- Queen's Health System (Honolulu, HI)
- …Emma and King Kamehameha IV. Area(s) of assignment: Directs and oversees Medicare Certified Division by developing and implementing strategic and innovative ... RESPONSIBILITIES Effective Date: 06/25 I. JOB SUMMARY: A Director functions at a high organizational level, providing leadership and direction in the development and… more
- Humana (Little Rock, AR)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... 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… more
- Humana (Lansing, MI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, directs, and monitors… more
- Molina Healthcare (Madison, WI)
- …policies and procedures that guide and support the provision of medical staff services . Maintains a working knowledge of applicable national, state and local laws ... QUALIFICATIONS** **REQUIRED EDUCATION:** * Doctorate Degree in Medicine * Board Certified or eligible in a primary care specialty **REQUIRED EXPERIENCE/KNOWLEDGE,… more
- BAYADA Home Health Care (Williston, VT)
- …is currently seeking an experienced ** Director ** to join our **Williston, VT Medicare certified Home Health and Senior Living Office.** If you are looking ... in providing the highest quality care to our clients. **Responsibilities for a Director :** + Responsible for the management and services including budgeting,… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …: The Medicare MAP Advisor- Will promote and sale MAP and Medicare Line of Business, maintains relationships, services our existing customers and secures ... in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company... or Sales experience SCOPE INFORMATION # Direct Reports: Director of Medicare Marketing Physical Requirements: The… more
- Commonwealth Care Alliance (Boston, MA)
- …results for accurate industry standard coding logic and policies (ie . Center for Medicare & Medicaid Services (CMS) & MA Medicaid, Correct Coding Initiative ... this time._** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr.… more
- Commonwealth Care Alliance (Boston, MA)
- …of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the ... will not be considered at this time._** **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a… more
- BrightSpring Health Services (Arlington, TX)
- …About our Line of Business PharMerica, an affiliate of BrightSpring Health Services , is a full- service pharmacy solution providing value beyond medication. ... environment Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals,… more
- Humana (Harrisburg, PA)
- …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... Bold Goal mission, throughout all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services … more