- 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
- 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 ... for benefits may vary by location._** Come join our team as a(an) Admin Director Operations and Finance. We care for our communities and employees! HCA… more
- CVS Health (Austin, 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
- Somatus (Kansas City, MO)
- …care management and RenalIQ applications. + Supports the Director of Operations in tracking Somatus Payor partner requirements and standard reports. + ... gathering information from patients for providers etc. + Coordinates with Operations Director to track and share data with corporate teams and customers… more
- Houston Methodist (Houston, 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
- Stanford Health Care (Palo Alto, CA)
- …job.** **A Brief Overview** Reporting to the VP, Patient Financial Services, the Director , Denials Management serves as the strategic leader and leads all denials ... follow-up, denials appeals, denial and write-off analysis, and denials prevention. The Director operates as the enterprise expert and spokesperson for denials and… more
- HCA Healthcare (Fort Lauderdale, FL)
- …This position is incentive eligible. **Job Summary and Qualifications** The Division Director of Ambulatory Clinical Quality will serve as the lead subject matter ... 160 to 830 providers and may increase as acquisitions occur). The Division Director of Ambulatory Quality is responsible for leading a robust clinical quality, risk,… more
- Hackensack Meridian Health (Lodi, NJ)
- …growth. Exercise leadership in the development of the home infusion nursing operations . Responsible for the supervision of the day-to-day operations , which ... that delivery of quality care is conforming to regulations, company standards, payor guidelines and licensing standards. Supervise programs and staff as per the… more
- University of Southern California (Los Angeles, CA)
- The Transplant Finance Officer is responsible for financial operations oversight of the Transplant Institute, to include insurance compliance, charges, billing, ... financial matters including budget preparation, expense monitoring, productivity monitoring, payor mix, FTE tracking/utilization, revenue tracking, and billing integrity.… more