- Humana (Frankfort, KY)
- …are meeting the needs of the users and that they are compliant. The Associate Director , Market/Industry Insights delivers clinical insight and information to ... caring community and help us put health first** The Associate Director , Market/Industry Insights works closely with...external customers in order to ensure compliance of the Medicare clinical coverage policies. Meets regularly with… more
- Humana (Columbia, SC)
- …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...+ Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry… more
- ChenMed (St. Louis, MO)
- …We're rapidly expanding and we need great people to join our team. The Associate Market Clinical Director will directly supervise, performance manage and ... duties. The remainder of their time allocated to leadership responsibilities including Clinical Director performance, engagement, building a strong clinical… more
- OhioHealth (Columbus, OH)
- …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
- Community Health Systems (La Follette, TN)
- **Job Summary** The Medicare Billing Specialist is responsible for performing timely and accurate Medicare billing activities, including claims preparation, ... validation, and documentation review. This role collaborates with revenue cycle teams, clinical departments, and external payers to ensure claims are submitted in… more
- CenterWell (Las Vegas, NV)
- …the lives of our patients, and the healthcare industry as a whole. The Associate Medical Director serves as a health-care professional and capable of handling ... a variety of health-related problems. The Associate Medical Director requires a solid understanding...Collaborate as a dyad partner with assigned area operation director (s) to coordinate operational and clinical matters… more
- SUNY Upstate Medical University (Syracuse, NY)
- …resources. Ensure accurate coding and documentation to support quality initiatives and Medicare compliance. Work closely with clinical teams across seven Primary ... Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) across seven Primary Care clinics. This role… more
- UCLA Health (Los Angeles, CA)
- …UCLA Health Medicare Advantage Plan is looking for a dedicated and forward-thinking Associate Medical Director to help shape the future of our plan. In this ... leadership role, you'll work closely with the UHMAP Medical Director and play a vital part in developing and...and play a vital part in developing and guiding clinical policy that's grounded in the latest scientific research… more
- CenterWell (Jacksonville, FL)
- …our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, ... indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals… more
- CenterWell (Hampton, VA)
- …our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, ... indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals.… more