- Robert Half Finance & Accounting (Eatontown, NJ)
- …located in Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare /Medicaid Reimbursement. + The Director will have advanced level ... partnership with the Vice President of Corporate Reimbursement, the Director will manage the completion of DSH, Medicare... Director will manage the completion of DSH, Medicare Bad Debts, Wage Index, and Geographic Reclassification projects.… more
- Elevance Health (Richmond, VA)
- **Medical Director - Medicare Fee for Service** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services… more
- CVS Health (Hartford, CT)
- …benefits in the Commercial and Medicare environment with a focus Medicare policy., This Medical Director provides subject matter expertise in clinical ... **Position Summary** Aetna, a CVS Health company, has an outstanding opportunity for a Medical Director . Ready to take your career to the next level with a Fortune 6… more
- CVS Health (Chicago, IL)
- …heart, each and every day. **Position Summary** Aetna is recruiting for a Lead Director , Actuarial - Medicare who will be responsible for understanding and ... driving action on Medicare Network Insights and curating support for this important...this important line of business. This is an entirely Medicare focused role surrounding delivering on our overarching … more
- CVS Health (Hartford, CT)
- …remote based (work at home) based anywhere in the US. Responsibilities of this Medical Director role are related to Medicare Appeals. * Direct daily work on part ... and Utilization Management Strategy support * Collaborative work with Medicare Quality and Compliance on an ongoing basis *...an ongoing basis * Develop subject matter expertise on Medicare policy for the enterprise * Provide ongoing education… more
- Humana (Concord, NH)
- …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 to complex issues...of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and… more
- CVS Health (Boston, MA)
- …We are seeking a strategic and technically proficient leader to oversee Medicare data science initiatives supporting actuarial analytics and pricing. The ideal ... deep expertise in CMS Part C and D programs, Medicare Advantage bid cycle management, and pricing strategies. This...able to lead cross-functional teams and drive innovation in Medicare analytics. While hands-on experience in data science and… more
- Humana (Frankfort, KY)
- …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 problems of diverse scope and complexity...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- Molina Healthcare (Madison, WI)
- …Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous leadership ... License without restrictions (free of sanctions from Medicaid or Medicare ) **PREFERRED EDUCATION:** Master's in Business Administration, Public Health, Healthcare… more
- CVS Health (Nashville, TN)
- …Internal Medicine / Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight for medical policy implementation. You will ... ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied medical services.… more
Related Job Searches:
Corporate Medical Director Medicare,
Director,
Director Medicare Compliance,
Director Medicare Risk Adjustment,
Lead Director Medicare Actuarial,
Medical Director Medicare,
Medical Director Medicare Grievances,
Medicare,
Pharmacy Account Director Medicare,
Senior Medical Director Medicare