- Texas Health Resources (Cleburne, TX)
- Director Quality, Patient Safety and Risk _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified ... standards: Life Safety Code (LSC), The Joint Commission (TJC), Center for Medicare and Medicaid Services (CMS), National Quality Foundation (NQF), Institute for… more
- Molina Healthcare (Owensboro, KY)
- …health portions of state contracts. * Assists behavioral health medical director lead trainers in the development of enterprise-wide education on psychiatric ... compliance with National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). * Assists with the recruitment and orientation… more
- Lumeris (NH)
- …values its people and empowers you to make an impact. **Position:** Director , Partner Operations **Position Summary:** Oversees the team responsible for delivery ... in Health Administration, or similar degree + Experience in managed care and/or Medicare Advantage **Working Conditions** + While performing the duties of this job,… more
- AmeriHealth Caritas (Dublin, OH)
- **Role Overview:** ;The Director of Plan Operations & Administration is responsible for ensuring full compliance with state program contractual and regulatory ... in government programs, health plan operations, with a strong focus on Medicare and Medicaid programs. + Previous management experience in a matrixed organization… more
- CVS Health (Phoenix, AZ)
- …we do it all with heart, each and every day. **Po** **sition Summary** The Director of Pricing Strategy will lead and oversee the market event pricing team by ... within PBM financial levers and different lines of business (Commercial, Medicaid, Medicare , etc.), project Management or similar discipline. + 3+ years experience… more
- Tufts Medicine (Lowell, MA)
- …list. Other duties and responsibilities may be assigned. 1. Works with Medical Director to deliver optimal hospice care. 2. Ensures contribution from all IDT members ... Maintains current knowledge of, and ensures adherence to: laws; regulations; Medicare COPs; Joint Commission standards; standards of practice, and organization's… more
- Phoenix Home Care and Hospice (St. Louis, MO)
- …- Friday + St. Louis Region + Pay Range: $80,000 - $110,000 The Director of Nursing is responsible for overall directions of clinical services. Maintains the quality ... + Motivational PHC culture, training, and Supportive Hospice Team. We are Medicare Certified and State Licensed. Responsibilities + Coordinates and oversees all… more
- CVS Health (Tallahassee, FL)
- …oversight of DSNP/MMP complex populations (Dual-Eligible Special Needs Plan / Medicare -Medicaid Plan) * Develop and lead clinical strategy and objectives for ... through peer review and educational interventions. * Work with medical director teams focusing on inpatient care management, clinical coverage review, member… more
- CVS Health (Tallahassee, FL)
- …it all with heart, each and every day. **Position Summary** The Lead Director , Provider Portal Strategy & Operations is responsible for the strategic leadership and ... oversight of Aetna's three primary provider portal solutions: Availity Commercial/ Medicare Portal, Availity Medicaid Portal, and DentalXchange Dental Portal. This… more
- Phoenix Home Care and Hospice (Wichita, KS)
- …be required to provide support to both the nursing staff and the director of nursing, while maintaining a compassionate approach towards the patients. Benefits + ... Motivational PHC culture, training, and Supportive Home Health Team. We are Medicare Certified and State Licensed. Responsibilities + Partners with management to… more