• Behavioral Health Medical Director

    Humana (Helena, MT)
    …our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. ... The Behavioral Health Medical Director work assignments involve moderately complex...conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare more
    Humana (11/11/25)
    - Related Jobs
  • Medical Director , Nat'l OP…

    Humana (Atlanta, GA)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for ... services. The Medical Director work assignments involve moderately complex...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
    Humana (11/07/25)
    - Related Jobs
  • Executive Director , Medicare

    CVS Health (Hartford, CT)
    …and more compassionate. And we do it all with heart, each and every day. Executive Director , Medicare Part D Strategy leader will lead the development and ... advancement of the organization's strategy for Medicare Part D, spanning both the ...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
    CVS Health (11/22/25)
    - Related Jobs
  • Executive Director , CFO - Aetna…

    CVS Health (Hartford, CT)
    …it all with heart, each and every day. **Position Summary** The Divisional CFO for Medicare Part D and Medicare Supplement is responsible for the financial ... + Serve as the chief financial partner to the Medicare Part D and Medicare ...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
    CVS Health (11/22/25)
    - Related Jobs
  • Director , Actuarial Services…

    BlueCross BlueShield of North Carolina (NC)
    …Data Interpretations, Finance, Finance Strategy, Financial Modeling, Health Insurance, Leadership, Medicare Advantage, Medicare Part D, Medicare ... **Job Description** Join our team as Director , Actuarial Services - Medicare Pricing...actuaries responsible for pricing, forecasting, and strategic support of Medicare Advantage, Medicare Supplement, and Part more
    BlueCross BlueShield of North Carolina (11/07/25)
    - Related Jobs
  • Medical Director , Medicare

    Humana (Honolulu, HI)
    **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims. The Corporate Medical Director works on problems of diverse scope and complexity...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis… more
    Humana (11/19/25)
    - Related Jobs
  • Provider Network Management Director

    Elevance Health (AR)
    Provider Network Management Director ( Medicare Network Build) JR167138 **Preferred Location** : Commuting distance to the Little Rock, Arkansas office. **Hybrid ... is granted as required by law._ The **Provider Network Management Director ** develops the provider network in **Arkansas** through contract negotiations,… more
    Elevance Health (10/30/25)
    - Related Jobs
  • Remote Medical Director , Inpatient…

    Centene Corporation (Jefferson City, MO)
    …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... with regulatory, state, corporate, and accreditation requirements. + Assists the Chief Medical Director in the functioning of the physician committees including… more
    Centene Corporation (11/16/25)
    - Related Jobs
  • Senior Medicaid & Medicare Reimbursement…

    OhioHealth (Columbus, OH)
    …matter expert in the following areas, S-10, Wage Index, Bad Debts, Medicare Audits, Disproportionate Share, Indirect Medical Education, Graduate Medical ... belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could...This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities.… more
    OhioHealth (09/25/25)
    - Related Jobs
  • Medicare Sales Field Agent…

    Humana (Miami Lakes, FL)
    …must live in the designated territory to effectively serve their local community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work ... **Become a part of our caring community and help us...The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role,… more
    Humana (10/04/25)
    - Related Jobs