- Humana (Helena, MT)
- …The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director ... services such as inpatient rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed … more
- Stanford Health Care (Palo Alto, CA)
- …forums to address issues and drive root-cause resolution. + Provides feedback to Managed Care department regarding payor policies and payor contract terms that ... (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** Reporting to the VP,...Overview** Reporting to the VP, Patient Financial Services, the Director , Denials Management serves as the strategic leader and… more
- CenterWell (Boston, MA)
- …the Director of Physician Strategy at Utilization Management. The Medical Director conducts Utilization review of the care received by members in an ... community and help us put health first** The Medical Director , Primary Care relies on medical background...as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, … more
- UNC Health Care (Morrisville, NC)
- …Health physician groups, Strategy & Corporate Development, Real Estate, Revenue Cycle, Managed Care , UNC School of Medicine, and Research. + Leads people ... of the unique communities we serve. **Summary** : The ** Director of Operations** will report directly to the Chief...relevant laws, regulations, and standards that impact the health care industry. Demonstrated commitment to staying up to date… more
- Ventura County (Ventura, CA)
- …through division managers, a comprehensive system of integrated behavioral health services, managed care operations and administrative services; + Assists the ... best practices of behavioral health program planning and administration including managed care operations; recruitment, supervision and personnel management;… more
- Point32Health (NH)
- …responsible management experience in a complex healthcare setting. Experience in managed care contracting and experience working collaboratively with providers. ... results and lead teams to achieve goals. + Strong working knowledge of managed care /risk contracting payment methodologies. + Savvy negotiator with experience in… more
- University of Pennsylvania (Philadelphia, PA)
- …of Relationship Managers and shares responsibility with the other Senior Associate Director for implementing the employer services strategy , including business ... programs and resources, and much more. Posted Job Title Sr. Associate Director , Employer Engagement, Wharton MBA Career Management Job Profile Title Associate … more
- Commonwealth Care Alliance (Boston, MA)
- …active RN license required Required Experience: * 7-10 years * 8-10 years of managed care operations experience, including a minimum five (5) years of leadership ... care delivery Required Knowledge, Skills & Abilities: * Medicare and Medicaid managed care experience * Demonstrated knowledge of federal and state… more
- Sevita (Detroit, MI)
- …state government authorities and referral agencies such as counties, regional centers, managed care contractors, and government administrators. + Advocate on ... adolescents, Military Service Members and Veterans. **Operations Management Executive Director - State of MI** **Compensation: $140,000-$160,000/year with an… more
- AmeriHealth Caritas (Newtown Square, PA)
- …and insights + At least ten (10) or more years of experience in managed care operations/administration + Working knowledge of CMS guidance and experience with ... **Role Overview** The ** Director of Payment Integrity Solutions** is responsible for...success in triaging, resolving, and optimizing cross-functional processes within managed care organizations + Ability to work… more