- Elevance Health (Topeka, KS)
- ** Medical Director - Kansas Medicaid ** **Location: This is a hybrid position. Candidates** **MUST** **live within 50 miles of an Elevance Health location.** ... identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program.… more
- CVS Health (Austin, TX)
- …remote based (work at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Medicaid Appeals. * In the Medical ... use of health care resources. Ready to take your Medical Director skills to the next level...opportunity with Aetna, a CVS Health company! Aetna operates Medicaid managed care plans in the following states: Arizona,… more
- CVS Health (Baton Rouge, LA)
- …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 Louisiana. 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
- CVS Health (Austin, TX)
- …health care more personal, convenient and affordable. **Position Summary** The Behavioral Health Medical Director is a key position on Aetna Better Health of ... in market leadership and strategy meetings The Behavioral Health Medical Director will report to the Senior...and pediatric behavioral health conditions. - Experience with TX Medicaid behavioral health benefits and service. - Ability to… more
- CVS Health (Baton Rouge, LA)
- …Better Health of Louisiana is seeking a dedicated and experienced Behavioral Health Medical Director . The ideal candidate will be a board-certified psychiatrist ... of training in a medical specialty. The Behavioral Health Medical Director will ensure timely medical decisions, including after-hours consultation, and… more
- ChenMed (Memphis, TN)
- …preferred. + Strongly prefer one (1) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population + Board ... preferred. + Preferred to be an existing high performing PCP partner and/or Medical Director within the ChenMed core model, with a proven ability to manage a… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director Medicaid - Remote Date: Nov 28, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 58940 **Who we are** ... Units to develop market access strategies to maximize profitability and success across Medicaid accounts. The Director will lead efforts to ensure Teva… more
- University of Colorado (Aurora, CO)
- ** Medicaid Policy Director Eugene S. Farley, Jr. Health Policy Center** **Description** **University of Colorado Anschutz Medical Campus** **Department:** ... of Medicine | Department of Family Medicine** **Job Title:** ** Medicaid Policy Director Eugene S. Farley, Jr....advance FHPC priorities. + Represent FHPC on the Anschutz Medical Campus and at state and national meetings. +… more
- Orchard Therapeutics (Boston, MA)
- …US Reporting to: Director , Market Access - (US) Job summary The Associate Director of Market Access for Medicaid and Government Payers (US) will develop and ... for our portfolio of innovative therapies. Working with stakeholders such as Medicaid directors, administrators, directors of pharmacy, Medical Directors, and… more
- Robert Half Legal (Alpharetta, GA)
- …professional to strengthen our team. This role will primarily focus on healthcare Medicaid HIPAA compliance. The Director of Program Integrity will be ... adherence to regulations and standards. * Demonstrate a strong understanding of Medicaid regulations and apply this knowledge in daily operations. * Maintain a… more
- Conduent (Hamilton, NJ)
- …of a culture where individuality is noticed and valued every day. The ** Medicaid Service Delivery Director ** is a strategic leader responsible for overseeing ... teams to ensure service excellence, operational efficiency, and customer satisfaction. The Medicaid Service Delivery Director plays a critical role in aligning… more
- CVS Health (Raleigh, NC)
- …health care more personal, convenient and affordable. **Position Summary** The Lead Director , Network Management - Medicaid /North Carolina is accountable for ... designing conceptual models, initiative planning, and negotiating Medicaid value based agreements with North Carolina providers, including health systems, clinically… more
- Elevance Health (Atlanta, GA)
- …our Elevance Health PulsePoint locations._ The **Human Resources Business Partner Director ( Medicaid Growth)** is responsible to solve organizational challenges ... **Human Resources Business Partner Director (HR Business Partner Dir)** _Location: This position...role will spend 50-60% of the time partnering with Medicaid Health Plans and cross-functional teams in the development… more
- Elevance Health (Tampa, FL)
- ** Medicaid Contract/Implementation Management Director ** **Location:** 22 Century Blvd., Suite 310, Nashville, TN 37214. This position will take part in Elevance ... PulsePoint sites used for collaboration, community, and connection. The ** Medicaid Contract/Implementation Management Director ** is responsible for identifying… more
- CVS Health (Blue Bell, PA)
- …to make health care more personal, convenient and affordable. The Lead Director , Provider Data Governance will develop, enhance, and refine the provider data ... care / network / health insurance industry experience, specifically in Medicaid . + Demonstrated experience successfully driving change in complex organizations. +… more
- Corewell Health (Grand Rapids, MI)
- Job Summary The Director , Health Plan Quality Improvement, is responsible for creating a culture of quality throughout the organization. Accountable for quality ... Qualifications + Required Bachelor's Degree or equivalent Business, Marketing, Public Health, Medical + 5 years of relevant experience Management Required + 5 years… more
- CareFirst (Owings Mills, MD)
- …Benefit Management (PBM) plus other vendor(s) under the general direction of the Director of Government Programs Pharmacy Services. The Medicaid Pharmacy Manager ... role is responsible for managing day-to-day pharmacy operations for the Maryland Medicaid plan, providing guidance to and oversight of pharmacy staff, and directing… more
- Abbott House (Bronx, NY)
- …+ Oversees all business functions + Perform other secretarial duties as requested by Medical Director . + Any other related duties as required Educational & ... Job Summary: The Medicaid Managed Care Liaison is the primary contact...Oversee and support program audits + Responsible for closed medical records + Arrange Single Case Agreements with out… more
- General Dynamics Information Technology (Raleigh, NC)
- …None **Job Family:** Healthcare Claims **Skills:** Dental Hygiene, Medicaid ,Microsoft Office,Orthodontics,Strong verbal and personal communication skills ... experience **Job Description:** Healthcare Claims Examiner Senior - Dental and Orthodontic Medicaid Appeals Drive better health outcomes for our clients as a… more