- CVS Health (Austin, TX)
- …specialty including post-graduate direct patient care experience **Preferred Qualifications** * Health plan /payor experience. * Foundational baseline skills in ... At CVS Health , we're building a world of health...this role as Medical Director MPO (Medical Policy & Operations ) you will be responsible for providing clinical expertise… more
- AmeriHealth Caritas (Raleigh, NC)
- **Job Summary** The VP Plan Ops and Admin is responsible for leading the Plan Operations for the North Carolina Medicaid plans. This role will support the ... process improvement measures, serving as the liaison between the health plan and enterprise/shared service functions to...service functions to drive adherence. + Partner with Service Operations on Plan issues regarding significant service… more
- CVS Health (Columbus, OH)
- …or more of experience in clinical practice. Three (3) years or more of health plan /payor experience. Licenses: * Medical Director Board Certification is required ... At CVS Health , we're building a world of health...payment policies to ensure the accurate administration of plan benefits for medically appropriate services. This Executive Director… more
- AmeriHealth Caritas (Southfield, MI)
- **Role Overview:** The Vice President of Plan Operations & Administration leads operational strategy and execution for the Michigan Blue Cross Complete Medicaid ... metrics and process improvements, serving as liaison between the health plan and enterprise functions. + Partner...plan and enterprise functions. + Partner with Service Operations on major changes and enterprise initiatives. + Lead… more
- AmeriHealth Caritas (Dublin, OH)
- **Role Overview:** The Vice President of Plan Operations & Administration leads operational strategy and execution for the AmeriHealth Caritas Ohio Medicaid ... metrics and process improvements, serving as liaison between the health plan and enterprise functions. + Partner...plan and enterprise functions. + Partner with Service Operations on major changes and enterprise initiatives. + Lead… more
- CUNY (New York, NY)
- …Purchasing, Budget, Accounting), external auditors, government agencies, and vendors to resolve payment issues and ensure smooth operations . + Assisting with ... Specialist (Assistant Director of Accounts Payable)- Office of Finance and Business Operations **POSITION DETAILS** The Office of Finance and Business Operations … more
- Carnival Cruise Line (Miami, FL)
- The Public Health Operations Manager is responsible for the management of the brand public health programs and practices that protect the shipboard ... and makes suggestions for cost containment. + Manages the payment of invoices for public health programs...public health with 2 years managing public health programs/ operations . Previous experience working in a… more
- BrightSpring Health Services (Springville, AL)
- …BrightSpring Health Services Overview The Regional Vice President of Operations oversees and manages the day-to-day operations of anassigned geography ... * Works with Divisional and Senior Vice President of Operations and Finance Team to plan , andexecute...required. * Knowledge of regulations and reimbursements in home health care* Financial operations knowledge* Results oriented… more
- BrightSpring Health Services (Covington, GA)
- …business strategies and objectives. Responsibilities . Works with Regional Vice President of Operations and Finance to plan , and execute the company's budgeted ... Our Company BrightSpring Health Services Overview AVPO Coverage Areas:East GA and...RN License Required The Area Vice President (AVP) of Operations oversees and manages the day-to-day operations … more
- Elevance Health (Tampa, FL)
- …law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to ... **Financial Operations Analyst Lead** **Hybrid 1:** This role requires...and a minimum of 5 years experience in a finance/ health insurance field capacity and experience with relational databases… more