- Elevance Health (Columbus, OH)
- ** Director I Medicare Operations ** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of ... and Medicaid Services to transform federal health programs. The ** Director I Medicare Operations ** is responsible for directing multiple business function… more
- Humana (Columbus, OH)
- … Director is responsible for behavioral health care strategy and/or operations . The Behavioral Health Medical Director work assignments involve moderately ... requires an in-depth evaluation of variable factors. The Behavioral Health Medical Director actively uses their medical background, experience, and judgement to make… more
- CVS Health (Lansing, MI)
- …process, drive us to deliver unparalleled results. We are seeking an Executive Director to lead the newly formed **Group Medicare Performance Optimization** ... Network, Medical Economics, Health Care Delivery, Revenue Integrity, Service Operations , as well as the Medicare COE...Integrity, Service Operations , as well as the Medicare COE to optimize the achievement of business performance… more
- The Cigna Group (Bloomfield, CT)
- …Required: Up to 25% - local and some overnight regional travel. The Medicare Advantage Value-Based Contracting Regional Director serves as an integral member ... Advantage Expansion Provider Contracting Team and reports to the Provider Contracting Director . This role is a key contributor to the development of the strategic… more
- Somatus (Mclean, VA)
- …and mental well-being + Community engagement opportunities + And more! The Sr. Director , Medicare Risk Adjustment (MRA) will lead the execution strategy and ... ensure program compliance with governing bodies' regulations, including the Center for Medicare and Medicaid Services. This role will partner with leadership to… more
- The Cigna Group (Plano, TX)
- …TEXAS market - can live in Houston, San Antonio, Dallas or Plano** The ** Director , Provider Contracting - Medicare ** serves as an integral member of the ... for service and sophisticated value-based reimbursements with providers for Cigna's Medicare product lines (eg, Hospital systems, Ancillaries, and large physician… more
- The Cigna Group (Bloomfield, CT)
- …a critical position on the NANPM Team and a direct report to the Senior Director of NANPM Medicare & Commercial Alignment. Experience with Medicare Advantage ... This is a ** Medicare Advantage position** WORK LOCATION: REMOTE position The...Medicare Advantage - Supplemental Benefits, CMS guidelines, FDR Operations , Clinical Programs, STARS ratings, etc. + A broad,… more
- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director , and Other ... position involves extensive interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of a Coordinated Care… more
- The Cigna Group (Nashville, TN)
- …**Essential Functions and Responsibilities** + Coordinate and partner with the key Medicare operations teams, including claims, enrollment, fulfillment, network ... work with the Provider Data Quality & Accuracy (PDQA) Director to establish the framework and policies to drive...and retain top talent to enable execution of the Medicare growth strategy. **Qualifications** Candidates should model our team's… more
- The Cigna Group (Atlanta, GA)
- …Provider Relations, and Network Development & Solutions). Reporting to the Network Operations Senior Manager 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
- The Cigna Group (Maitland, FL)
- …and Network Development & Solutions). Reporting to the Provider Performance Director , the Provider Performance Manager ensures the effective management of the ... members contribute to the growth and profitability of the Medicare Advantage (MA) business in their market in the...MBA or other + Direct experience with health plan operations , preferably specific to government sponsored health plans If… more
- Genesis Healthcare (Charleston, WV)
- We are seeking a full-time (40 hours per week) Director of Physician Operations for our centers located in Florida, Alabama, Tennessee, North Carolina, Virginia, ... this position is $75000 - $80000 / year. The Director of Physician Operations will collaborate with...progress with satisfying requirements to be eligible for the Medicare Shared Savings Program (MSSP) including but not limited… more
- Conviva (Daytona Beach, FL)
- …of our caring community and help us put health first** The Associate Operations Director , Clinic/Center Administration, plans and directs the work of ... care to patients in a clinical setting. The Associate Director , Clinic/Center Administration requires a solid understanding of how...the IPA network by recruiting providers and growing the Medicare Advantage population of the IPA. This will likely… more
- Elara Caring (Greenville, TX)
- …at the Right Time, in the Right Place. **Job Description:** The Area Director of Clinical Operations is responsible for precepting, developing, and training ... Registered Nurse and Clinical Manager team members. The Area Director of Clinical Operations will provide ongoing...defined by accepted clinical standards. + Working knowledge of Medicare , Medicaid, and home care industry trends. + Reliable… more
- Marshfield Clinic (Weston, WI)
- …support the most exciting missions in the world!** **Job Title:** System Director - Staffing Operations **Cost Center:** 301081296 Service Line Admin **Scheduled ... - 5:00 pm (United States of America) **Job Description:** **JOB SUMMARY** The Director - System Staffing Operations oversees the deployment of clinical resources… more
- Hartford HealthCare (Southington, CT)
- …HealthCare Senior Services at Southington Care Center* **Title:** *Regional Director of SNF Operations * **Location:** *Connecticut-Southington-80 Meriden Ave ... restorative nursing services complement the full spectrum of therapy. Medicare /Medicaid certified, we offer premier physical, occupational and speech therapies.… more
- AccentCare, Inc. (Corona, CA)
- Overview Find Your Passion and Purpose as a Territory Operations Director - Home Health RN Registered Nurse Reimagine Your Career in Corporate Healthcare As a ... first AccentCare-branded scrubs for patient-facing employees Qualifications Be the Best Territory Operations Director - Home Health RN Registered Nurse You Can Be… more
- Waystar (Salt Lake City, UT)
- **ABOUT THIS POSITION** As the Director of pricing strategy and effectiveness, you will be a key member of the commercial operations management team. In this ... and maintaining competitive list price as well as executing operations that will be critical to price book accuracy....systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- Lumeris (IL)
- …re-enter information. Thank you for your interest in Lumeris. **Position:** Director Physician Partner Operations **Position Summary:** Oversees delivery ... outcomes for health system and provider accounts. Oversees and owns operations for health system customers. **Job Description:** **Primary Responsibilities** +… more
- MetroLink (Los Angeles, CA)
- Assistant Director , Finance (Grants) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4648818) Apply Assistant Director , Finance (Grants) ... Questions SUMMARY PURPOSE OF POSITION Metrolink is seeking a highly skilled Assistant Director , Finance to join our Finance team. The Assistant Director , Finance… more