• Stanford Health Care (Palo Alto, CA)
    …Knowledge, Skills and Abilities** + Advanced knowledge of CMS and state Medicaid reimbursement principles and practices. + Multi-year skill and experience ... **This is a Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key leadership role within the Controller's Office, responsible… more
    DirectEmployers Association (10/23/25)
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  • Commonwealth Care Alliance (Boston, MA)
    011230 CA-Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of provider ... network performance, and ensuring compliance with regulatory standards. The Director drives initiatives that enhance operational engagement, member access, provider… more
    DirectEmployers Association (10/18/25)
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  • BeOne Medicines (San Mateo, CA)
    …Develop channel specific strategies for policy changes (eg, Inflation Reduction Act, Medicaid Best Price, ASP-based reimbursement shifts) and develop mitigation ... **General** **Description:** The Director of Market Access Channel & GTN Strategy...performance, channel forecasts, pre/post-deal analytics, market access insights, and reimbursement trends. + Monitor ASP trends, reimbursement … more
    DirectEmployers Association (10/03/25)
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  • National Health Care Associates (Stafford Springs, CT)
    …invite you to join our team! **-** **What You'll Do:** As an MDS Director , you will manage the Minimum Data Set (MDS) assessments necessary for developing ... personalized resident care plans and the capture of clinical reimbursement for services provided. You will ensure the highest...this exceptional opportunity. Join our team as an MDS Director in an organization where your expertise and dedication… more
    DirectEmployers Association (10/24/25)
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  • Seattle Children's (Seattle, WA)
    …and University of Washington Department of Fetal Surgery leadership, Medical Director MFM and OB Services, Perioperative Services, Nursing to oversee, assess ... growth and support the mission of Seattle Children's Hospital. The perinatal director is responsible for the day-to-day clinical nursing functions of the Special… more
    DirectEmployers Association (09/13/25)
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  • Organon & Co. (Phoenix, AZ)
    **Job Description** **The Position** The Director of State Government Affairs will provide direction, coordination and execution of State Policy and Government ... to work collaboratively with commercial colleagues. + Experience working with state Medicaid programs and benefits. + Strong understanding of state coverage and … more
    DirectEmployers Association (09/25/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …**Position Summary** The Program Manager, in collaboration with the Sr Director of Delegation Partnerships and Performance, is responsible for advancing provider ... on CCA's Population Health goals; including Medicare Star measures, Medicaid -Medicare Plan withhold measures, quality performance metrics incorporated into other… more
    DirectEmployers Association (10/29/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …satisfaction and member access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + ... subject matter expert of the team + Managed Care experience (preferably Medicare/ Medicaid ) + Experience in health plan provider relations + Experience with… more
    DirectEmployers Association (10/17/25)
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  • Tidelands Health (Myrtle Beach, SC)
    …timeliness, completeness, and accuracy of the coding team to ensure optimal reimbursement and goal attainment. The coding supervisor performs quality reviews and ... and regulations, Follows compliant charge capture in accordance with Medicare, Medicaid or Third-Party payer guidelines. + Assists with development of policies,… more
    DirectEmployers Association (10/01/25)
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  • Director of Medicaid…

    AdventHealth (Altamonte Springs, FL)
    …Springs, FL **The role you will contribute:** This position leads AdventHealth's Medicaid reimbursement process across the entire company focusing on ... bring to the team:** + Serves as AdventHealth subject matter resource for Medicaid reimbursement matters. This role is focused on Medicaid payment areas. +… more
    AdventHealth (10/02/25)
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