- Humana (Providence, RI)
- …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
- Humana (Honolulu, HI)
- **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
- Excellus BlueCross BlueShield (Rochester, NY)
- …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director , Pharmacist, Geriatrics, etc.) to ensure continuity ... Description: Summary: Conducts case management program activities in accordance with departmental, corporate , NYS Department of Health (DOH), Centers for Medicaid & … more
- American Medical Association (Washington, DC)
- …Lobbyist, Director I (Hybrid) Washington, DC (Hybrid) The American Medical Association (AMA) is the nation's largest professional Association of physicians and ... to know you. We have an opportunity at our corporate offices in Washington DC for a Regulatory Lobbyist,... offices in Washington DC for a Regulatory Lobbyist, Director I (Hybrid)on our Advocacy team. This position can… more
- Centene Corporation (Jefferson City, MO)
- …IRE and ALJ hearings, STARS metrics + Previous experience with ensuring high quality medical director training to review Medicare UM and appeals, Clinical ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Governmental Reporting is responsible for ensuring that Houston Methodist meets all internal and external financial and ... governmental reporting requirements. Requirements include Medicare cost reports, Federal Tax Returns Health and Human Services (HHS)/Centers for Medicare and… more
- Centene Corporation (Salem, OR)
- …regulatory, state, corporate , and accreditation requirements. + Assists the Chief Medical Director in the functioning of the physician committees including ... including a fresh perspective on workplace flexibility. **We're Hiring: Full time Medical Director for Trillium Community Health Plan, our Oregon market.… more
- Atlantic Health System (Morristown, NJ)
- Foundation for Morristown Medical Center is looking for an experienced Corporate & Foundation Relations Officer. Reports to: Director of Corporate and ... Relations Positions reporting to this position: Shares Administrative Assistant with Director of Corporate and Foundation Relations (DCFR). Objective: To… more
- Intermountain Health (Murray, UT)
- …Marketplace Qualified Health Plans and fully funded and self-funded Commercial plan. The Medical Director leads the achievement of physician review goals of ... quality service, improved efficiencies, and expense management. Additionally, the Medical Director participates in the development, communication, and… more
- Centene Corporation (Raleigh, NC)
- …benefits including a fresh perspective on workplace flexibility. **We're Hiring: Full time Medical Director in North Carolina.** Centene Corporation is a leading ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more