- 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 ... Reporting to the Vice President of Contracting, Reimbursement & Revenue Integrity , this role is responsible for shaping and overseeing reimbursement strategies… more
- Banner Health (AZ)
- …to the Chief Privacy Officer and will be instrumental in leading the privacy program 's growth and maturation. Our ideal candidate for this position is someone who ... skills enabling you to establish and maintain a risk-based program + Be an engaged, collaborative leader/teacher for the...on a daily basis, as well as Banner's Corporate Integrity Agreement (CIA) and federal, state and local regulations,… more
- Bristol Myers Squibb (Princeton, NJ)
- …personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Senior Director , Health Systems Analytics, is responsible for leading strategic ... includes providing analytical support for strategies related to Medicare and Medicaid reforms, Pharmacy Benefit Manager (PBM) reforms, Inflation Reduction Act (IRA)… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** We are seeking an experienced and strategic Director of Accounting - Billing & Collections to lead our billing operations and receivables ... internal controls over billing and collections to ensure financial integrity . + Assist with audit preparation and respond to...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- Commonwealth Care Alliance (Boston, MA)
- …* Works closely with the CMO and VPMA to develop and advance the UM program and leads and organizes the ongoing evaluation of the utilization management program ... the Utilization Management team in managing and continuously improving UM program design, policies, procedures, workflows, and correspondence. * Supports provider… more
- Bristol Myers Squibb (Princeton, NJ)
- …and analytics tools to extract insights from large datasets, ensuring the accuracy and integrity of Model N data for analytical and reporting purposes. + Mentor and ... DevOps practices and CI/CD pipelines. + **Technical Project & Program Management:** Demonstrated experience managing large-scale technical projects, including… more
- Molina Healthcare (San Jose, CA)
- …services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality ... of the criteria for medical necessity. * Participates in and maintains the integrity of the appeals process, both internally and externally. * Responsible for… more
- CareFirst (Washington, DC)
- …DC Market Operations provides leadership for the operation of a single jurisdiction Medicaid program including the strategic direction for the development and ... necessary to deliver the overall strategic plan for a single jurisdiction Medicaid program . Through collaboration with matrix leaders in marketing, finance,… more
- MyFlorida (Tampa, FL)
- … program activities in electronic documentation system in accordance to program requirements. For fee-for-service (FFS) Medicaid clients, assists in the ... SOCIAL WORK SERVICES PROGRAM CONSULTANT - 64000844 Date: Sep 30, 2025...local area offices and central office. For fee-for-service (FFS) Medicaid clients, completes MFC child/youth social work assessments. Communication… more
- Albany Medical Center (Albany, NY)
- …key data points for the mandatory quarterly reports and work plans, assisting the Program Director with the development of all applicable work plans and reports ... required by the Grant. The Program Manager combines high integrity and strong...and the ability to drive change and assist the Program Director with implementing new initiatives in… more