- Volta Medical (Boston, MA)
- Director , Market Access & Reimbursement Volta Medical is an innovative, data‑inspired US and European‑based startup aimed at creating and bringing to the market ... information Seniority level: Director Employment type: Full‑time Job function: Management and Manufacturing Industries: Medical Equipment Manufacturing… more
- Volta Medical (Boston, MA)
- Who are we? Volta Medical is an innovative, data-inspired US and European-based startup aimed at creating and bringing to the market cutting‑edge AI software ... help patients. Interested in joining us in this mission? We are looking for a Director , Market Access & Reimbursement to join our team. Our values Be a pionee r:… more
- Gossamer Bio (San Diego, CA)
- Exec Director , Managed Markets & Payer Strategy Join to apply for the Exec Director , Managed Markets & Payer Strategy role at Gossamer Bio The Executive ... Director , Managed Markets & Payer Strategy, is responsible for...strategy to ensure optimal coverage and reimbursement across Commercial, Medicare , and Medicaid channels. Reporting to the Vice President… more
- Volta Medical (Boston, MA)
- An innovative medical technology firm in Boston seeks a Director for Market Access & Reimbursement. This role requires expertise in Medicare processes, ... with various stakeholders, interpret payer policies, and develop strategic initiatives for corporate penetration in the US market. With a salary range of $170,000… more
- MedStar Health (Washington, DC)
- Position Director of Network Contract & Provider Strategy at MedStar Health, District of Columbia. General Summary Responsible for the overall direction and ... regulatory, contractual and accreditation standards and requirements. Acts as corporate authority on all reimbursement and payment methodologies including incentive… more
- MedStar Health (Washington, DC)
- …regulatory, contractual and accreditation standards and requirements. Acts as corporate authority on all reimbursement and payment methodologies, including incentive ... Experience with state and federal programs such as medicaid and medicare is beneficial. Experience with provider pay-for-performance programs preferred. APR-DRG… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director provides medical interpretation and decisions about ... factors and determining the best course of action. The Corporate Medical Director provides ...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis… more
- Mount Sinai Health System (New York, NY)
- …** Director of Revenue Cycle Management Training & Education-Patient Financial Services- Corporate 42nd Street- Full-Time Days** The Director of Revenue Cycle ... ensure regulatory compliance, and enhance the patient financial experience. The Director will collaborate closely with RCM leadership, clinical operations, IT, and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Associate Director Reimbursement-Financial Analysis Reimbursement- Corporate 42nd Street-Full-Time-Days** Ensures maximization of ... and maintains the monthly activity for the Blue Cross Medicare and Medicaid rate accounts/suspense accounts. + Analyzes the...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Guthrie (PA)
- …and oversight of the assigned revenue cycle responsibilities within Guthrie Medical Group. Works closely with administrative leaders, managers, providers, and clinic ... Experience: Three to five years of professional reimbursement experience. Medicare /Medicaid reimbursement experience required. Extensive experience working with providers… more
- Humana (Washington, DC)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- American Medical Association (Washington, DC)
- …Lobbyist, Director I (Hybrid) Washington, DC (Hybrid) The American Medical Association (AMA) is the nation's largest professional Association of physicians and ... to know you. We have an opportunity at our corporate offices in Washington DC for a Regulatory Lobbyist,... offices in Washington DC for a Regulatory Lobbyist, Director I (Hybrid)on our Advocacy team. This position can… more
- Centene Corporation (Jefferson City, MO)
- …IRE and ALJ hearings, STARS metrics + Previous experience with ensuring high quality medical director training to review Medicare UM and appeals, Clinical ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Centene Corporation (Baton Rouge, LA)
- …regulatory, state, corporate , and accreditation requirements. + Assists the Sr Medical Director in the functioning of the physician committees including ... a fresh perspective on workplace flexibility. **We're Hiring: Full-time Behavioral Health Medical Director ** Centene Corporation is a leading provider of… more
- Centene Corporation (Salem, OR)
- …regulatory, state, corporate , and accreditation requirements. + Assists the Chief Medical Director in the functioning of the physician committees including ... including a fresh perspective on workplace flexibility. **We're Hiring: Full time Medical Director for Trillium Community Health Plan, our Oregon market.… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** We are looking for a Director , Medical Review & Appeals for our Government Programs lines of business. The incumbent will ... ensure alignment with the overall Corporate Strategic Plan through direction and oversight of the...Strategic Plan through direction and oversight of the Clinical Medical Claims Reviews, Clinical Appeals and Analysis programs and… more
- Centene Corporation (Olympia, WA)
- …regulatory, state, corporate , and accreditation requirements. + Assists the Chief Medical Director in the functioning of the physician committees including ... providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals and families...+ Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Governmental Reporting is responsible for ensuring that Houston Methodist meets all internal and external financial and ... governmental reporting requirements. Requirements include Medicare cost reports, Federal Tax Returns Health and Human Services (HHS)/Centers for Medicare and… more
- Centene Corporation (Raleigh, NC)
- …benefits including a fresh perspective on workplace flexibility. **We're Hiring: Full time Medical Director in North Carolina.** Centene Corporation is a leading ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Ascendis Pharma (Princeton, NJ)
- …mission of developing new and potentially best-in-class therapies to address unmet medical needs. Our culture fosters a place where skilled, adaptable, and highly ... develop their skills. Ascendis Pharma is looking to hire an experienced Director , Market Access Contract Operations to join our team. Responsibilities will include… more
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