- CVS Health (Hartford, CT)
- …6 million members on its core administrative platforms. The Lead Director , Technology Product Management for our Medicare Enrollment & Billing will lead ... day. **Position Summary** Aetna is one of the largest Medicare plan carriers in the United States and supports... claims platform. You will lead a team of product management colleagues, creating a positive team… more
- CVS Health (CT)
- …formulation, implementation and milestone tracking for business plans as Part of the Medicare benefit and product cycle. Directs the strategic development and ... large product initiatives, including new products and product enhancements for Medicare pharmacy business strategic...evaluate team performance + Communicates and consults with Senior Management to ensure that product initiatives focus… more
- Molina Healthcare (Madison, WI)
- …+ Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT. **Job Qualifications** **REQUIRED EDUCATION:** ... to business, system and regulatory requirements of Provider Data Management /Network Adequacy. **Knowledge/Skills/Abilities** + Contributes as a key member of… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …current members. MAP Advisor Primary Responsibilities: + Educate prospects on CPHL MAP product designed for Full Medicaid and Medicare recipients that need in ... CPHL sites located throughout the five (5) boroughs. Territory Management + Maintain CPHL MAP and Medicare ... or Sales experience SCOPE INFORMATION # Direct Reports: Director of Medicare Marketing Physical Requirements: The… more
- College of American Pathologists (Washington, DC)
- …visit Careers at the CAP (https://www.cap.org/careers-at-the-cap) for more details Brief Description Director of Clinical Data Registry and Product Strategies is ... and quality improvement activities. + Oversee the development and execution of product strategies and roadmaps that align with and fulfill the clinical vision… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Case Management & Social Services RN position is responsible for strategy, function and operations of the Case Management ... promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs position deploys population-focused teams to enhance… more
- Corewell Health (Grand Rapids, MI)
- …enterprise (eg, Medical Directors, Quality Improvement, Utilization Management , Care Management , Medicare Product Development, Claims, Digital Services, ... in coordination with external partners and reports directly to the Senior Director of Utilization Management . Essential Functions Strategic Leadership & Program… more
- CVS Health (IL)
- … Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and ... Director UM decisions. If specifically assigned to one business segment (ie, Medicare clients), each director will become sufficiently skilled in various UM… more
- Point32Health (Canton, MA)
- …30 different ancillary service lines for Medicare , Medicaid and Commercial product lines. The Director also identifies opportunities to reduce medical and ... about who we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Director , Ancillary Contracting leads the development and management of… more
- Morehouse School Of Medicine (Atlanta, GA)
- Director I - Graduate Medical Education Bookmark this Posting Print Preview | Apply for this Job Please see Special Instructions for more details. Employment in this ... career at MSM ! Posting Number NONAC3601 Job Title Director I - Graduate Medical Education Position Title ...high level of expertise and understanding of the Federal Medicare GME financing, CMS regulations, and ACGME program requirements.… more
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