- Munson Healthcare (Traverse City, MI)
- …safety and continuous improvement. What the Position Involves Reporting to the Director of Home Care, you will oversee the clinical and administrative functions ... of our multisite Home Care offices. You'll ensure regulatory compliance ( Medicare , Medicaid, CHAP), manage budgets, set and meet key performance indicators… more
- LA Care Health Plan (Los Angeles, CA)
- …setting. Works with UM leadership, including the Utilization Management Medical Director , on requests where determination requires extended review. Collaborates with ... clinical data presented and established criteria/guidelines, escalating to the medical director if needed. Triages and assesses members for admission needs,… more
- State of Colorado (Denver, CO)
- …you have any experience with State or Federal regulations, specifically around Medicaid or Medicare reimbursement rules? 08 Do you have any experience in project ... process may request a review by the State Personnel Director . As an applicant directly affected by the results...may file a written appeal with the State Personnel Director . Review of the completed, signed and submitted appeal… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …and enhancing speciality behavioral health. + Team-based care models. + Expansion of Medicare and other services for the aging population. + Leads and works ... TVHC. Supervises: Department Medical Directors, Medical Providers, Clinical Program Leads, Director of Behavioral Health Services, Street Health Outreach Director… more
- Waystar (Lehi, UT)
- …to highly useable software. This professional self-starter will report to a Director , Product Management and work closely with User Experience team and Technology ... needs and ensure customer satisfaction and product quality + Assisting your Director of Product Management in coordinating with sales, marketing, development, and… more
- City of Alpharetta, Georgia (Alpharetta, GA)
- …(age 55+ and 10+ yrs. of service) may continue individual coverage up until Medicare eligibility at age 65. Medical Reimbursement : retirees (age 55+ and 15+ ... the Police Officer's Captain. + Obtain approval from the Director of Public Safety for the Police Officer to...yrs. of service) receive a monthly reimbursement benefit as periodically determined by the Pension Board… more
- Bristol Myers Squibb (Las Vegas, NV)
- …will have no direct reports and report into the Regional NPPA CS Director . The Dermatology Clinical Specialist will have materials created to support them in ... + The NPPA CS role reports to a Regional Director and works with their team of peers and...laws. + Possess a strong understanding of Commercial payers, Medicare plans and state Medicaid in geography. + Immunology… more
- Cardinal Health (San Juan, PR)
- …and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance, this position supervises and manages audits to determine ... coders, billers and other appropriate staff. This position will also support the Director with transactional audit diligence and integration planning, as well as the… more
- Option Care Health (Farmington Hills, MI)
- …+ immunology/neurology, oncology, or transplant. + Basic understanding of billing and reimbursement procedures for hospital, medical offices, and Medicare (B/D + ... **Job Description Summary:** Under the direction of the Regional Sales Director , Health Systems Solutions (RSD, HSS), manages the development and execution… more
- Molina Healthcare (Layton, UT)
- …providers. Contract/Re-contracting with large scale entities involving custom reimbursement . Executes standardized Alternative Payment Method contracts. Issue ... Tighter knit proximity ongoing after contract. * In conjunction with Director /Manager, Provider Contracts, negotiates Complex Provider contracts including but not… more