• Sr . Program Manager Quality

    Fallon Health (Worcester, MA)
    …Facebook, Twitter and LinkedIn. **Brief Summary of Purpose:** With general direction from the Director of Quality , the Senior Program Manager ensures that ... Medicaid Services (CMS), the Massachusetts Division of Medicaid (MassHealth) or Senior Care Options (Navicare)....Manager of the External Quality Review Organization quality activities for Medicaid and/or Medicare and… more
    Fallon Health (01/08/25)
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  • Medicare Quality Management Health Plan…

    Elevance Health (Costa Mesa, CA)
    **Medicare Quality Management Health Planning Director Sr .** **Location:** This position will work in a hybrid model (remote and office). The ideal candidate ... 50 miles of one of our California Elevance Health PulsePoint locations. The **Medicare Quality Management Health Planning Director Sr .** will be responsible… more
    Elevance Health (03/11/25)
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  • Sr . Director of Business Analytics…

    Waystar (Atlanta, GA)
    **ABOUT THIS POSITION** As the Sr . Director of Analytics + Performance, you will be a key member of the Business Analytics leadership team. In this role, you ... will be a trusted advisor to senior leadership by delivering actionable insights and enabling them...and attention to detail + You have experience building high- quality data models and C-level presentations + You have… more
    Waystar (03/04/25)
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  • SR Reimbursement Analyst

    Methodist Health System (Dallas, TX)
    …:** 5 days **Work Shift :** **Job Description :** Your Job: The SR REIMBURSEMENT(MEDICARE) ANALYST will assist the Manager of Regulatory Compliance, the Manager of ... Governmental Accounting, Director of Government Programs and the Vice President/Controller in...requires extensive knowledge of governmental programs ( Medicare and Medicaid ). * Good written and oral communication skills. *… more
    Methodist Health System (02/21/25)
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  • Advanced Practice Provider - Nurse Practitioner…

    University of Colorado (Aurora, CO)
    …Serve in leadership role within the clinic or pod as designated by the medical director . + Participate in ongoing and new quality improvement projects within the ... (ANP or FNP) or Physicians Assistant Park Meadows Clinic - Sr . Instructor** **Description** **University of Colorado Anschutz Medical Campus** **Department:**… more
    University of Colorado (03/09/25)
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  • Sr . Compliance Manager - Monitoring…

    Terumo Medical Corporation (Somerset, NJ)
    Sr . Compliance Manager - Monitoring & Transparency Date: Mar 11, 2025 Req ID: 4392 Location: Somerset, NJ, US, 08873 Company: Terumo Americas Holding, Inc. ... Corporation (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high- quality medical devices used in a broad range of applications for… more
    Terumo Medical Corporation (02/11/25)
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  • Sr . Financial Analyst, Oncology Clinical…

    Trinity Health (Silver Spring, MD)
    **Employment Type:** Full time **Shift:** **Description:** **Position Title:** Sr . Financial Analyst Oncology Clinical Research **Position Type:** Full Time, Exempt ... mission of Trinity Health and Holy Cross Hospital. **Key Responsibilities:** The Sr . Financial Analyst Oncology Research in collaboration with the research team,… more
    Trinity Health (02/19/25)
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  • Sr . Product Manager

    Waystar (Louisville, KY)
    …requirements that meet changing market needs and ensure customer satisfaction and product quality + Assisting your Director of Product Management in coordinating ... **ABOUT THIS POSITION** Waystar is seeking a smart and creative Senior Product Manager with hands on experience in Healthcare Revenue Cycle Management. We are… more
    Waystar (03/17/25)
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  • Sr . Data Analyst, Risk Adjustment

    Point32Health (Canton, MA)
    …to everyone in our communities. At Point32Health, we are building on the quality , nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard ... click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the supervision of the Director of Data and Reporting, this individual will be responsible for… more
    Point32Health (01/03/25)
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  • Senior Director , Public Policy

    Otsuka America Pharmaceutical Inc. (Washington, DC)
    …Policy** Reporting to the Vice President of Government Affairs & Public Policy, the Sr . Director of Public Policy is responsible for directing, developing, and ... public policy agenda enabling and driving Otsuka's priorities. The Sr . Director will lead a public policy...goals (business growth, innovation in medical science, and delivering quality care for patients and caregivers). + Regularly presents… more
    Otsuka America Pharmaceutical Inc. (02/05/25)
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  • Senior Director - CCBHC

    Outreach Development Corporation (Richmond Hill, NY)
    F/T Sr Director CCBHC; Richmond Hill, NY, US Exempt Salary range: $105,000 - $135,000 Requisition ID: 2702 Senior Director of the Certified Community ... providing administrative and clinical leadership to Outreach's CCBHC. The Senior Director is responsible for the overall...of the Company to ensure clients have access to quality care. Oversees the administration, site management, and clinical… more
    Outreach Development Corporation (03/21/25)
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  • Principal Proposal Writer ( Medicaid RFP)…

    Molina Healthcare (Columbus, OH)
    …writing and is responsible for preparing the executive summary for review by senior leadership. May serve as owner of RFx section(s). Ensures high engagement and ... matter experts (SMEs). Conducts peer review and coaching for junior and senior writers. Executes tasks independently and reliably, with ability to interpret… more
    Molina Healthcare (02/11/25)
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  • Senior Director Clinical Account…

    Prime Therapeutics (Columbus, OH)
    …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr ... and maintain direct relationships with clients, specifically with the senior leadership; develop a consultative, service-oriented partnership with the client… more
    Prime Therapeutics (02/19/25)
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  • Senior Director - Emergency…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Senior Director of Emergency Management Planning and Development is an expert in current federal, state, local, and non-governmental ... individual possesses a general knowledge of healthcare operations. The Senior Director is a key member of...of Health and Human Services Center for Medicare and Medicaid Services (CMS). + Interacts with emergency management as… more
    Mount Sinai Health System (03/15/25)
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  • Senior Director of Clinical Programs

    DESC (Seattle, WA)
    Senior Director of Clinical Programs Seattle, WA (http://maps.google.com/maps?q=515+Third+Avenue+Seattle+WA+USA+98104) *Clinical Administration Apply Job Type ... King County Integrated Care Network. These services are principally Medicaid -funded. In addition to targeting these services to people...member of the senior management team, the Senior Clinical Director participates in the planning,… more
    DESC (12/24/24)
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  • Senior Director of Clinical Services

    Vibrant Emotional Health (New York, NY)
    Job Title: Senior Director of Clinical Services Department: Community Services Reports to: Vice President of Community Programs Location: (Remote/In-House) ... (MHA-NYC), Vibrant Emotional Health's groundbreaking solutions have delivered high quality services and support, when, where and how people...can be a reality for everyone. Position Overview: The Senior Director will be responsible for leading… more
    Vibrant Emotional Health (03/15/25)
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  • Director , Preventive Medicine Residency…

    City of New York (New York, NY)
    …communities of color. We are looking to recruit a Preventive Medicine Residency Director and Senior Population Health Physician. This role demands a combination ... of roles, including public-facing public health practice, senior clinical advisor on high priority projects, administrative and programmatic leadership of one of the… more
    City of New York (02/12/25)
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  • Senior Director - Benefit Operations

    Modivcare (Denver, CO)
    …opportunity may be the right fit for you! Modivcare is looking for an experienced Senior Director - Benefit Operations to join our team. This role is responsible ... for improvement. + Presents actionable insights and strategic recommendations to senior leadership and clients as required Compliance and Risk Management: +… more
    Modivcare (01/25/25)
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  • Senior Director , Walgreens 340b…

    Walgreens (Deerfield, IL)
    …Equal Opportunity Employer, including disability/veterans". **Job ID:** 1494367BR **Title:** Senior Director , Walgreens 340b Program **Company Indicator:** ... that is customer-centric and supports customer's ability to enhance high- quality patient services at minimal costs. + Thinks creatively...estimates, schedule, etc. + Knowledge of 340B and FFS Medicaid , managed Medicaid , Medicare Parts A,D, and… more
    Walgreens (01/21/25)
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  • Director , Quality

    Somatus (Mclean, VA)
    …of business including Commercial, Medicaid , Medicare, and Special Need Plans (SNPs). The Director , Quality will work closely with Sr . Manager, Audit Risk ... well-being + Community engagement opportunities + And more! The Director of Quality , reporting to the AVP...state, federal laws and regulations pertaining to guidelines from Medicaid + Strong understanding of quality tools… more
    Somatus (02/11/25)
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