- Stanford Health Care (Palo Alto, CA)
- …age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of ... EMTALA, the Stark Law, Conflicts of Interest, Gifts and Entertainment, and Medicare and Medicaid program requirements. + Develop written policies, procedures, and… more
- Cordis (Trenton, NJ)
- …+ Track sales and support activities as needed and directed by the National Director in coordination with additional sales support. + Completes training ... revenue generation (transactional Business) through direct case support. ?Reports to National Clinical Sales Director .? **Responsibilities** + Responsible for… more
- Commonwealth Care Alliance (Boston, MA)
- …performance improvement. The LTSS Program Manager reports to the Senior Director of Delegation Partnerships and Provider Engagement. The Provider Engagement team ... **Required Experience (must have):** + 5+ years + Experience with Medicaid and Medicare products and programs + Experience or knowledge of community based services… more
- The Joint Commission (Oakbrook Terrace, IL)
- …appropriate judgment to seek assistance from others, including Central Office, the Field Director on call, the program specific Field Director , the Standards ... periodic performance reviews, evidence of standards compliance reports, complaints, and Medicare out-of-compliance reports. + Collaborate in a productive manner with… more
- Tidelands Health (Myrtle Beach, SC)
- …oversight. **What you will do** + Leads and guides staff that performs medical coding functions and supervises the processes and systems required to accomplish ... record management and coding. + Supervise and coordinate all activities of the medical coders to include effective management of staffing schedule to achieve timely… more
- Humana (Helena, MT)
- …our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. ... The Behavioral Health Medical Director work assignments involve moderately complex...Medicare Advantage and managed Medicaid + Experience with national guidelines such as MCG(R), ASAM or InterQual +… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests ... for services. The Medical Director work assignments involve moderately complex...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- CVS Health (Sacramento, CA)
- …of covered benefits in the Commercial and Medicare environment with a focus Medicare policy., This Medical Director provides subject matter expertise in ... CVS Health company, has an outstanding opportunity for a Medical Director . Ready to take your career...Policy, Reimbursement and Health Care Systems. * Experience with Medicare policies and guidelines ( National Coverage Determination… more
- Humana (Honolulu, HI)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The ... Corporate Medical Director works on problems of diverse scope and complexity...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis… more
- CVS Health (Hartford, CT)
- …compassionate. And we do it all with heart, each and every day. Executive Director , Medicare Part D Strategy leader will lead the development and advancement ... of the organization's strategy for Medicare Part D, spanning both the Part D portion...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
