• Corporate Medical Director

    Humana (Topeka, KS)
    **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
    Humana (04/24/25)
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  • Remote Medicare Medical

    Centene Corporation (Jefferson City, MO)
    …regulatory, state, corporate , and accreditation requirements. + Assists the Chief Medical Director in the functioning of the physician committees including ... fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality… more
    Centene Corporation (05/18/25)
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  • Director , Corporate Reimbursement…

    RWJBarnabas Health (Oceanport, NJ)
    …filings. In partnership with the Vice President of Corporate Reimbursement, the Director will manage the completion of DSH, Medicare Bad Debts, Wage Index, ... Director , Corporate Reimbursement (Hybrid/Remote) - Oceanport,...as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment… more
    RWJBarnabas Health (03/21/25)
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  • Senior Enrollment Manager, Medicare

    Aston Carter (Honolulu, HI)
    …of enrollment information and demographic changes (including coordination of benefit, Medicare Secondary Payer and Medicare Late Enrollment Penalty information), ... for all lines of business (including all post-application activities for Medicare , QUEST newborn follow-up and disability disenrollment tracking), TPL follow-up for… more
    Aston Carter (06/03/25)
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  • Data Scientist, Medicare Analytics

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …Scientist supports analytic activities associated with BCBSMA overall performance on Medicare Stars ratings, with specific focus on CAHPS patient experience ... to help identify the most efficient means through which Medicare Stars clinical quality and patient experience performances at...into a cohesive view. Under direction of the Senior Director of Population Health Analytics, the Data Scientist will… more
    Blue Cross Blue Shield of Massachusetts (04/29/25)
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  • Director , Corporate Finance…

    Northwell Health (Westbury, NY)
    **Req Number** 158136 Job Description The Director , Corporate Finance (RIO) promotes the financial viability of Northwell Health by effectively managing the ... organization's revenue capture operations. The Director works in close partnership with many aspects of...accuracy and regulatory compliance. Job Responsibility + Leads a Corporate Finance group by communicating with, developing, and training… more
    Northwell Health (05/22/25)
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  • Episodic Care Manager - Medicare Advantage

    BlueCross BlueShield of North Carolina (NC)
    …according to regulatory requirements. + Assess appropriateness for secondary case review by the Medical Director (MD) for denials and coordinate as needed. + May ... Experience, Clinical Knowledge, Clinical Review, Decision Making, Medical Care, Medical Information, Medical Review, Medicare , Patient Care, Patient… more
    BlueCross BlueShield of North Carolina (06/07/25)
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  • Director , Corporate Responsibility

    AdventHealth (Maitland, FL)
    ** Corporate Responsibility Director - AdventHealth Medical Group** **All the benefits and perks you need for you and your family:** . Benefits from Day One . ... in an ever-changing health care market. **The role you'll contribute:** The Director of Corporate Responsibility (CR) provides direction and oversight of… more
    AdventHealth (06/02/25)
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  • Broker Manager- Medicare

    CVS Health (Springfield, IL)
    …and grassroots leads, and overall, in-person sales activity - Local sales director will provide guidance on expectations for field visits Fundamental Components: * ... 5 years sales and/or Broker sales experience in the Medicare industry. - Excellent written and verbal communication and...(Health & Life). - The ability to use standard corporate software packages and corporate applications. **Preferred… more
    CVS Health (05/29/25)
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  • Medical Director , Physician

    CommuniCare Health Services Corporate (Charleston, WV)
    Medical Director - Physician Since 1984, CommuniCare Health Services has provided superior, comprehensive management services for the development and management ... Indiana, West Virginia, Virginia, Missouri, Pennsylvania and Maryland. As Medical Director , you will be part of...+ Health care management/leadership experience + Familiarity with CMS, Medicare Advantage, SNP Rules and Regulations + HCC and… more
    CommuniCare Health Services Corporate (05/17/25)
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