- Banner Health (Phoenix, AZ)
- …in support of audits of health care liabilities, communicating ROI for medical management and other health plan initiatives to leadership, preparing and delivering ... reports and presentations, analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools and/or plan benefit packages.… more
- CVS Health (Lansing, MI)
- …has an exciting opportunity to join its leadership team as an Executive Director , Network Management supporting our Michigan market for our Commercial, Medicare , ... enable and improve clinical outcomes. + Responsibility for understanding medical cost issues and medical cost ratios...Responsibility for understanding medical cost issues and medical cost ratios (MLRs) and initiating appropriate action to… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Billing Director -Patient Financial Services- Corporate (ON SITE) Full-Time -Days** Responsible for direction and management responsibility over ... the business and operational activities of a department or medical care unit. **Qualifications** + 5 or more years...standards and billing regulations set by governmental agencies like Medicare and Medicaid. + May chair or participate in… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …even bigger advances in cancer therapies, and help shape where our business and medical science goes next. We believe every employee deserves a great leader. People ... Join Kite and help create more tomorrows. **Job Description** The **Senior Director ,** **Head of** **US Trade,** **Pricing and Contract** **ing** reports to the… more
- Providence (Hood River, OR)
- …care management, we have the perfect opportunity for you! **The Role:** As the Director of Care Management RN, reporting directly to the Chief Nursing Officer, you ... will oversee care management operations at Providence Portland Medical Center and Providence Hood River Memorial Hospital. This includes management of nurses, social… more
- WellSpan Health (York, PA)
- …accrediting agencies. Maintains an effective relationship with the Trauma Program Medical Director . **Duties and Responsibilities** + Survey Readiness: Provides ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- AbbVie (Mettawa, IL)
- …medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's ... to join us. The individual hired as the Associate Director , Payer Contract Analytics, within the Market Analytics and...+ Support all channels of payer contracting including Commercial, Medicare Part D, Medicaid and other Government channels +… more
- Phoenix Home Care and Hospice (St. Louis, MO)
- …Louis Region + Hours: Full Time Monday through Friday: 8am - 5pm The Director of Nursing is responsible for the overall directions of clinical services. Maintains ... evaluation of all services provided. Benefits + Multiple Major Medical Plans to Choose From ( Medical , Dental...culture, training, and Supportive Home Health Team. We are Medicare Certified and State Licensed. Responsibilities + Coordinates and… more
- Dartmouth Health (Lebanon, NH)
- …within a highly matrixed relationship with the Chief Nursing Officer, Chief Medical Officer and Chief Executive Officer * Position Standards: * Master's degree ... time. Mobility is essential * Push/Pull/Lift/Carry: * Part Two: Performance Expectations - Director * Patient Focus: Places, first and foremost, the quality of the… more
- Corewell Health (Grand Rapids, MI)
- Job Summary The Director Risk Adjustment Prospective Operations & Risk Mitigation is the thought leader role responsible for ensuring the complete and accurate ... the point of care.2. To partner with provider offices to obtain the right medical records at the right time and accurately document member disease burden after the… more