- Henry Ford Health System (Detroit, MI)
- …the nation's premier academic and integrated health systems, is seeking a Director of Corporate Reimbursement to lead critical financial functions that directly ... thoughtful integration of reimbursement practices into systemwide financial strategies. The Director will serve as a trusted partner to executive leadership,… more
- Alameda Health System (Oakland, CA)
- …Director of Utilization Management holds a critical role encompassing operational oversight , strategic planning, compliance, and collaboration. Their ... Director , Utilization Management + Oakland, CA + Highland...assists physicians with appeals. Maintains minimal denial rates by Medicare , MediCal, private and contracted payers through appropriate direction… more
- CSL Behring (King Of Prussia, PA)
- …collection and submit all reports needed for compliance. 4. Work with Senior Director , Policy Advocacy & Government Affairs, & Legal to interpret and implement ... understanding the financial impacts of new/proposed government programs and operational considerations 5. Develop and manage internal reports/dashboards to monitor… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Medicaid Waiver Specialist** **Job Class: Planning Director State** **Agency: Human Services Dept** + **Job ID** : 89550 + **Location** : St. Paul + ... position Medicaid waivers are legal agreements between Minnesota and the Center for Medicare and Medicaid Services (CMS) that outline how the state operates its… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Director , Clinical and Revenue Integrity Operations is responsible for the oversight and management of our team of Revenue Integrity ... to be an integral part of ongoing product and operational strategy. Technical and process aptitude is a must....systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- The New Jewish Home (Bronx, NY)
- …The HAPI Division of The New Jewish Home is seeking for a full time Director of Patient Care to join our team. Job Summary: Oversees all clinical operations, ... of quality metrics to support performance improvement initiatives and quality/compliance oversight . o Serves as quality subject matter expert with other stakeholders… more
- CSL Behring (King Of Prussia, PA)
- …by providing clear financial insights. + Lead the consolidation and financial oversight of operational expenses across areas translating functional plans into ... **The Opportunity** As a member of the US Commercial Finance Team, the Director Finance Business Partner serves as a trusted financial advisor to senior leaders… more
- Providence (Portland, OR)
- …mostly remotely in the states of WA, OR and CA. **The Role:** As the Director of Risk Adjustment and Strategic Accounts at Providence Health Plan, you will be the ... our organization to governmental agencies. **What You'll Do:** + **Strategic Oversight :** Direct the development and execution of risk adjustment strategies,… more
- Sanford Health (Sioux Falls, SD)
- …**Weekly Hours:** 40.00 **Job Summary** This role is responsible for the strategic oversight and operational management of the organization's member and provider ... complaints, and grievance processes across all product lines, including ACA, Commercial, Medicare Advantage, Medicaid, DSNP, and ISNP. This role ensures adherence to… more
- Blue KC (KS)
- …of BCBSKC and to the community. **Job Description** + Provides prime management oversight and development for a major program or functional area within Medical ... credentialing or utilization management program, and provides guidance for clinical operational aspects and quality improvement for these programs. Chairs committee… more