- CVS Health (Frankfort, KY)
- …of Kentucky primarily, and the Southeast Region (FL, LA and WV). This Medical Director will be a "Work from Home" position primarily supporting the Aetna ... do it all with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout… more
- Diversicare Healthcare Services & Diversicare Ther (Huntsville, AL)
- …and residents, **APPLY NOW!** **Full Time Benefits include:** + ** Medical /Dental/Vision** + **Excellent 401k plan** + **Tuition Reimbursement** + **Vacation, ... long-term care centers in five states, primarily in the Southeast , Midwest and Southwest United States. Together, with our...consult with RNACs and MDSCs on the RAI, Medicare, Medicaid and Managed Care processes to facilitate compliance, integrity… more
- Diversicare Healthcare Services & Diversicare Ther (Ripley, MS)
- …to attend. 4. Assist facility bookkeeper in tracking and reporting status of Medicaid Applications/Approvals. 5. Assist Social Services Director , as needed, with ... and residents, **APPLY NOW!** **Full Time Benefits include:** + ** Medical /Dental/Vision** + **Excellent 401k plan** + **Tuition Reimbursement** + **Vacation,… more
- Louisiana Department of State Civil Service (Reserve, LA)
- …is to serve the Veteran population of Louisiana through the provision of medical , nursing, restorative and rehabilitative services in an atmosphere of respect and ... provide services. Join the State ofLouisiana Department of Veterans Affairs at the Southeast Louisiana Veterans Home, where you'll step into a role as a Certified… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Under supervision of Manager and / or Director , support the managed care contracting function by performing necessary financial analysis to evaluate ... inpatient and high dollar outpatient payments for various payors, including MA, Medicaid and Commercial. 8. Create prospective and retrospective analyses to assess… more
- Henry Ford Health System (Bingham Farms, MI)
- …to the Chief Pharmacy Officer. This role also reports indirectly to the HAP Medical Director . PRINCIPLE DUTIES AND RESPONSIBILITIES: + Oversees all aspects of ... pharmacy benefit design issues, in conjunction with the HAP Medical Director . Serves as a subject matter...CMS bid process. Ensures compliance with all CMS, State Medicaid Program, and NCQA pharmacy related regulations and reporting… more
- Apicha Community Health Center (Jackson Heights, NY)
- …required clinical and billing paperwork in accordance with Apicha's policies + Practice medical care within the scope of license, training and credentialing and in ... Practice safety, environmental, and/or infection control methods. + Immediately alert the Director of Medicine of medico-legal risk situations, and work to reduce… more
- AdventHealth (Orlando, FL)
- …in donor evaluation and management according to policies, collaborating with the Medical Director as needed. Qualifications **The expertise and experiences ... as the major tertiary facility for much of the Southeast , the Caribbean and South America + AdventHealth Orlando...Legacy is designated by the Centers for Medicare and Medicaid Services (CMS) as the only organ procurement organization… more
- Henry Ford Health System (Troy, MI)
- …processes within value-based reimbursement models and initiatives. Reporting to the Director , Risk Adjustment and Value-Based Payment, the Program Manager is ... both departmental staff and multi-disciplinary teams. + Knowledge of Medicare, Medicaid , Blue Cross and other third-party payers billing and reimbursement… more
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