- AmeriHealth Caritas (Washington, DC)
- …leadership is required. Managed care organization leadership experience as a Medical Director or CMO is preferred. + Demonstrated ability to lead clinical, quality, ... environment. + Experience working with multiple business product lines, ie, Medicaid, Medicare , ACA/Exchange. + Experience and/or knowledge of the health needs of… more
- Atlantic Health System (Morristown, NJ)
- …safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in ... all team members. Offerings vary based on role level (Team Member, Director , Executive). Below is a general summary, with role-specific enhancements highlighted:… more
- Gentiva (Burlington, NC)
- …Hospice Patient Care Manager, You Will:** * Report directly to the Executive Director , Administrator, or Senior Patient Care Manager * Oversee and direct patient ... ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid, JCAHO, ACHC) * Knowledge and compassion for terminally ill… more
- Atlantic Health System (Morristown, NJ)
- …safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in ... all team members. Offerings vary based on role level (Team Member, Director , Executive). Below is a general summary, with role-specific enhancements highlighted:… more
- Catholic Health Initiatives (Fargo, ND)
- …of the individuals we support. You will work in parallel with the Director of Health Services, providing comprehensive medical support and ensuring compliance with ... Comply with HIPAA regulations. + Ensure compliance with Centers for Medicare and Medicaid Services (CMS) guidelines. + Communicate effectively with multidisciplinary… more
- LifePoint Health (Wilson, NC)
- …support oncology services at Wilson Medical Center. Provide administrative support to the Director of Oncology and management of tumor board and the Commission on ... Works with investigators to negotiate study budgets/MOUs and to prepare the Medicare Coverage Analysis and internal cost summaries. Ensures new proposals are entered… more
- Sharp HealthCare (San Diego, CA)
- …developing the Benefits Administration team across multiple lines of business ( Medicare Commercial, Government, etc.) to ensure benefit plans are designed ... Administration team members. Assumes additional responsibilities in the absence of the Director . **Required Qualifications** + 5 Years in HMO or Health Insurance… more
- Prime Therapeutics (Baton Rouge, LA)
- …Sr Dir - Remote **Job Description** The Pharmaceutical Trade Relations Senior Director is responsible for managing Prime's Trade Relations program(s) for medical and ... or equivalent training and/or experience + Experience within the PBM industry, Medicaid, Medicare , and health plans + Pharmacist / Pharm D + Experience with contract… more
- Waystar (Louisville, KY)
- **ABOUT THIS POSITION** This role reports to a Director , Product Management and work closely with User Experience team and Technology teams. The Sr. Product Manager ... hospitals and health systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out our organizational values:… more
- UTMB Health (Galveston, TX)
- …of responsibility. **ESSENTIAL JOB FUNCTIONS:** * Under the direction of the Director of Coding, actively manages Clinical coding operations for UTMB to promote ... SKILLS / ABILITIES:** * Knowledge of federal and state collection laws, Medicare , Medicaid, and other third-party pay or regulatory requirements. * Thorough… more