- The Cigna Group (Bloomfield, CT)
- …to travel up to 25%.** **OVERVIEW:** The Medicare Advantage (MA) Provider Operations Senior Director is a senior leadership role within the Cigna ... Medicare Operations Organization. This role will support the Medicare business (ie Individual & EGWP MAPD lines of business by directly overseeing Provider Data… more
- Banner Health (AZ)
- …government programs, member retention, network administration, and medical management administration departments. Responsible for ensuring cross-organizational ... a direct interface with the Arizona Medicaid Agency (AHCCCS), Center of Medicare and Medicaid Services (CMS), Association for Community Affiliated Plans (ACAP), and… more
- CVS Health (Hartford, CT)
- …make health care more personal, convenient and affordable. **Position Summary** As the Medicare Reporting Lead Director , you will be responsible for the ... of monthly, quarterly, and annual financial results for the Medicare segment. This role will allow you to own...of Aetna forecasting, planning & analysis materials requested for senior leader review during forecast & planning cycle +… more
- 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
- UCLA Health (Los Angeles, CA)
- …of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk Adjustment is instrumental in participating in the planning with the ... director and other functional areas for implementation and execution...improvement specialists. Additional responsibilities will include: + Collaborate with Senior Data Analyst to identify opportunities for improvement +… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …with turning disparate data streams into a cohesive view. Under direction of the Senior Director of Population Health Analytics, the Data Scientist will be able ... Scientist supports analytic activities associated with BCBSMA overall performance on Medicare Stars ratings, with specific focus on CAHPS patient experience… 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 all of Sharp Health Plan products, (Commercial, Exchange, Medicare , POS/PPO) services, and oversees the health care needs...+ 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons… more
- CVS Health (Columbus, OH)
- …and affordable. **Position Summary** As the Manager, FP&A, you will report directly to Director of Finance and will monitor the end to end profit & loss statements, ... data submission for the purpose of rate setting and medical trend analysis on behalf of the Health Plan....for all forecasting cycles with the approval of the Senior Manager and Health Plan CFO /CEO for reporting… 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 ... assurance and continuous quality improvement (CQI) processes. General Job Information Title Senior Medical Director , Behavioral Health - New Mexico Grade 37… more
- Provider Solutions & Development (Seattle, WA)
- …Group is seeking a full-time OBGYN Physician with 0.50 FTE dedicated towards Medical Director responsibilities to join a highly compassionate Women's Health team ... in Seattle and surrounding communities. In addition to clinical care, the Sr. Medical Director is responsible for providing leadership and development for the… more
- CVS Health (Harrisburg, PA)
- …to make health care more personal, convenient and affordable. **Position Summary** The Senior Medical Director of Health Informatics and Analytics: + ... in support of broader enterprise initiatives as needed. **Required Qualifications** + Medical Director with strong clinical practice experience in primary or… more
- The Cigna Group (Bloomfield, CT)
- **Position Summary:** The Senior Director is responsible for and contributes to the creation, execution, launch and management of the Specialty Drug Management ... offerings and differentiators. In collaboration with Marketing and Sales Enablement, the Senior Director will lead the development of strong thought leadership… more
- Mount Sinai Health System (New York, NY)
- …for value-based contracts including Medicare , Medicaid and commercial arrangements. The Senior Director is a key member of Mount Sinai Health Partners, ... **Job Description** The Senior Director , Contract Performance is responsible...Powerpoint and Excel Results orientation with working knowledge of medical economics analytics Understanding of CMS programs and concepts… more
- BrightSpring Health Services (Arlington, TX)
- …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 ... Diploma, Associates degree; Bachelor's degree preferred + Certified Pharmacy Technician or Medical Assistant Certification desired + Third party Medical Billing… 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
- GRAIL (Washington, DC)
- …visit grail.com . As the Policy and Reimbursement Lead reporting to the Senior Vice President of Government Affairs & Alliance Development and working closely with ... the impact through strategic interactions with the Centers for Medicare and Medicaid Services (CMS) and the CMS Coverage...Center for Clinical Standards and Quality (including the Chief Medical Officer and the vitally important Center for Coverage… 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
- Dr. Reddy's Laboratories (Salem, OR)
- …exploring candidates with a less traditional background. **Job Description** We are seeking a Director / Senior Director National & Regional Payer Accounts ... medicines more affordable to discovering innovative treatment options to satisfy unmet medical needs, we are dedicated to helping people lead longer and healthier… 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. ... major congresses. + Works in close collaboration with Clinical, Med Affairs and Field Medical to ensure alignment with overall brand and medical strategic plans… more
- CVS Health (Sacramento, CA)
- …you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director , Medical Affairs. These projects can ... you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director , Medical Affairs. These projects can… more