• Medical Director - Medicaid

    CVS Health (Springfield, IL)
    …health care more personal, convenient and affordable. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 ... opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California,...Better Health Plan of Illinois. This UM (Utilization Management) Medical Director will be a "Work from… more
    CVS Health (03/11/25)
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  • Dialysis Nurse Specialist

    Children's Mercy Kansas City (Kansas City, MO)
    …hospital, for eleven consecutive years. Children's Mercy is in the heart of Kansas City - a metro abounding in cultural experiences, vibrant communities and thriving ... quality assessment/process improvement (QAPI) in accordance with Centers for Medicare and Medicaid and other regulatory bodies. At Children's Mercy, we are committed… more
    Children's Mercy Kansas City (03/21/25)
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  • Medical Director

    Blue KC (KS)
    …+ Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other medical management organizations, ... offerings include:** **Highly competitive total rewards package, including comprehensive medical , dental and vision benefits as well as a...to practice medicine in the states of Missouri and Kansas or willingness to obtain upon hire required +… more
    Blue KC (01/17/25)
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  • Associate Medical Director

    BlueCross BlueShield of North Carolina (NC)
    **Job Description** The Medical Director brings a unique set of knowledge and skills to the business of Blue Cross North Carolina and frequently serves as an ... and cost-effective care for members. **What You'll Do** **The application of a Medical Director 's knowledge and clinical skills will vary across the Health… more
    BlueCross BlueShield of North Carolina (02/15/25)
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  • Professional Billing Coding Supervisor (Remote)

    Truman Medical Centers (Kansas City, MO)
    …Truman Medical Center **Job Location** University Health 4 (UH4) Kansas City, Missouri **Department** Corporate Professional Billing **Position Type** Full time ... UH is the safety net healthcare system for Jackson County/ Kansas City. We are an academic medical ...insurance company, third-party and government reimbursement programs; ie Medicare, Medicaid , MC+, etc. + Knowledge of medical more
    Truman Medical Centers (01/15/25)
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  • Adult Case Manager

    Mental Health Association of SCK (Wichita, KS)
    …required progress notes/billing information in a timely manner as per agency, MCO/ Medicaid , and COMCARE guidelines and contracts. This includes providing s ervice ... of personal and other supports consistent with consumer status. Notifies physician and Director &/or Coordinator of case management of change in consumer status. 13.… more
    Mental Health Association of SCK (01/15/25)
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  • Primary Care Physician

    CenterWell (Durham, NC)
    …Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas , ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...the care team through daily huddles. + Helps RegionalMedical Director and Center Administrator in setting a tone of… more
    CenterWell (01/29/25)
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  • Residential Team Leader

    Mental Health Association of SCK (Wichita, KS)
    …Leader FLSA CLASSIFICATION: Non-Exempt REPORTS TO: Residential Coordinator and Director of Residential Clinical Services POSITIONS SUPERVISED: Behavioral Health ... and cleanliness. The Residential Care Team Leader will provide AC/PR/TCM Medicaid billable services. Completion of state required, annual internal, and program… more
    Mental Health Association of SCK (01/02/25)
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  • OCI Peer Assistant Case Manager

    Mental Health Association of SCK (Wichita, KS)
    …Peer Assistant Case Manager FLSA CLASSIFICATION: Non-Exempt REPORTS TO: Sr. Director of Adults and Children's Services, Coordinator of Operation Community ... Maintains accurate and timely documentation of service provision per MHA, MCO/ Medicaid , and COMCARE guidelines and contracts. Completes treatment plans, strengths… more
    Mental Health Association of SCK (03/07/25)
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