- 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
- Volta Medical (Boston, MA)
- An innovative healthcare technology company is seeking a Director for Market Access & Reimbursement in Boston. This role involves leading the strategy to maximize ... strong leadership and project management skills, along with expertise in Medicare and commercial reimbursement. This full-time position includes opportunities for… more
- habitathealth (San Francisco, CA)
- …network expansion. If you have network expansion experience, please apply to the Director , Network Role on our careers page. Additionally, you must have experience ... experienced leader with proven experience managing and leading expansion processes for Medicare or Medicaid products and/or care delivery solutions, and who is… more
- Vertex Pharmaceuticals (Boston, MA)
- Director , Market Access Strategy (Heme) page is loaded## Director , Market Access Strategy (Heme)locations: Boston, MAtime type: Full timeposted on: Posted ... Mediated Kidney Disease, and Duchenne Muscular Dystrophy, among others.The ** Director ,** **Market Access Strategy (Heme)** is accountable for leading, overseeing,… more
- City of Pittsburgh (Pittsburgh, PA)
- …pensions. The Board of Directors is currently in search of an Executive Director . The Executive Director position serves a Board of Directors consisting ... list for this position. Candidates who receive job offers must pass a medical examination (when applicable) prior to start date. Written: None required for this… more
- Vertex Pharmaceuticals Incorporated (Boston, MA)
- …Mediated Kidney Disease, and Duchenne Muscular Dystrophy, among others. The Director , Market Access Strategy (Heme) is accountable for leading, overseeing, and ... Strategy (GVAS), and Marketing). This role will report into the Sr Director , Market Access Strategy, Heme. Provide critical leadership and project management in… 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 ... Experience with state and federal programs such as medicaid and medicare is beneficial. Experience with provider pay-for-performance programs preferred. APR-DRG… more
- NHS Management (Prattville, AL)
- …to the facility Administrator, Director of Nursing, Regional Administrator, Director of Medicare and Rehabilitation and MDS/Clinical Information Consultant. ... in accurately recording skilled services in the MDS and medical chart and providing rehab services at the highest...the Administrator, Director of Nursing, Regional Administrator, Director of Medicare and Rehabilitation, and MDS/Clinical… more
- Oak Street Health (Philadelphia, PA)
- …to apply. Highly qualified candidates may also be considered for a Center Medical Director position. Responsibilities: Assess and diagnose patients at our local ... Health is to provide equitable and effective value-based healthcare to local Medicare patient populations at our innovative network of neighborhood primary care… more
- Oak Street Health (West Columbia, SC)
- …to apply. Highly qualified candidates may also be considered for a Center Medical Director position. Responsibilities: Assess and diagnose patients at our local ... Health is to provide equitable and effective value-based healthcare to local Medicare patient populations at our innovative network of neighborhood primary care… more
- Christus Health (Santa Fe, NM)
- …RN Candidate: Current NM RN License and BLS Certification required. Certification for Medical Office Manager (CMOM) preferred. SKILLS : Able to proceed on own ... calculator Knowledgeable of CPT/ICD-10 coding procedures and familiar with Medicaid, Medicare , and commercial insurance billing procedures Familiar with policies and… more
- Christus Health (Santa Fe, NM)
- …interviews patients, obtain accurate demographic and financial information and check for medical necessity for all Medicare patients. Computer entry, preparing ... verbally in English. Laboratory equipment operation skills required. Knowledge of medical terminology. EXPERIENCE: Minimum of one year Lab experience required; five… more
- Grand Lodge of AF & AM of Canada in the Province of Ontario (San Francisco, CA)
- …able to interpret and administer admissions contracts. 3. Audit, Regulatory Compliance ( Medicare /Medicaid & LTC Requirements) and Medical Billing Assist in audit ... making. Work cooperatively with the Grand Lodge Controller and Director of Financial Planning on all financial and reporting...audit and other State (CMS) audits. Effectively manage the medical billing team working with the Sr. Revenue Manager… more
- Elevance Health (Tampa, FL)
- ** Medical Director - Florida Medicare Plans** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... must reside in Florida near our Miami or Tampa locations.** The ** Medical Director ** will support the following Florida Medicare plans: Simply Healthcare… more
- CVS Health (Hartford, CT)
- …(work at home) based anywhere in the US.** **Responsibilities of this Medical Director role are related to Medicare Appeals:** * Direct daily work on part ... * Board Certified in ABMS or AOA Recognized Specialty **Preferred Qualifications** * Medical Management - Medicare Complaints, Grievance & Appeals experience. *… more
- Molina Healthcare (Augusta, GA)
- JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting ... and cost-effective member care. Essential Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports… 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
- ChenMed (Metairie, LA)
- …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
- Gentiva (Milwaukee, WI)
- …Hospice and Palliative Medicine board certification and/or Hospice Medical Director Certification Board certification preferred. + Current Medicare Provider ... Transform Care through Compassionate Hospice Leadership.** We are seeking a dedicated Hospice Medical Director to join our leadership team and provide expert… more
- CVS Health (Austin, TX)
- …process, pre-certification, and predetermination of covered benefits in the Commercial and Medicare environment. This Medical Director provides subject ... Summary** Aetna, a CVS Health company, has an outstanding opportunity for a Medical Director . Ready to take your career to the next level with a Fortune… more
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