 ... planning and marketing support. Coordinate the development and implementation of Medicare Advantage sales strategies, compliance activities and oversight for both… more
- Centene Corporation (Jefferson City, MO)
- …IRE and ALJ hearings, STARS metrics + Previous experience with ensuring high quality medical director training to review Medicare UM and appeals, Clinical ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Rhythm Pharmaceuticals (Boston, MA)
- …adapt, learn, and our tenacity to overcome barriers, together. Opportunity Overview The Senior National Account Director (NAD) will be a field-based strategic ... access and coverage for Rhythm's portfolio across key commercial self-insured employers and Medicare Part D payers. The Senior NAD will develop and maintain… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Mount Sinai Health System is seeking a Senior Medical Director of Quality and Patient Engagement.** The Senior Medical ... payer classes, with deeper focus on patients who have Medicare and Commercial insuran This SMD will report to...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Centene Corporation (Queens, NY)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** The Senior Director , Healthcare Analytics leads analytic service delivery by ... of tools and capabilities and appropriate deployment of supporting analytic teams. The director serves in a leadership function spanning the needs of multiple health… more
- WellSpan Health (York, PA)
- The Senior Director of Research and Development is a unique and compelling opportunity to join WellSpan Health in an integral leadership role on an aspirational ... fully embraced the mission of making healthcare a better consumer experience. This Senior Director position is a key contributor to transformational efforts,… more
- Modivcare (Denver, CO)
- …industry? If so, this opportunity may be the right fit for you! 1The Senior Director - Product Marketing is responsible for the enterprise leadership and ... architectures that resonate with multiple audiences - from Medicaid and Medicare clients to healthcare organizations and community stakeholders. + Ensures… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Director of Health Services - Case Management Location: Hybrid | ... difference, join us. The Impact You Will Have The Senior Director of Health Services - Case...to achieve and maximize value. * Works with Commercial, Medicare , and Medicaid leadership to ensure programs and products… more
- Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
- **Job Description** The Senior Director , Strategy & Analysis; Contract Operations works cross-functionally to develop and execute pricing strategies for pipeline ... contracting and in-depth understanding of GPO/PBM/National and Regional Health Plan business models, Medicare Part D, Medicare Part B, 340B, and the changing… more
- Leidos (Reston, VA)
- …the Digital Modernization Sector has an immediate opening for a** **Strategic Growth Director .** The Strategic Growth Director will work directly with the ... growth and capture personnel to impact pwin. + Brief senior leadership on growth strategy and its execution. +...the various Federal Health Agencies; must include Centers for Medicare & Medicaid Services (CMS) and Department of Veterans… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior Director for Population Health Quality and Patient Engagement drives the implementation and ongoing improvement initiatives that ... payer classes, with deeper focus on patients who have Medicare and Commercial insurance **Qualifications** + Graduate degree in...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- BAYADA Home Health Care (Cuyahoga Falls, OH)
- …currently seeking an experienced health care manager to fill the position of **Associate Director ** in our Cuyahoga, OH Senior Living office. Are you looking for ... industry, preferably in home health care + Knowledge of Medicare regulations, including OASIS and PPS + Knowledge of...Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with… more
- CenterWell (Las Vegas, NV)
- …the lives of our patients, and the healthcare industry as a whole. 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...**Preferred Qualifications:** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- GRAIL (Washington, DC)
- …for coverage. + Coordinate with internal stakeholders across Commercial, HEOR, Medical Affairs, Regulatory Affairs, and Marketing to enhance support for product ... to demonstrate the value of early cancer detection for Medicare and other public payers. + Work cross-functionally to...flexible time-off, a 401(k) with a company % match, medical , dental, and vision insurance plans, and carefully selected… more
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