- Elevance Health (Wilmington, DE)
- ** Director I Medicare Operations ** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of ... and Medicaid Services to transform federal health programs. The ** Director I Medicare Operations ** is responsible for directing multiple business function… more
- AmeriHealth Caritas (Newark, DE)
- **Medical Director , LTSS (must reside in DE)** Location: Newark, DE Primary Job Function: Medical Management ID**: 34195 **Job Brief** Qualified candidates must ... policy and practice initiatives in collaboration with the Corporate Medical Director (s), Senior Medical Directors, Utilization Management and the CMO. The following… more
- Penn Medicine (Bala Cynwyd, PA)
- …co-management program (PIC) in partnership with the Department of Psychiatry. The Director is responsible for the operations , performance improvement and ... Hospice- 150 Monument Road** **Hours: Per Departmental Needs** Summary: + The Director , Penn Partners in Care (PPiC) skillfully and strategically leads care… more
- Elevance Health (Wilmington, DE)
- …+ Travels to worksite and other locations as necessary. + HEDIS operations and quality improvement experience + Medicare /Medicaid/Commercial/Exchange line of ... **Process Improvement Director -Enterprise HEDIS** **Location:** This position will work a...practice and continuous improvement initiatives for the Enterprise HEDIS operations . **How you make an impact:** + Proactively identifies… more
- Gentiva (Newark, DE)
- …in people's lives every day. **Overview** We are looking for an **Executive Director Specialist RN** traveling to many of our offices throughout our East Region ... guidelines. + Registered Nurse required, BSN preferred. + Experience in hospice operations , state and federal regulations and compliance required + Strong regulatory… more
- Gentiva (Blue Bell, PA)
- …in people's lives every day. **Overview** We are looking for an **Executive Director Specialist RN** that will travel to many of our branch locations throughout ... while complying with all federal and state guidelines. + Experience hospice operations , state and federal regulations and compliance required + Registered Nurse… more
- Pfizer (Collegeville, PA)
- …Payer Account management, Market Access Strategy Pricing and Analytics, Market Access Operations , Channel Management. This role is an opportunity for a talented, ... dynamics and healthcare trends (Inflation Reduction Act's impact on Medicare , 340B dynamics, channel management considerations, pharmacy benefit therapies etc.)… more
- Genesis Healthcare (Philadelphia, PA)
- … operations through training classes. *Participate in nursing centers' Medicare meetings to review coverage and documentation issues and requirements. Report ... maximize revenue through the evaluation and optimization of the Medicare /Medicaid reimbursement process. Position Highlights*Participate in the development, implementation,… more
- Gentiva (Chadds Ford, PA)
- …RN License in State of PA** You will report directly to the Executive Director , Administrator, or Senior Patient Care Manager. You will be responsible for the day ... to day operations of your assigned hospice site, administering the clinical...Managing the site in the absence of the Executive Director , Administrator, or Senior/Executive Patient Care Manager. + Managing… more
- Penn Medicine (Berwyn, PA)
- …agencies and professional accrediting agencies' regulatory requirements impacting lab operations including: AABB, CMS (Center for Medicare /Medicaid Services), ... noted are corrected. + **Fiscal Management** : Works with Administrative Director or Technical Manager to coordinate and collate department(s) annual capital,… more
- Spectrum Health Services (Philadelphia, PA)
- …the wellness outcomes of patients and populations. Under the supervision of the Director of Operations , the Referral Specialist is responsible for managing ... electronic medical record and health information solutions designated by Medicaid, Medicare , and Health Maintenance Organization (HMO) payer sources. This role… more
- Penn Medicine (Philadelphia, PA)
- …you living your life's work? Summary: + In conjunction with Administrative Director of Operations , provides leadership, administrative support and management for ... CMS guidelines to ensure that PeriOperative Services is in compliance with Medicare reporting requirements and UPHS Office of Compliance2. Utilize Champion Software… more