• Dir ACO Quality and Post Acute Care

    Community Health Systems (Franklin, TN)
    …and overall MIPS reporting performance. + Assist in compliance activities related to ACO operations . This includes ACO beneficiary notices, maintenance of ... **Job Summary** The Corporate Director , ACO Quality and Acute Care...a matrixed model with other departments such as Market Operations , Physician and Clinical Services, Managed Care, Strategy and… more
    Community Health Systems (06/24/25)
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  • Director Communications & Member Engagement…

    AdventHealth (Maitland, FL)
    …across the department with their communication needs and the needs of their operations . In addition, the Director will oversee the deployment of communication ... ** Director of Performance & Enablement** **All the benefits...the Provider and Enablement and Performance, Clinical Quality, Clinical Operations , Finance, and Network Development Teams. This will require… more
    AdventHealth (08/21/25)
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  • Regional Medical Director

    Genesis Healthcare (NM)
    …living out our mission, we embrace the following pillars in our day-to-day operations . Responsibilities The Regional Medical director (RMD), in addition to ... We are seeking a part-time to full-time (24-30 hours per week) Regional Medical Director for remote position with some travel to our centers located in New Mexico.… more
    Genesis Healthcare (07/30/25)
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  • Hospice Clinical Director

    Beth Israel Lahey Health (Beverly, MA)
    …and in collaboration with the BILH at Home Leadership Team, The Hospice Director of Clinical Operations executes the overall strategic direction for clinical ... hospice operations within BILH at Home. Responsible for providing leadership...and maintains a progressive oriented vision with the Executive Director of Hospice and Palliative Care and other leadership… more
    Beth Israel Lahey Health (07/16/25)
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  • Director Medical Management

    DOCTORS HEALTHCARE PLANS, INC. (Miami, FL)
    Position Summary: The Director of Medical Management is responsible for the strategic direction, leadership, and oversight of all medical management functions, ... goals and objectives. Key Responsibilities: + Lead and manage the day-to-day operations of the Medical Management department, ensuring the delivery of high-quality,… more
    DOCTORS HEALTHCARE PLANS, INC. (08/29/25)
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  • Director Clinical Analytics

    Dignity Health (Bakersfield, CA)
    …but will be expected to work PST business hours.** **Position Summary:** The Director of Analytics oversees and strategizes the data analytics needs of the ... the optimization of Dignity Health MSO's performance relative to value-based contracts. The Director will lead a team to provide and strategize results for hands on… more
    Dignity Health (07/30/25)
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  • Executive Director , Network Management…

    CVS Health (Lansing, MI)
    …an exciting opportunity to join its leadership team as an Executive Director , Network Management supporting our Michigan market for our Commercial, Medicare, IFP, ... to develop, negotiate and manage complex Value Based and Accountable Care ( ACO ) relationships. + May oversee the negotiation, implementation, and management of VBC… more
    CVS Health (08/20/25)
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  • Director Reimbursement Design & Market…

    Highmark Health (Baton Rouge, LA)
    …support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations . **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, ... and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as… more
    Highmark Health (07/30/25)
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  • Manager, Prior Authorization RN

    Fallon Health (Worcester, MA)
    …standards; problems lacking clear precedent are usually reviewed with the Director , UM and PA prior to taking action. **Responsibilities** **Primary ... staffing and operational needs to ensure that the day-to-day operations of the Unit are carried out in compliance...in internal and external meetings, on behalf of the Director , as needed. + Becomes the SME to work… more
    Fallon Health (08/14/25)
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  • Business Development Manager - Primary Care

    Bluestone Physician Services (Fort Myers, FL)
    …communities throughout Minnesota, Wisconsin and Florida and are supported by clinical operations and administrative colleagues who work remotely or at our corporate ... Workplace USA 2021-2025! In 2022, Bluestone Accountable Care Organization ( ACO ) was the best performing ACO in...with internal resources. This position reports to the Business Director and works collaboratively with their peers to expand… more
    Bluestone Physician Services (07/22/25)
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