- State of Massachusetts (Boston, MA)
- …state agencies and other stakeholders. * Basic understanding of the Centers for Medicare and Medicaid Service (CMS) Community Rule and Massachusetts' waiver ... (DDS) seeks a dynamic, highly organized, mission-driven individual to fill the Director of Community, Life, and Engagement role. The selected candidate will serve… more
- Sanford Health (Sioux Falls, SD)
- …contract templates to ensure compliance with the requirements of NCQA, Centers for Medicare and Medicaid Services and other applicable laws and regulations. Also ... Shifts **Job Schedule:** Full time **Weekly Hours:** 40.00 **Job Summary** The Director of Provider Network Contracting is responsible for maintaining and growing a… more
- Walmart (Bentonville, AR)
- …leader level role. + Deep understanding of payer reimbursement models, including Medicare , Medicaid , managed care, and value-based arrangements. + Proven success ... do ** We are seeking a strategic-minded and results-oriented ** Director of Accounts Receivable** to work across our Accounts...+ Serve as a key liaison with H&W Operations, Finance , and Payer Relations. . + Present AR performance,… more
- WestCare Foundation (Henderson, NV)
- …knowledge of healthcare billing systems, coding guidelines (ICD-10, CPT), Medicare / Medicaid , commercial insurance, and reimbursement methodologies. + ... Education Level 4 Year Degree Category Management Description POSITION SUMMARY: The Director of Revenue Cycle Management (RCM) is responsible for overseeing all… more
- Humana (Austin, TX)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... a part of our caring community and help us put health first** The Director , Employer Group Distribution is responsible for leading a field-based team who sells… more
- ChenMed (Miami, FL)
- …ABILITIES:** + Strong business acumen and acuity + In depth knowledge of Medicare , Medicaid , and commercial billing rules and regulations, coding, and ... need great people to join our team. The Associate Director , Revenue Cycle Management (RCM) Optimization manages and organizes...reimbursement processes + Comprehensive knowledge of Medicare program including but not limited to Risk Adjustment… more
- Commonwealth Care Alliance (Boston, MA)
- …medical or behavioral health care delivery Required Knowledge, Skills & Abilities: * Medicare and Medicaid managed care experience * Demonstrated knowledge of ... plan activities and reporting. * Provides expert input to Finance regarding patterns of utilization and cost and high...of audiences * Experience with managing clinical services for Medicaid / Medicare patients * Demonstrated ability to lead… more
- CVS Health (Phoenix, AZ)
- …experience within PBM financial levers and different lines of business (Commercial, Medicaid , Medicare , etc.), project Management or similar discipline. + 3+ ... we do it all with heart, each and every day. **Po** **sition Summary** The Director of Pricing Strategy will lead and oversee the market event pricing team by… more
- Waystar (Atlanta, GA)
- …1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid / Medicare payers. We are deeply committed to living out our organizational ... THIS POSITION** We are seeking an experienced and strategic Director of Accounting - Billing & Collections to lead...requests. **WHAT YOU'LL NEED** + Bachelor's degree in Accounting, Finance , or related field (CPA or MBA preferred). +… more
- Elevance Health (Nashville, TN)
- …care, is strongly preferred. + Experience in large-scale healthcare or state Medicaid and Medicare programs is strongly preferred. + Excellent written, ... **Account Services/Client Management Director CareBridge - CareBridge Growth and Client Success**...program services implementation. + Partnering with cross-functional operations and finance teams to forecast and track key operational and… more