- Beth Israel Lahey Health (Wakefield, MA)
- …you're not just taking a job, you're making a difference in people's lives.** The Director , Payor Operations will assist in overseeing and managing ... operations and payer partnerships for all BILHPN contracted payors. The Director will help develop and implement strategic business plans in support of BILHPN's… more
- WellSpan Health (York, PA)
- …a strong knowledge of all pertinent governmental regulations that pertain to both payor contracts and hospital operations (ie, Act 68, HIPAA, Surprise Billing) ... **General Summary** Participates in third party payor contract negotiations and manages contract performance compliance for the System to ensure fair and adequate… more
- Fresenius Medical Center (Franklin, TN)
- …of various managed health care programs (HMO, PPO, POS, etc.) for Payor Relations. Oversees contractual relationships with managed care organizations and other third ... complete the administration of business processes and services to ensure the operations effective achievement of goals within the assigned business unit(s). + Direct… more
- HCA Healthcare (Denver, CO)
- …colleagues invested over 156,000 hours impacting our communities. As a(an) Admin Director Operations and Finance with HealthONE Colorado Care Partners, you ... by location._** Come join our team as a(an) Admin Director Operations and Finance. We care for...to Boards. Payer relations and contract management: . Supports payor contract negotiations and financial analysis of contracts. .… more
- Trinity Health (Mishawaka, IN)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The Executive Director of Clinical Operations , Maternal Child and Inpatient Services at ... Saint Joseph's Health System partners with the Medical Director of the service line to strategically plan and...outcomes. They provide oversight of the overall quality, service, operations and financial performance of the service line and… more
- CVS Health (TX)
- …and can be located anywhere in the United States. In this role as Medical Director MPO (Medical Policy & Operations ) you will be responsible for providing ... **Position Summary** Aetna, a CVS Health company, has an outstanding opportunity for a Medical Director . Ready to take your career to the next level with a Fortune 6… more
- Elevance Health (Atlanta, GA)
- ** Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering ... resides within a commutable distance from an office._ The ** Director II, Digital Claims Operations ** oversees a...Operations teams and strategy within a large healthcare payor environment strongly preferred. + Proven track record leading… more
- CenterWell (Indianapolis, IN)
- …a part of our caring community and help us put health first** The Associate Operations Director (AOD) leads Senior Focused Primary Care clinical operations ... RESPONSIBILITIES *Leadership & Operational/Organizational Management: *Proven experience in clinical operations and financial management, including P&L responsibilities. *Proficiency in… more
- CVS Health (OH)
- …it all with heart, each and every day. **Position Summary** This Executive Medical Director - Medical Policy & Operations leads a team responsible for providing ... clinical practice. Three (3) years or more of health plan/ payor experience. Licenses: * Medical Director Board...of health plan/ payor experience. Licenses: * Medical Director Board Certification is required * Active and current… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Sr Director Case Management position is responsible for providing executive leadership and strategic oversight for all hospital-based Case ... Management Directors and the Central Utilization Review Director across the system. This position is responsible for the integration and advancement of a unified… more