- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of improving the health of our communities. About the Role:Job SummaryThis position will lead the development of a culture that is based on patient-centered care and ... the health and quality of life of the people of Northeast Georgia. Lead , manage and coordinate all accounting and financial reporting across the Northeast Georgia… more
- CVS Health (Hartford, CT)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** The Lead Director , Project Program Management will lead a ... team focused on delivering large, complex strategic initiatives for the Medicare Organization. In a matrix management capacity, you will provide leadership… more
- Humana (Columbus, OH)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Travelers Insurance Company (Columbus, OH)
- …strategies for addressing and resolving various types of debt, including Medicare , to deliver positive financial outcomes. This role requires leveraging economic ... productivity and cost effectiveness. + Provides technical knowledge and project coordination on large-scale claim programs, workflows and systems projects.… more
- Prime Therapeutics (Columbus, OH)
- …and drives every decision we make. **Job Posting Title** Principal Actuary - Medicare Part D - Remote **Job Description** The Principal Actuary is responsible for ... provide pricing support for all lines of business. This position will also lead complex projects that are highly visible to executives and across the organization.… more
- The Cigna Group (St. Louis, MO)
- …and or equivalent work experience, highly preferred. + **5 or more years of** ** Medicare project and team management** **experience** + Track record of managing ... will report to the Stars and Risk Adjustment Managing Director and will be responsible for internal and external...and RA team. _Stars and RA Special Projects_ + Lead Stars and RA Special Projects oversight, from intake… more
- Abbott (Washington, DC)
- …Washington, DC location in the Government Affairs division. As the Government Affairs Director for Corporate Reimbursement, you will develop, lead and execute ... colleagues serve people in more than 160 countries. **Job Title** Director , Corporate Reimbursement, Government Affairs **The Opportunity** This position works out… more
- Humana (Columbus, OH)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Columbus, OH)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Martin's Point Health Care (Portland, ME)
- …manage care coordination services, and manage success of programs. + Strong project management experience required. + Experience in Medicare Advantage and ... as a "Great Place to Work" since 2015. Position Summary The Senior Director Clinical Programs provides oversight and coordination of care management and disease… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to… more
- AbbVie (Chicago, IL)
- …on LinkedIn. Allergan Aesthetics | An AbbVie Company Job Description Associate Director , Market Access and Advocacy- Plastic Regenerative Medicine, will focus on the ... reimbursement. This position will call on commercial payors, managed care organizations, Medicare MACs, state Medicaid, Medicare Advantage and commercial plans… more
- Elevance Health (Norfolk, VA)
- **Reporting and Analytics Director - CAHPS/STARS** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates ... KY, Wilmington, DE, Tampa, FL or Nashville, TN. The **Reporting and Analytics Director - CAHPS/STARS** is responsible for high-priority analytical projects for the … more
- Novo Nordisk (Princeton, NJ)
- …into an HEOR strategy. In addition, she/he must work in tandem with the HEOR Strategy Director and lead communication activities in the areas of RWE and HEOR + ... you ready to make a difference? The Position The Director , HEOR Evidence Synthesis is part of the HEOR...(HEOR-ESS) sub-team and serves as the HEOR evidence synthesis lead ensuring that HEOR evidence generated internally and externally… more
- WellSense (Boston, MA)
- …WellSense and in close partnership with the Population Health Services team at BMCHS, the Director will lead the finance arm of ACO performance and strategy. ACO ... Director of Finance and Strategy, MassHealth Product WellSense...company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25… more
- State of Massachusetts (Boston, MA)
- The Deputy Program Integrity Director is a policy, people and operational leader within the Program Integrity Unit of MassHealth. The Program Integrity Unit is a ... of MassHealth members. The team is led by the Director of Program Integrity, who reports to the Deputy...state and federal entities such as the Centers for Medicare and Medicaid Services, State Auditor's Office, and Office… more
- CVS Health (New York, NY)
- …in performance for our members and partners. As a key member the APIR team, the Lead Director will be expected to: + Serve as a data-driven expert in process ... Kaizen, Standard Work, Visual management, Process mapping, and Change Management and Project Management tools Experience working with Medicare or Medicaid… more
- Magellan Health Services (Dallas, TX)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May ... the health plan(s) for all lines of business (Medicaid, Medicare , and Commercial) and implements programs to support this...project teams as directed by the senior medical director or vice-president. + Supports senior medical director… more
- Brockton Hospital (Brockton, MA)
- …make a difference in the lives and health of our patients. The Assistant Director , Corporate Compliance (Assistant Director ) is a member of the Compliance ... (CCO) with the institutional compliance program planning and execution. The Assistant Director will utilize prior hospital operations experience in support of the… more
- Merck (North Wales, PA)
- …the Executive Director , US Market Access Contracting within the NCOSC Team. The Director will lead a team of Customer Managers to achieve profitable product ... **Job Description** The Director , US Market Access Contracting sits within the...and regional health plans and PBMs (Commercial, Managed Medicaid, Medicare Part D) The US Market Access Contracting Team… more
