- CommonSpirit Health (Lexington, KY)
- …The Market Director , Payer Strategy and Relationships (PSR), is responsible for managed care policies, goals and objectives related to contract language and ... payer relationships, negotiations, organizational contractual obligations, and developments in the managed care marketplace including Fee For Service and… more
- CVS Health (CT)
- …Minimum 3-5 years of clinical practice experience. Two (2) + years of experience in managed care (Medicare and/or Medicaid) MD or DO; Board certification in an ... to its membership. Aetna is looking for a medical director to be part of a centralized team that...state where we have an Integrated plan. Experience with managed care (Medicare and Medicaid) utilization review… more
- UPMC (Media, PA)
- …preferred. + At least 5 years of management experience preferred. + Experience in managed care setting preferred. + Ability to implement medical policies, and to ... the provider network for the clinical needs of Community Care members. The Medical Director also participates...needs of Community Care members. The Medical Director also participates in regional leadership policy decisions and… more
- Erickson Living (Peabody, MA)
- …Brooksby Village by Erickson Senior Living We are hiring a Medical Director to join our growing physician-lead geriatrics practice. Erickson Senior Living,(R) a ... national leader in senior living and health care , seeks a passionate, patient-focused physician to provide clinical...assigned campuses will report directly to the Regional Medical Director . + Participates as active member of EHMG Medical… more
- Commonwealth Care Alliance (Boston, MA)
- …active RN license required Required Experience: * 7-10 years * 8-10 years of managed care operations experience, including a minimum five (5) years of leadership ... delivery Required Knowledge, Skills & Abilities: * Medicare and Medicaid managed care experience * Demonstrated knowledge of federal and state regulations… more
- Sevita (FL)
- …state government authorities and referral agencies such as counties, regional centers, managed care contractors, and government administrators. + Advocate on ... status, citizenship, or any other characteristic protected by law._ **Executive Director of Operations** **Starting at $150,000 | Florida-Based Opportunity** Are you… more
- CVS Health (TX)
- …Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid managed care plans in multiple states: Arizona, Florida, Illinois, Kentucky, ... Utilization Management / Review experience -Electronic medical systems/record experience - Managed Care experience -Medicaid experience **Education:** -M.D. or… more
- Scripps Health (San Diego, CA)
- …fee-for-service, partial risk, and full global risk HMO, PPO, and Ancillary services managed care agreements with health plans on behalf of Scripps Health's ... * Director positions eligible for new hire incentives.* *Participates...in the analysis, management, accounting, and budgeting of all managed care agreements. Establish effective lines of… more
- CVS Health (IL)
- …Combination of five years of management and/or clinical experience in a managed care environment and health administration, including adequate clinical ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...6 company, has an outstanding opportunity for a Medical Director (Medical Affairs). This is a remote based, work… more
- CVS Health (MI)
- …parties on population health activities. **Required Qualifications** + 10 years' clinical and/or managed care experience in the healthcare industry + Must reside ... and non-medical needs. + Must coordinate with the Medical Director and the Quality Improvement and Utilization Director...in Michigan + 7 years' Experience with Medicaid managed care or Population Health + Active… more