- Elevance Health (Mason, OH)
- …reviews within our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral health ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...an entire clinical program and/or independently performs clinical reviews. + The Medical Director… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **SYSTEM DIRECTOR , HOSPITALITY SERVICES | ... Care Delivery Officer** **Primary Function/General Purpose of Position** The System Director , Hospitality Services will act as the primary leader for hospitality… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Summary** Works collaboratively with the System ... Director , Compliance on creating auditing protocols which align with...hospital revenue cycle risk areas highlighted by the OIG, Medicare , State Medicaid, State Insurance Fraud; Managed Care or… more
- Option Care Health (Cincinnati, OH)
- …and delivering presentations within Option Care and externally with customers (ex. medical director , head of case management, executive c-suite individuals). ... oncology, or transplant. + Basic understanding of billing and reimbursement procedures for hospital, medical offices, and Medicare (B/D + benefits) as well as … more