• Dir ACO Quality and Post Acute Care

    Community Health Systems (Franklin, TN)
    …and overall MIPS reporting performance. + Assist in compliance activities related to ACO operations . This includes ACO beneficiary notices, maintenance of ... **Job Summary** The Corporate Director , ACO Quality and Acute Care...a matrixed model with other departments such as Market Operations , Physician and Clinical Services, Managed Care, Strategy and… more
    Community Health Systems (06/24/25)
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  • Regional Medical Director

    Genesis Healthcare (NM)
    …living out our mission, we embrace the following pillars in our day-to-day operations . Responsibilities The Regional Medical director (RMD), in addition to ... We are seeking a part-time to full-time (24-30 hours per week) Regional Medical Director for remote position with some travel to our centers located in New Mexico.… more
    Genesis Healthcare (07/30/25)
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  • Hospice Clinical Director

    Beth Israel Lahey Health (Beverly, MA)
    …and in collaboration with the BILH at Home Leadership Team, The Hospice Director of Clinical Operations executes the overall strategic direction for clinical ... hospice operations within BILH at Home. Responsible for providing leadership...and maintains a progressive oriented vision with the Executive Director of Hospice and Palliative Care and other leadership… more
    Beth Israel Lahey Health (07/16/25)
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  • Executive Director , Collaborative Care

    Beth Israel Lahey Health (Woburn, MA)
    …difference in people's lives.** **Job Description:** The Collaborative Care Executive Director (ED) is responsible for clinical, administrative, and fiscal oversight ... and implementation, clinical quality that impact clinical, quality, financial and business operations . The ED functions as a delegate for the CoCM integration… more
    Beth Israel Lahey Health (09/07/25)
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  • Regional Director Care Management

    Access Dubuque (Dubuque, IA)
    Regional Director Care Management **UnityPoint Health Finley Hospital** 1 Positions ID: 44960848 Posted On 09/08/2025 **Job Overview** + **Area of Interest:** ... outcomes, reducing unnecessary utilization, and optimizing healthcare resources. The director collaborates with clinical teams, operational leaders, and external… more
    Access Dubuque (09/09/25)
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  • Director Clinical Analytics

    Dignity Health (Bakersfield, CA)
    …but will be expected to work PST business hours.** **Position Summary:** The Director of Analytics oversees and strategizes the data analytics needs of the ... the optimization of Dignity Health MSO's performance relative to value-based contracts. The Director will lead a team to provide and strategize results for hands on… more
    Dignity Health (07/30/25)
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  • Executive Director , Network Management…

    CVS Health (Lansing, MI)
    …an exciting opportunity to join its leadership team as an Executive Director , Network Management supporting our Michigan market for our Commercial, Medicare, IFP, ... to develop, negotiate and manage complex Value Based and Accountable Care ( ACO ) relationships. + May oversee the negotiation, implementation, and management of VBC… more
    CVS Health (08/20/25)
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  • Associate Director , Standards…

    The Joint Commission (Oakbrook Terrace, IL)
    …as needed. + Provides leadership and guidance to the Accreditation and Certification Operations ( ACO ) service teams in all aspects of the accreditation process ... as liaison to various professional organizations. In conjunction with the operations team, it ensures that accredited organizations receive excellent customer… more
    The Joint Commission (09/06/25)
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  • Director Reimbursement Design & Market…

    Highmark Health (Baton Rouge, LA)
    …support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations . **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, ... and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as… more
    Highmark Health (07/30/25)
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  • Manager, Prior Authorization RN

    Fallon Health (Worcester, MA)
    …standards; problems lacking clear precedent are usually reviewed with the Director , UM and PA prior to taking action. **Responsibilities** **Primary ... staffing and operational needs to ensure that the day-to-day operations of the Unit are carried out in compliance...in internal and external meetings, on behalf of the Director , as needed. + Becomes the SME to work… more
    Fallon Health (08/14/25)
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