• Director Managed Care Contracting

    Houston Methodist (Houston, TX)
    …outs, new procedures, new drugs. Analyzes proposals which include capitation reimbursement , Medicare resource-based revenue value scale (RBRVS) values, current ... At Houston Methodist, the Director Managed Care Contracting position is responsible for...payer relations of the Houston Methodist (HM) contracts for reimbursement of services billed through managed care companies and… more
    Houston Methodist (07/03/25)
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  • National Director Market Access and Payer…

    BD (Becton, Dickinson and Company) (Stuart, FL)
    …team reimbursement strategy to ensure optimal coverage and maximize reimbursement from Commercial, Medicaid and Medicare plans. The individual will ... duties and responsibilities** + Leads the development and execution of the commercial reimbursement strategy including Medicaid and Managed Medicare plans. ​ +… more
    BD (Becton, Dickinson and Company) (05/03/25)
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  • Director , Quality Improvement…

    Trinity Health (Gaithersburg, MD)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Director , Quality, Improvement and Compliance** **Location:** Trinity Health PACE of ... the PACE Organization (PO) and ensure overall CMS regulatory compliance. The Director , Quality Improvement and Compliance, in collaboration with the Medical … more
    Trinity Health (07/10/25)
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  • Assistant Director Of Nursing\ADON\12k Sign…

    BrightSpring Health Services (Gainesville, FL)
    …with Company policies and procedures, state licensure and regulations, Medicaid, and Medicare standards, as well as state reimbursement regulations + Leads ... Our Company ResCare Community Living Overview The Assistant Director of Nursing is responsible for assisting the...Director of Nursing is responsible for assisting the Director of Nursing with the daily performance of clinical… more
    BrightSpring Health Services (06/13/25)
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  • Director , Actuary

    WelbeHealth (Los Angeles, CA)
    …seniors with better quality and compassion in a value-based model. The Director , Actuary is accountable for all actuarial functions related to PACE revenue, ... planning + Assess and refine risk-adjusted revenue projections for Medicare -Medicaid dual-eligible populations, incorporating CMS and state methodologies + Own… more
    WelbeHealth (07/19/25)
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  • Director Addiction Treatment Center 1, M-3…

    New York State Civil Service (Rochester, NY)
    NY HELP No Agency Addiction Services and Supports, Office of Title Director Addiction Treatment Center 1, M-3 (Norris ATC) Occupational Category Health Care, ... John L. Norris is a 44-bed inpatient Addiction Treatment Center (ATC). The Director is responsible for providing clinical, operational, and fiscal leadership of the… more
    New York State Civil Service (07/15/25)
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  • Director , IRA Project Management

    Bristol Myers Squibb (Washington, DC)
    …lives. Read more: careers.bms.com/working-with-us . **Summary:** We are currently seeking a Director , IRA Project Management to join the US Pricing, Analytics and ... work related to the Inflation Reduction Act (IRA) in the US Medicare business. The successful candidate will work cross functionally with internal and… more
    Bristol Myers Squibb (07/18/25)
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  • Hospice RN Director of Clinical Services

    Gentiva (Augusta, ME)
    **Overview** We're looking for a ** Director of Clinical Services RN** to join our team.You will report directly to the Executive Director . You will be ... patient services and compliance with the Conditions of Participation of the Medicare Hospice Benefit, State Hospice regulations and the operating model. In addition,… more
    Gentiva (07/09/25)
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  • MDS Director (RN)

    National Health Care Associates (Storrs, CT)
    …join our newest team at the Mansfield Center for Nursing & Rehabilitation! **-** MDS Director **What You'll Do:** As an MDS Director , you will manage the Minimum ... personalized resident care plans and the capture of clinical reimbursement for services provided. You will ensure the highest...this exceptional opportunity. Join our team as an MDS Director in an organization where your expertise and dedication… more
    National Health Care Associates (07/08/25)
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  • MDS Director (RN)

    National Health Care Associates (East Hartford, CT)
    …is valued and appreciated. We invite you to join our team! **-** **MDS Director MUST HAVE EXPERIENCE** **$1500 Sign on bonus!** **What You'll Do:** As an MDS ... Director , you will manage the Minimum Data Set (MDS)...personalized resident care plans and the capture of clinical reimbursement for services provided. You will ensure the highest… more
    National Health Care Associates (06/12/25)
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