- Mount Sinai Health System (New York, NY)
- …LCD/NCDs. Extensive understanding of reimbursement theories to include DRG, OPPS, HCC and managed care . Extensive working knowledge of health care ... **Job Description** ** Director of Enterprise Charge Description Master (CDM) -Patient...compliance. + Capacity to review, analyze and interpret managed care contracts, billing guidelines, and state… more
- Dayton Children's Hospital (Dayton, OH)
- …for Kids leadership and stakeholders, community mental health centers, and Medicaid Managed Care . Required Qualifications Education: Master's degree in public ... of change. Preferred Qualifications Skills/Competencies: A strong understanding of managed care requirements, HEDIS requirements, Outcomes Acceleration for… more
- University of Colorado (Aurora, CO)
- …DEA Certificate. + Able to be fully credentialed with the UCH system and UPI Managed Care . + Ability to meet the School of Medicine's criteria for Associate ... **Open Rank Medical Director of the Adult Diabetes Division - Associate...Adult Diabetes Division related to the delivery of medical care and clinical services such as utilization review, quality… more
- CVS Health (Frankfort, KY)
- …this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid managed care plans in multiple states: Arizona, California, Florida, Illinois, ... Utilization Management / Review experience. -Electronic medical systems/record experience. - Managed Care experience. -Medicaid experience. **Pay Range** The… more
- New York State Civil Service (Richmond, NY)
- NY HELP No Agency People With Developmental Disabilities, Office for Title Director - Institute for Basic Research Occupational Category Health Care , ... Basic Research in Developmental Disabilities (IBR) is recruiting for an Institute Director , an essential leadership position needed to continue the critical research… more
- CVS Health (Springfield, IL)
- …this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California, Florida, Illinois, ... Illinois residency -Health plan/payor Utilization Management / Review experience. - Managed Care experience. -Medicaid experience. **Education:** -M.D. or… more
- Prime Therapeutics (Jefferson City, MO)
- …is located + 3 years of relevant work experience in a retail, hospital, clinical and/or managed care setting, including at least 2 years of work experience in a ... of pharmacy with us. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account ...clinical and/or managed care setting Must be eligible to… more
- CVS Health (Tallahassee, FL)
- …training in a medical specialty). * Three 3+ years of experience in the managed care industry. * Experience in leading interdisciplinary teams. * Solid ... peer review and educational interventions. * Work with medical director teams focusing on inpatient care management,...understanding of and concurrence with evidence-based medicine (EBM) and managed care principles. * Ability to travel… more
- Sevita (Maryville, TN)
- …for each person served. + Maintains a functional understanding of funding, managed care requirements, and licensing requirements for each person served. ... Join us today, and experience a career well lived. Director of Nursing - IDD Services | Temporary Role...person served. + Maintains a functional understanding of funding, managed care requirements, and licensing requirements for… more
- City of New York (New York, NY)
- …OCMH works with City agencies to reduce barriers to mental health care for underserved communities. OCMH's priorities are rooted in equity, racial justice, ... of New Yorkers. OCMH's priorities are: - Improving Access to Mental Health Care and Equitable Distribution of Resources. - Partnering with Communities to Elevate… more