- Humana (Topeka, KS)
- **Become a part of 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...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- Humana (Boston, MA)
- **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...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis… more
- Humana (Montgomery, AL)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- RWJBarnabas Health (Oceanport, NJ)
- …filings. In partnership with the Vice President of Corporate Reimbursement, the Director will manage the completion of DSH, Medicare Bad Debts, Wage Index, ... Director , Corporate Reimbursement (Hybrid/Remote) - Oceanport,...as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment… more
- Centene Corporation (Queens, NY)
- …implementation and performance monitoring. The position will collaborate cross-functionally with corporate Service Fund and National Medicare contracting teams ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Scientist supports analytic activities associated with BCBSMA overall performance on Medicare Stars ratings, with specific focus on CAHPS patient experience ... to help identify the most efficient means through which Medicare Stars clinical quality and patient experience performances at...into a cohesive view. Under direction of the Senior Director of Population Health Analytics, the Data Scientist will… more
- Brockton Hospital (Brockton, MA)
- …to make a difference in the lives and health of our patients. The Assistant Director , Corporate Compliance (Assistant Director ) is a member of the Compliance ... is Southeastern Massachusetts' premier local provider of quality, personalized medical services. We are comprised of the award-winning not-for-profit Signature… more
- AdventHealth (Maitland, FL)
- ** Corporate Responsibility Director - AdventHealth Medical Group** **All the benefits and perks you need for you and your family:** . Benefits from Day One . ... in an ever-changing health care market. **The role you'll contribute:** The Director of Corporate Responsibility (CR) provides direction and oversight of… more
- AmeriHealth Caritas (Detroit, MI)
- …facilitating authorizations/referrals for the utilization of services. + Interfaces with the Medical Director and other Integrated Care Team participants on ... this job:** Under the supervision of the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care...innovation, and quality. + Demonstrates and supports commitment to corporate goals and objectives. + Performs other related duties… more
- CommuniCare Health Services Corporate (Charleston, WV)
- Medical Director - Physician Since 1984, CommuniCare Health Services has provided superior, comprehensive management services for the development and management ... Indiana, West Virginia, Virginia, Missouri, Pennsylvania and Maryland. As Medical Director , you will be part of...+ Health care management/leadership experience + Familiarity with CMS, Medicare Advantage, SNP Rules and Regulations + HCC and… more