- Stanford Health Care (Palo Alto, CA)
- …discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key ... of Health Care Access and Information (HCAI) In addition, the Director of Reimbursement oversees the organization's responses to government audits and inquiries,… more
- Trinity Health (Livonia, MI)
- …operational initiatives including new services/programs, revenue enhancement, expense reduction, managed care utilization systems, and strategies. Responsible ... **Employment Type:** Full time **Shift:** **Description:** **POSITION PURPOSE** The Pharmacy Director Long Term Care Operations is a licensed registered… more
- Dignity Health (Henderson, NV)
- …teaching, and clinical leadership.** **RESPONSIBILITIES:** Clinical Leadership & Direct Patient Care : + Serve as Clinic Director , overseeing administrative ... **Job Summary and Responsibilities** **We are seeking an experienced primary care physician for our team** **JOB SUMMARY:** **Dignity Health Medical Group NV and St.… more
- City of New York (New York, NY)
- …State agencies (eg, SDOH, SOMH, OASAS, OPWDD), community health, mental health, and managed care organizations around child mental health services at DHS; write ... for one City Research Scientist IVA to function as the Complex Care Program Director who will. Report directly to the Department of Social Services Chief… more
- Humana (Helena, MT)
- …services such as inpatient rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed ... help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care ...medical management review organization, such as Medicare Advantage and managed Medicaid + Experience with national guidelines such as… more
- Humana (Indianapolis, IN)
- …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions with external… more
- McLaren Health Care (Flint, MI)
- …(10) years' experience in a progressively more responsible leadership role in managed care leading utilization, case and/or quality management with demonstrated ... We are looking for a Director , Medical Management, to join us in leading...HEDIS) + Fifteen (15) years' experience and knowledge of Managed Care functions (eg medical delivery, regulatory… more
- Humana (Little Rock, AR)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- Stanford Health Care (Palo Alto, CA)
- …forums to address issues and drive root-cause resolution. + Provides feedback to Managed Care department regarding payor policies and payor contract terms that ... (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** Reporting to the VP,...Overview** Reporting to the VP, Patient Financial Services, the Director , Denials Management serves as the strategic leader and… more
- Athena Health Care Systems (Middletown, CT)
- We are hiring an MDS Director to join our dynamic care team at Wadsworth Glen Health Care and Rehabilitation Center in Middletown! Wadsworth Glen is a ... you to grow within the company. As the MDS Director , you plan, organize, and direct the MDS process...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow… more