• CenCal Health (Santa Barbara, CA)
    …customer service in a queue environment, addressing member inquiries about Medicare and Medi-Cal integrated benefits and supplemental benefits, providers, referrals, ... deeming period assistance to help members restore lost Medi-Cal or Medicare coverage, and coaching regarding healthcare access, no-shows, or disruptive behaviors.… more
    Upward (07/11/25)
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  • The Curare Group (Providence, RI)
    …Island. This is a value-based healthcare organization that provides care to local medicare patient populations. You will practice out of a single medical center ... in place to reward you for positive outcomes with patients. A Medical Director position is also available for this opportunity. Practice details include: Schedule:… more
    Upward (06/27/25)
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  • Gpac (Wichita, KS)
    Job Description As the Director of Nursing, you play a vital role in ensuring the delivery of high-quality care to residents. You will be responsible for overseeing ... and leading a team of nursing professionals Familiarity with Medicare regulations and reimbursement processes Excellent communication, interpersonal, and leadership… more
    Upward (07/22/25)
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  • The Ohio State University (Dublin, OH)
    …will transfer to your application. Job Title: Finance Reimbursement Assistant Director Department: Health System Shared Services | General Accounting and ... and a health plan. Position Summary Under the supervision of the Senior Director of Accounting, the Finance Reimbursement Assistant Director plays a strategic… more
    Upward (07/13/25)
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  • StateJobsNY (New York, NY)
    Duties Description As an Assistant Director Nursing 1 Psychiatric, you will will oversee Quality, Education, and Training to develop, coordinate, execute, and ... Placement - Statewide (NY HELPS) program as an Assistant Director Nursing 1 Psychiatric if they have: *License and...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
    Upward (07/14/25)
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  • UnitedHealth Group (Phoenix, AZ)
    Optum AZ is seeking a AZ Network Medical Director to join our AZ Network team. Optum is a clinician-led care organization that is changing the way clinicians work ... a high touch model of care. The IPA Medical Director in AZ will report to the AZ CMO....utilization, oversight and direction of Outpatient Care Management Services, Medicare Risk Adjustment Factor (RAF) education as well as… more
    Upward (07/11/25)
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  • UnitedHealth Group (Minneapolis, MN)
    …employees to ensure delivery of our contractual regulatory commitments for the UHC Medicare and Retirement Health plans. Acts as the primary point of contact for ... Medicare and Retirement for new business implementation, regulatory contract...resolution. Manages and drives activities related to the UHC Medicare and Retirement Claim functions for health plans, ensuring… more
    Upward (07/20/25)
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  • Alliance Physical Therapy Partners (Alameda, CA)
    Job Title: Clinic Director - New launch or "De NoVo" Clinic Department: Operations Reports To: Group Director of Operations FLSA Status: Exempt Summary: The ... Clinic Director of a new launch or "De NoVo" clinic...and federal regulations, including but not limited to HIPAA, Medicare , and Medicaid. Assists in development and implementation of… more
    Upward (07/07/25)
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  • KA Recruiting, Inc. (Tallahassee, FL)
    Position Summary: The Director of Quality assists in the overall coordination of the hospital-wide Performance Improvement Program. Assists the hospital and ... accreditation and regulatory agencies including any state licensing standards. The Director shall investigate regulations, standards, and laws and make initial… more
    Upward (07/21/25)
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  • State of Washington (Olympia, WA)
    …The Opportunity WSDOT is currently seeking an Accounting & Financial Services (AFS) Director who will play a pivotal role in providing statewide financial services ... statutory, regulatory, and state/federal policies. The Accounting & Financial Services Director will also evaluate and implement systems and processes to support… more
    Upward (07/14/25)
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