- CVS Health (St. Paul, MN)
- …clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care ... clinical tools and information/data. * Utilizes case management processes in compliance with regulatory and company policies and procedures. * Facilitates… more
- Johns Hopkins University (Baltimore, MD)
- **General Summary** We are seeking an **_Internal Audit Manager ,_** who demonstrates subject matter expertise in operational internal auditing and the healthcare ... operation of health insurance and managed care programs, including Medicaid and Medicare Advantage. + Deep understanding of the regulatory environment for managed… more
- Waystar (Atlanta, GA)
- …THIS POSITION** Waystar is seeking a smart and creative Principal Product Manager with hands-on experience in Healthcare Revenue Cycle Management. We are looking ... with User Experience team and Technology teams. The Principal Product Manager will lead large-scale, cross departmental strategic product initiatives coordinating… more
- Commonwealth Care Alliance (Boston, MA)
- …require intensive care management and care delivery. Within the CIC Program, the Manager , Clinical APC is responsible for the oversight of clinical care delivery and ... complex care management within the CIC interdisciplinary team. The Manager , Clinical APC is specifically accountable for assigned Advanced Practice Clinicians and… more
- General Dynamics Information Technology (Fairfax, VA)
- …Seize your opportunity to make a personal impact as a **Cloud FinOps Manager ** supporting the _Center for Medicare and Medicaid (CMS) Cloud Products ... GDIT, people are our differentiator. As a Cloud FinOps Manager you will assist in leading our Cloud FinOps...best practices + Establishes policies and controls to ensure compliance with internal cost allocation models and industry frameworks… more
- AdventHealth (Ormond Beach, FL)
- **Clinical Manager ** **AdventHealth** **Hom Health** **All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid Days Off from ... **Shift** : **Location:** **The role you'll contribute:** The HH Clinical Manager is responsible for development, implementation and monitoring of clinical… more
- Atlantic Health System (Morristown, NJ)
- …join the energetic and innovative team of healthcare professionals as a Inpatient Care Manager on the Care Management Team at Morristown Medical Center. This is a ... team to achieve optimal clinical and resource outcomes, work with the Supervisor/ Manager of Case Management to assess, plan, implement, coordinate, monitor and… more
- US Tech Solutions (Malden, MA)
- …Stoneham, Wakefield and Winthrop MA area** Under the administrative direction of the Clinical Manager , the Nurse Case Manager (NCM) for Senior Care Options (SCO) ... required. Experience within a SCO program highly preferred. Experience in Medicare and/or Medicaid managed care preferred. Proficient in computer use, the… more
- ChenMed (Tampa, FL)
- …biohazard waste and medicine disposal, etc. + Conducts trainings and refreshers regarding Medicare and HIPAA compliance , ensures annual OSHA trainings occur and ... an astute sense of ownership; the successful General Center Manager will drive success of the center from all...+ Performs other duties as assigned and modified at manager 's discretion. **_Other responsibilities may include:_** + Conducts tours… more
- UTMB Health (Galveston, TX)
- …government payor reimbursement-related calculations and estimates and ensures UTMB compliance with Medicare and Medicaid regulations. **Scope:** Institutional ... actions to implement appropriate processes and procedures to ensure compliance with Medicare and Medicaid regulations. +...to include four (4) years of reimbursement experience at manager level or above. + Experience with Medicare… more