- AmeriHealth Caritas (Newtown Square, PA)
- **Corporate Director , Population Health Clinical Operations , Medicare ** Location: Newtown Square, PA Primary Job Function: Medical Management ID**: 37990 ... of Medicare Care Management and the Chief Medical Officer, the Corporate Director , Population Health Medicare Clinical Operations is responsible for… more
- AmeriHealth Caritas (Newtown Square, PA)
- ** Director Compliance_PRX** Location: Newtown Square, PA Primary Job Function: Compliance ID**: 37964 **Job Brief** Compliance experience within the Pharmacy / ... services. Discover more about us at www.amerihealthcaritas.com . The Director of Compliance serves as the primary contact for... of Compliance serves as the primary contact for Medicare and Medicaid compliance for **PerformRx** . The incumbent… more
- CVS Health (Trenton, NJ)
- …to make health care more personal, convenient and affordable. **Lead Sales Director , Growth, CVS Accountable Care** This is a remote opportunity and qualified ... providers and payers in successfully delivering on value-based care programs. The Lead Director , Growth, CVS Accountable Care is a key member of the team with… more
- Penn Medicine (Bala Cynwyd, PA)
- …co-management program (PIC) in partnership with the Department of Psychiatry. The Director is responsible for the operations , performance improvement and ... Hospice- 150 Monument Road** **Hours: Per Departmental Needs** Summary: + The Director , Penn Partners in Care (PPiC) skillfully and strategically leads care… more
- Conviva (Trenton, NJ)
- …of our caring community and help us put health first** The Associate Director , Security Architecture will play a key role in implementing security architecture, ... ensure the enterprise can achieve the enterprise security strategy. The Associate Director , Security Architecture will play a key role in implementing security… more
- The Cigna Group (Philadelphia, PA)
- …Provider Relations, and Network Development & Solutions). Reporting to the Network Operations Senior Manger or Director , this individual ensures the effective ... collaborative organization (which includes Market Provider Performance, Sales, Clinical Operations , Stars & Risk Adjustment, Finance , Cross-Segment Contracting,… more
- Prime Therapeutics (Trenton, NJ)
- …to resolve customer complaints. Assumes additional responsibilities in the absence of the Director . **Job Description** + Operations : Manages team members in the ... and drives every decision we make. **Job Posting Title** Manager, Operations (Remote) **Job Description Summary** Responsible for managing, coaching and developing… more
- ChenMed (Philadelphia, PA)
- …mastery of: * PCP Black Belt Training and PCP Essentials * Medical Director Essentials and Center Operations * Medical Economics and Center Financial ... organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a...our care model - the center. The Senior Medical Director (SMD) will partner with the Center Director… more
- University of Pennsylvania (Philadelphia, PA)
- …to Chief of the Cardiovascular Division, Associate Chief Administrative Officer, and Director of Fiscal Operations for Research. Working with clinical ... to Chief of the Cardiovascular Division, Associate Chief Administrative Officer, and Director of Fiscal Operations for Research + Exercises resource stewardship… more
- Prime Therapeutics (Trenton, NJ)
- …the organization to validate regulatory requirements are met and that business operations are aligned with expectations of applicable regulatory guidance + Develop ... and regulatory issues that impact Prime's compliance programs or business operations ; document requirements or disciplinary actions and escalate findings as… more
- Virtua Health (Voorhees, NJ)
- …hour accountability and day-to-day oversight and supervision to ensure optimal operations , safety, highly functional business systems and quality patient care; ... development and implementation of policies and procedures that govern the operations of the practices/clinics and follows established policies and procedures,… more
- Virtua Health (Voorhees, NJ)
- …leadership model.Provides day-to-day oversight and supervision to ensure optimal operations , highly functional business systems and quality patient care; ensures ... the development and implementation of policies and procedures that govern the operations of the clinics.* Follows and implements established policies and procedures… more
- Prime Therapeutics (Trenton, NJ)
- …and ability to adjust focus **Reporting Structure** + Reports to a manager or director in the Clinical Operations , Contact Center, Network Management or PBM ... processes, and participates in committee review meetings within the Commercial, Medicare , Medicaid, and Health Insurance Marketplace for the assigned department.… more
- Prime Therapeutics (Trenton, NJ)
- …in assigned function to ensure organizational obligations are met and business operations are aligned with applicable laws and regulatory guidance. + Provide ... or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +...ability to adjust focus **Reporting Structure** + Reports a Director in the Compliance department Potential pay for this… more
- Penn Medicine (Philadelphia, PA)
- …agencies and professional accrediting agencies' regulatory requirements impacting lab operations including: AABB, CMS (Center for Medicare /Medicaid Services), ... deficiencies noted are corrected. + Fiscal Management: Works with Administrative Director or Technical Manager to coordinate and collate department(s) annual… more
- Gentiva (Blue Bell, PA)
- …Hospice Case Management experience.** You will report directly to the Executive Director , Administrator, or Senior Patient Care Manager. You will be responsible for ... the day to day operations of your assigned hospice site, administering the clinical...Managing the site in the absence of the Executive Director , Administrator, or Senior/Executive Patient Care Manager. + Managing… more
- Gentiva (Laurel Springs, NJ)
- …roles)** + **Tuition Reimbursement** You will report directly to the Executive Director , Administrator, or Senior Patient Care Manager. You will be responsible for ... the day to day operations of your assigned hospice site, administering the clinical...Managing the site in the absence of the Executive Director , Administrator, or Senior/Executive Patient Care Manager. + Managing… more
- Prime Therapeutics (Trenton, NJ)
- …to validate regulatory reporting requirements are met and that business operations are aligned with expectations of applicable regulatory guidance + Lead ... or PBM organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) + Must be eligible… more
- Gentiva (Chadds Ford, PA)
- …Mon-Fri - 8a-5p** **$$ $7500 SOB $$** You will report directly to the Executive Director or Administrator. You will be responsible for the day to day operations ... manner + Managing the site in the absence of the Executive Director , Administrator. + Managing and overseeing clinical and administrative and recordkeeping functions… more
- Penn Medicine (West Chester, PA)
- …agencies and professional accrediting agencies' regulatory requirements impacting lab operations including: AABB, CMS(Center for Medicare /Medicaid Services), DOH ... Ensures deficiencies noted are corrected.Fiscal Management: Works with Administrative Director or Technical Manager to coordinate and collate department(s) annual… more