- Highmark Health (Pittsburgh, PA)
- …solutions with seamless omni-channel handoffs. As a key leader of the Medicaid Clinical organization, role is responsible for maximizing and optimizing value of ... operational excellence/administrative cost management. This requires the incumbent to lead their team through the implementation of alternative resourcing strategies… more
- Elevance Health (Indianapolis, IN)
- **Behavioral Health Medical Director - Psychiatrist - Indiana Medicaid ** **Location:** This role enables associates to work virtually full-time, with the exception ... The **Behavioral Health Medical Director** is responsible for reviewing cases for IN Medicaid members including child and substance use disorders, and all levels of… more
- Public Consulting Group (FL)
- …streamline operations and achieve strategic goals to serve the public better. We provide the full spectrum of technology consulting services to help state ... and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000… more
- Trinity Health (Farmington Hills, MI)
- …and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location. Serves as a member of the billing and follow-up team ... non-government accounts. Provides training and guidance to lower level colleagues and provide problem resolution as needed. This position reports directly to a… more
- CVS Health (Tallahassee, FL)
- …And we do it all with heart, each and every day. **Position Summary** The Lead Director, Provider Portal Strategy & Operations is responsible for the strategic ... leadership and operational oversight of Aetna's three primary provider portal solutions: Availity Commercial/Medicare Portal, Availity Medicaid Portal, and… more
- Humana (Overland Park, KS)
- …the health of the communities we serve. The Regional Vice President will also provide executive leadership to Provider Contracting, Provider Education and ... and be the defined point of contact for escalated provider engagements and issues. + Lead the...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Novant Health (Concord, NC)
- …Are you looking to join a remarkable team where quality care meets quality service , in every dimension, every time? Novant Health Medical Group is looking for a ... compassionate, caring Pediatric Advanced Practice Provider (NP or PA) to join our brand-new outpatient...years of experience working in pediatrics. Our expert clinicians provide comprehensive acute care for newborns through adolescence, while… more
- State of Georgia (Crisp County, GA)
- …the state's growing population of almost 10 million people. DCH serves as the lead agency for Medicaid , oversees the State Health Benefit Plan (SHBP), and ... in the Primary Care Office and Farmworker Health program sections to ensure services provided by staff meet performance and quality expectations. The supervisor will… more
- CVS Health (Indianapolis, IN)
- …with establishing and implementing results-based programs and innovative initiatives for the Provider Data Services area, under general supervision. + Applies ... in-depth knowledge of the Provider Data Services field to offer feedback...Provides technical and/or functional leadership within unit (ie, team lead ). + Extracts information from provider systems… more
- Point32Health (Canton, MA)
- …Medicare, Medicaid , and Duals product members. This individual will lead the development and implementation of provider -specific analyses and engagement ... of all of our colleagues, which helps us to provide service with empathy and better understand...at Point32Health (https://www.point32health.org/) . **Job Summary** This position will lead the Risk Adjustment Operations & Provider … more