- Elevance Health (Topeka, KS)
- **Plan Performance Medical Director - Kansas Health Plan** Location: This position will work a hybrid model (remote and office). The ideal candidate must live ... Elevance Health Pulse Point location. The **Plan Performance Medical Director ** is responsible for serving as...responsible for serving as the lead clinician for the Kansas Medicaid Health Plan. Responsible for the… more
- 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 (Tallahassee, FL)
- …health care more personal, convenient and affordable. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 ... Better Health of Florida primarily, and the Southeast Region (KY, LA and WV). This Medical Director will be a "Work from Home" position primarily supporting the… more
- 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
- 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
- The Cigna Group (Franklin, TN)
- **POSITION SUMMARY** The Senior Director , Centene Account Management provides strategic, financial, relationship, and organizational leadership for the Medicaid ... product and services upsells, and education of teams and enterprise of ever-changing Medicaid market requirements and dynamics. + Manage a diverse team of account… more
- HCA Healthcare (Overland Park, KS)
- …in 21 states and the United Kingdom. We are looking for a Division Director Regulatory and Accreditation for our HCA Midwest Health team where excellence creates ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- 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
- The Cigna Group (Nashville, TN)
- …well as research and provide a written detailed clinical summary for the Plan Medical Director . + Determine whether additional pre service, appeal or grievance ... Advantage Plan. These appeals will include requests for decisions regarding denials of medical services as well as Part B drugs. The Case Management Analyst will… more
- 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
- 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
- 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 (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