- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …transform healthcare? Bring your true colors to blue. What we need The Associate Director of Clinical Data Management will be a key leader in executing BCBSMA's data ... trustable clinical data to support key initiatives around quality, risk adjustment, medicare stars, and interoperability. This is a key leadership role that requires… more
- AdventHealth (Minneola, FL)
- …the Minneola community. **The role you'll contribute:** The Care Management Facility Director has full accountability and oversight for the overall operations of the ... including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social… more
- The Cigna Group (St. Louis, MO)
- The Senior Director , GPO Accounting, provides strategic leadership for the GPO Accounting Team within Evernorth. Candidate will: + Influence decision makers across ... Work independently, as well as collaboratively + Knowledge of PBM industry/Managed care/ Medicare / healthcare industry If you will be working at home occasionally or… more
- BAYADA Home Health Care (York, PA)
- …seeking an experienced health care manager to fill the position of **Associate Director ** in our Harrisburg, PA Senior Living office. Are you looking for an ... in the healthcare industry, preferably in home health care + Knowledge of Medicare regulations, including OASIS and PPS + Knowledge of Pennsylvania regulations +… more
- PruittHealth (Blue Ridge, GA)
- **JOB PURPOSE:** As a Regional Admissions Director for skilled nursing and long-term care facilities, you will be responsible for overseeing all aspects of the ... in skilled nursing or long-term care settings. 3. Strong understanding of Medicare , Medicaid, and other third-party payer requirements related to admissions and… more
- Aveanna Healthcare (Miami, FL)
- Home Health RN Executive Director of Operations ApplyRefer a FriendBack Job Details Requisition #: 207426 Location: Miami, FL 33166 Category: Nursing Salary: ... * Bilingual (English and Spanish) * Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
- CVS Health (Lansing, MI)
- …has an exciting opportunity to join its leadership team as an Executive Director , Network Management supporting our Michigan market for our Commercial, Medicare , ... IFP, and Medicaid businesses. In this role, you will provide leadership, guidance, and oversight for a team of directors, negotiators, and consultants to ensure overall network competitiveness, service, and profitability for given market or geographical area.… more
- Providence (Hood River, OR)
- …care management, we have the perfect opportunity for you! **The Role:** As the Director of Care Management RN, reporting directly to the Chief Nursing Officer, you ... in the Commitments and Compliance Integrity Program, ensuring adherence to Medicare and Medicaid regulations. + **Patient Advocate:** Respect Patients' Rights and… more
- Novo Nordisk (Washington, DC)
- …health outcomes. Are you ready to realize your potential? The Position The Senior Director works on complex issues that require an in-depth knowledge of the company ... may include, but are not limited to: NN Foundation, Quality, Medicare , Medicaid, Transparency, Adherence, Importation, Reference Pricing, Pricing / Price Increases,… more
- City of New York (New York, NY)
- …for (1) Administrative Staff Analyst NM III to function as an Executive Director , Data Analytics & Verification who will: - Oversee the management, administration, ... spending. This work includes identifying Medicaid clients who should apply for Medicare , identifying Medicaid clients who should be part of buy-in program, and… more