- CVS Health (Columbus, OH)
- …the plan year. The ** Medicare ** **Benefits Standards & Guidance Lead Director ** ensures accountability for the implementation, management, and maintenance ... Groups. The ** Medicare ** **Benefits Standards & Guidance Lead Director ** acts as the point of...Benefit & Product Strategy, Benefits & Product claims configuration, Medicare Service Operations (MSO), Medical Policy &… more
- Highmark Health (Columbus, OH)
- …assisting in the actuarial, financial planning and forecasting process. This role will lead the implementation of the key initiatives that fall within this strategy, ... and staff productivity.Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as… more
- CVS Health (New Albany, OH)
- …health care more personal, convenient and affordable. **Position Summary:** As the Coding Director , you will oversee the coding operations , ensuring accurate and ... efficient coding reviews of medical procedures and diagnoses. You will lead a team of coding professionals, providing guidance and support to maintain compliance… more
- Humana (Columbus, OH)
- …our caring community and help us put health first** The Associate Director - Value-based Specialty and Vendor Support role builds templates, standard documentation, ... case studies, and disseminates best in class knowledge. The Associate Director requires a solid understanding of how organization capabilities interrelate across… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** We are seeking an experienced and strategic Director of Financial Planning & Analysis to join our team. In this critical role, ... you will lead the planning, budgeting, and forecasting processes to support...to support the growth and financial health of the Medicare business. You will collaborate closely with actuarial, operational,… more
- Humana (Columbus, OH)
- …Medical Director responsible for behavioral health care strategy and/or operations . The Behavioral Health Medical Director work assignments involve ... Medical Director responsible for behavioral health care strategy and/or operations . The Behavioral Health Medical Director work assignments involve… more
- CenterWell (Columbus, OH)
- …to technology to improve the medical coder experience. + Oversees coding operations by identifying business partner needs and develops solutions. + Responsible for ... and coder performance. + Facilitate meetings with key partners, including Clinical, Operations , Analytics, etc. to address concerns and resolve issues. + Partner… more
- CVS Health (Columbus, OH)
- …for making Medicare Policy and the CMS officers responsible for overseeing Medicare Operations . * Be an effective influencer to support CVS Health's various ... Regulatory Affairs position is a crucial contributor to the Medicare regulatory and operations agenda of the...broader PBM business. This position reports directly to the Director of Medicare Regulatory Affairs. **Duties and… more
- Intermountain Health (Columbus, OH)
- …of Research, research teams and billing departments. This position reports to the Director of the Human Research Protection Program. For this role we are ... specifically looking for experience with research billing and Medicare coverage analysis. **Essential Functions** + **Research Support and Administration:** Support… more
- Evolent (Columbus, OH)
- …directly to the Chief Medical Officer. The CCO will lead the Clinical Operations team and work with medical director leadership to ensure consistent and ... be responsible for leadership, professional development, and performance of the clinical operations team. Within the Clinical Services team, the CCO will also have… more
- Prime Therapeutics (Columbus, OH)
- …organization to validate regulatory reporting requirements are met and that business operations are aligned with expectations of applicable regulatory guidance + ... Lead project management efforts for highly sensitive Compliance initiatives...organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… more