- CVS Health (FL)
- …oversight of DSNP/MMP complex populations (Dual-Eligible Special Needs Plan / Medicare -Medicaid Plan) * Develop and lead clinical strategy and objectives for ... Member Outreach, Care Management, National Quality Management, Utilization Management, Compliance , and other departments to integrate social, behavioral, and… more
- Marshfield Clinic (Marshfield, WI)
- …support the most exciting missions in the world!** **Job Title:** Director - Anesthesia Services **Cost Center:** 301351025 MfdHos-Anesthesia **Scheduled Weekly ... and regulations. Monitors the operations of the staff and ensures compliance with regulations on organizational and governmental standards and practices. Oversees… more
- Molina Healthcare (Rochester, NY)
- …health portions of state contracts. * Assists behavioral health medical director lead trainers in the development of enterprise-wide education on psychiatric ... reviews and appeals. * Supports behavioral health committees for quality compliance . * Implements behavioral health specific clinical practice guidelines and medical… more
- Omnicell (Watertown, NY)
- **ASSOCIATE DIRECTOR , PHARMACY OPERATIONS** Omnicell Specialty Pharmacy is looking for an experienced pharmacy leader to oversee on-site operations for a new ... + Five or more years of transplant experience with a strong understanding of Medicare Part B billing requirements is preferred. + A thorough understanding of the… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Director of Security Operations is a security leadership position that will manage the Joint Security Operations and Identity Management ... accounts. + Perform user access reviews required to meet compliance (SecurEnds). + Other duties as required **WHAT YOU'LL...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- Humana (Springfield, IL)
- …collaborative care models in their practices + Coordinates with the Medical Director to integrate the administration and management of behavioral and physical health ... represents Humana at public forums and engagement opportunities + Maintains compliance with BH-related Contract requirements and attends oversight committee meetings… more
- Molina Healthcare (GA)
- …overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. **Knowledge/Skills/Abilities** ... plan for the Medicaid , CHIP, Marketplace, MMP and Medicare lines of business. * Works with staff and...* Oversees Enrollment and Contact Center Operations to ensure compliance with health plan requirements. Works collaboratively with Corporate… more
- Avera (Aberdeen, SD)
- …sign-on bonus and relocation assistance! Interested candidates, apply through BE Smith at Director of Nursing Job in Aberdeen, SD #3360777 | AMN Healthcar e . ... and legal authorization and with nursing home policy. + Understands/coordinates Medicare /Medicaid coverage requirements. + Assures that a comprehensive plan of care… more
- Tufts Medicine (Lawrence, MA)
- **Tufts Medicine Care at Home** is currently seeking an **Associate Medical Director ** to join our **hospice** team in the greater **Lowell** area. This position ... medical services (RN, NP, PA, LPN, CNA), and assure compliance with medical standards of care for hospice. +...+ Re-certifying patients, as appropriate, for continuation of the Medicare Hospice Benefit at the appropriate levels of care.… more
- BAYADA Home Health Care (Harrisburg, PA)
- …seeking an experienced health care manager to fill the position of **Associate Director ** in our Harrisburg, PA Senior Living office. Are you looking for an ... of all services provided by your staff to ensure compliance and client satisfaction while ensuring adequate staff education,...industry, preferably in home health care + Knowledge of Medicare regulations, including OASIS and PPS + Knowledge of… more