- Modivcare (Denver, CO)
- …If so, this opportunity may be the right fit for you! 1The Senior Director - Product Marketing is responsible for the enterprise leadership and hands-on development ... architectures that resonate with multiple audiences - from Medicaid and Medicare clients to healthcare organizations and community stakeholders. + Ensures… more
- CVS Health (Austin, TX)
- …it all with heart, each and every day. **Position Summary** The Lead Director , Technology Product Management for Medicare Messaging Orchestration and STARs ... such as architects, tech-ops, security, etc. to ensure overall cohesion for the Medicare technology product line. You will develop and lead a team of product… more
- Robert Half Finance & Accounting (Carlisle, PA)
- Description We are looking for a dedicated Revenue Cycle Management Director to lead and manage all aspects of our client's revenue cycle operations. This position ... efficiency. Responsibilities: * Oversee the revenue cycle processes for Medicaid, Medicare , managed care, commercial payers, and sliding fee programs. * Establish… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- **Job Description** The Senior Director , Strategy & Analysis; Contract Operations works cross-functionally to develop and execute pricing strategies for pipeline and ... in-depth understanding of GPO/PBM/National and Regional Health Plan business models, Medicare Part D, Medicare Part B, 340B, and the changing market landscape +… more
- Robert Half Finance & Accounting (New Orleans, LA)
- Description We are looking for a skilled Director of Finance to lead and manage the financial operations of our non-profit organization based in New Orleans, ... disputes, accounts receivable, and participant billing. * Ensure adherence to Medicare Part D regulations, including bid preparation, reporting, and pharmacy benefit… more
- ChenMed (Miami, FL)
- …and we need great people to join our team. The Associate Director , Revenue Cycle Management (RCM) Optimization manages and organizes revenue strategy activities ... + Strong business acumen and acuity + In depth knowledge of Medicare , Medicaid, and commercial billing rules and regulations, coding, and reimbursement processes… more
- Evolent (Jackson, MS)
- …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
- Novo Nordisk (Plainsboro, NJ)
- …forecast gross to net components including but not limited to Managed Care, and Medicare Part D, Medicaid as well as current and future Healthcare Reform related ... methodologies, tools, and core deliverables. Relationships Reports to the Director , Sales Reporting & Forecasting. Position regularly interacts with members… more
- Molina Healthcare (UT)
- …Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in Utilization/Quality Program ... State (TX) Medical License, free of sanctions from Medicaid or Medicare . **Preferred Experience** * Peer Review, medical policy/procedure development, provider… more
- Robert Half Finance & Accounting (New York, NY)
- …those most impacted by social determinants of health. Our client is seeking a Director of Finance to serve as a strategic and hands-on leader, reporting directly to ... cycle management and ensure accurate billing, coding, and claims across Medicaid, Medicare , and private insurers . Guide long-term financial strategy to support… more