• Director , Operational Oversight…

    Molina Healthcare (NE)
    …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... for CMS audits and data-validation reviews * Ability to quantify financial, regulatory , and member-experience risk from complaint trends and to drive prioritized… more
    Molina Healthcare (07/13/25)
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  • Senior Medical Director ( Medicare )

    Molina Healthcare (Bellevue, NE)
    …Medical License without restrictions (free of sanctions from Medicaid or Medicare ) **PREFERRED EDUCATION:** Master's in Business Administration , Public Health, ... **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of… more
    Molina Healthcare (06/13/25)
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  • Director , Provider Network Management…

    Molina Healthcare (Grand Island, NE)
    …databases and ensure adherence to business, system and regulatory requirements of Provider Data Management/Network Adequacy. **Knowledge/Skills/Abilities** + ... **REQUIRED EDUCATION:** Bachelor's Degree in a related field (Business Administration , Finance, Mathematics, Statistics, Computer Science etc.) or equivalent… more
    Molina Healthcare (08/20/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (Grand Island, NE)
    …medical director , and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality ... without restrictions to practice and free of sanctions from Medicaid or Medicare . **PREFERRED EDUCATION:** Master's in Business Administration , Public Health,… more
    Molina Healthcare (08/28/25)
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  • Field Medical Director , Cardiology

    Evolent (Lincoln, NE)
    …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the...requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Utilizes medical/clinical review… more
    Evolent (08/15/25)
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  • Field Medical Director , Interventional…

    Evolent (Lincoln, NE)
    …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of ... setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to… more
    Evolent (07/30/25)
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  • Field Medical Director , Radiology…

    Evolent (Lincoln, NE)
    …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of ... culture. **What You'll Be Doing:** As a Field Medical Director you will be a key member of the...requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale… more
    Evolent (09/04/25)
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  • Field Medical Director , Oncology

    Evolent (Lincoln, NE)
    …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . . No history of ... culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of...requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale… more
    Evolent (08/19/25)
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  • Director , Financial Planning & Analysis…

    Humana (Lincoln, NE)
    …+ Provides leadership and support regarding value-based program development and administration + Ensures compliance with all Commonwealth regulatory financial ... a part of our caring community and help us put health first** The Director , Financial Planning & Analysis analyzes and forecasts financial, economic, and other data… more
    Humana (08/26/25)
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  • Sponsored Projects Manager, Contracts

    Intermountain Health (Lincoln, NE)
    …reports for leadership review, and oversee smooth day-to-day operations of regulatory , contract, and financial management. + **Research Administration :** manage ... **Job Description:** This position is responsible for overseeing the administration of contracts for sponsored projects, including industry clinical trial agreements… more
    Intermountain Health (09/05/25)
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