- Staffing Solutions Organization (Albany, NY)
- …they serve. ** Medicaid Program Advisor 1 in Albany, NY** **Strategic Operations & Planning (SOaP)** **Item 1211** **50% Remote 50% Onsite** **Position Summary:** ... Project Management Bureau (PMB), you'll work closely with the Director of Strategic Operations and Planning to...as a Trusted Liaison:** Act as a bridge between Medicaid program staff, DOH offices, other state … more
- The Joint Commission (Oakbrook Terrace, IL)
- …offices and agencies. + Under direction of Director , builds relationships with Medicaid offices and state public health programs and assists Director ... the state policy-related strategy for Joint Commission. Under direction of Director , manages the state relations, including the collection, monitoring, and… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- About the Department The Finance & Operations department brings insights and intelligence to inform decision making & drives digitalization and business solutions to ... attain NNI goals. Finance & Operations works closely across the organization to guide enterprise-wide...not limited to Managed Care, and Medicare Part D, Medicaid as well as current and future Healthcare Reform… more
- Commonwealth Care Alliance (Boston, MA)
- …against internal and regulatory benchmarks. - Ensure provider network compliance with CMS, state Medicaid agency, and NCQA standards. - Lead initiatives to ... operations , education, and performance improvement. The Provider Relations Director reports to the Sr Director of... and satisfaction. - Strong understanding of Medicare and Medicaid health plan operations , including regulatory and… more
- Alameda Health System (San Leandro, CA)
- Medical Director , John George Psychiatric Hospital + San Leandro, CA + John George Psychiatric Hospital + Physicians JGP ER + Full Time - Day + Management + $96.70 - ... #:42565-31593 + FTE:1 + Posted:August 8, 2025 **Summary** **SUMMARY:** The Medical Director of John George Psychiatric Hospital is responsible for the coordination… more
- Commonwealth Care Alliance (Boston, MA)
- …processes and functions. - Ensures compliance with all contract requirements, state and federal regulatory requirements and all applicable accreditation standards in ... ensure quality, interrater reliability and standards are met in daily operations . Responsible for resolution and communication of utilization management issues and… more
- Commonwealth Care Alliance (Boston, MA)
- …behavioral health, and/or social needs. + Strong understanding of **Medicare, Medicaid (MassHealth), and dual-eligible program operations ** , including ... external provider relationships are high-performing, well-coordinated, and fully integrated with CCA operations so that members' LTSS needs are met in a manner that… more
- Alameda Health System (Oakland, CA)
- …Nuclear Medicine, and MRI services. This role ensures that all imaging operations are conducted in alignment with medical center policies, departmental protocols, ... and regulatory requirements, including those set by Medicare, Medicaid , OSHA, CDPH, the Nuclear Regulatory Commission, Joint Commission, and applicable union… more
- Commonwealth Care Alliance (Boston, MA)
- …support broker payments or enrollment submissions. The position reports to the Senior Director , National Sales Operations to ensure the overall productivity and ... and process consistency. - Oversees regulatory and compliance sales operations functions with State and Federal Agencies;...- 3 or more years of experience managing sales operations and Medicare and Medicaid programs. -… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary** The Program Manager, in collaboration with the Sr Director of Delegation Partnerships and Performance, is responsible for advancing provider ... on CCA's Population Health goals; including Medicare Star measures, Medicaid -Medicare Plan withhold measures, quality performance metrics incorporated into other… more
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