- Kaleida Health (Buffalo, NY)
- ** Director Clinical and DRG Denials** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job ... Description **Summary:** The Director , Clinical & DRG Denials provides clinical leadership and...between HIM, Clinical Documentation, UR, Physician Advisor operations, PFS, Contracting , and hospital departments and leadership to promote effective… more
- Molina Healthcare (Ann Arbor, MI)
- …**I** **E** **N** **C** **E:** + Peer Review, medical policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS, Medicaid, ... (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to...including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge.… more
- Molina Healthcare (Layton, UT)
- …etc. **PREFERRED EXPERIENCE:** + Peer Review, medical policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS, ... (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to...including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge.… more
- The Cigna Group (Bloomfield, CT)
- …limited to, the following: + Market targets and staging. + Network, contracting , and operational needs. + Technology and associated claim/benefit capabilities. + ... network/product needs. + US Employer Network Governance who is responsible for Contracting /Network ops capacity management. + US Employer Platform Lead who is… more
- AdventHealth (Shawnee, KS)
- …Location** : Merriam, KS **The role you will contribute:** This position will provide leadership for managed care strategy, contracting and contract management ... status for all groups. + Audits and analyzes data for all physician/ provider credentialing records, documents, and files. + Programs applications to generate reports… more
- Vera Therapeutics (Brisbane, CA)
- Title: Senior Director , Senior Corporate Counsel Location: Brisbane, CA About Us: Vera Therapeutics (Nasdaq: VERA), is a late clinical-stage biotechnology company ... is seeking a seasoned and highly motivated transactional attorney to serve as Senior Director , Senior Corporate Counsel and will report to the SVP, Corporate Law and… more
- NYSERDA (Albany, NY)
- …program operational management experience to join the team as an Assistant Director in the Shared Services and Strategic Initiatives group. The successful candidate ... just as important as program management and operational experience. The Assistant Director will directly contribute to public-facing deliverables such as the annual… more
- V2X (Reston, VA)
- …respect, responsibility, and professionalism. Responsibilities What You'll Do: + The Director of Project Accounting - Mission Support, leads all project accounting ... activities for a $2B government contracting segment. This role is critical in ensuring compliant,...terms and applicable accounting standards (eg, ASC 606). + Provide and manage project-level financial performance, including monthly reviews… more
- Merck (North Wales, PA)
- **Job Description** Join our Integrated Account Management team as the Associate Director , Pharmacy & Distribution Customer Manager and take ownership of how our ... other customer initiatives, including consumer-directed programs via pharmacy, customer contracting , customer communications, stocking initiatives, product allocation and withdrawals,… more
- Abbott (Newark, NJ)
- …devices. We currently have an opportunity available for a **Vessel Closure Regional Sales Director in .** This role will report to the Area Vice President **.** The ... and influence stakeholders within the hospital setting. + Drive contracting efforts to gain favorable positions in accounts within...**Learn more about our health and wellness benefits, which provide the security to help you and your family… more