- USAA (Tampa, FL)
- …makes us special and impactful. The Opportunity USAA is seeking a talented Director , Retirement Income to lead multiple teams of Health, Life or Retirement Income ... and high employee and member satisfaction. Coordinates efforts with the Situation Management Team and Incident Management Team to reduce downtime with potential… more
- Eisai, Inc (New York, NY)
- …customers based on the marketplace within which they operate. Work closely with Medicaid Director and other cross-functional teams to review and analyze ... At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides...for assigned regional payer accounts including Commercial, Medicare and Medicaid (State Medicaid agencies, managed Medicaid… more
- 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
- Stanford Health Care (Palo Alto, CA)
- …America) **This is a Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key leadership role within the Controller's Office, ... Department of Health Care Access and Information (HCAI) In addition, the Director of Reimbursement oversees the organization's responses to government audits and… more
- National Health Care Associates (Stafford Springs, CT)
- …through accurate, detailed assessments and documentation, consider this exceptional opportunity. Join our team as an MDS Director in an organization where your ... and appreciated. We invite you to join our newest team at the Evergreen Center for Health & Rehabilitation!...and billing process + Knowledge and understanding of Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid … more
- Organon & Co. (Plymouth Meeting, PA)
- **Job Description** **The Position** The Director of State Government Affairs will provide direction, coordination and execution of State Policy and Government ... Providing analysis and engagement with the Worldwide Government Affairs and Policy team , the broader Global External Affairs organization, and the US commercial… more
- CSL Behring (King Of Prussia, PA)
- **The Opportunity** As a member of the US Commercial Finance Team , the Director Finance Business Partner serves as a trusted financial advisor to senior leaders ... for sales performance, pricing, and contracting across payer segments (including Medicaid , Medicare, and Commercial). + Collaborate with (Contracting, Market Access,… more
- Commonwealth Care Alliance (Boston, MA)
- …in improvement to promote the development of a high quality team .collaboration with the broader clinical organization. - Ensures that utilization management ... training, and performance monitoring and - Leads the Utilization Management team in managing and continuously improving UM program design, policies, procedures,… more
- Eisai, Inc (Houston, TX)
- …US healthcare system across one or more major payer segments (Medicare, Medicaid , Federal, and Commercial).Experience working with medical and pharmacy benefits, ... At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides...individual contributor reporting into the Eisai Access and Reimbursement team under Patient Services/Market Access. Working closely with and… more
- Commonwealth Care Alliance (Boston, MA)
- …staff, including nurse reviewers and support personnel. - Act as liaison with medical director , provider relations, case management and quality teams to support ... Management (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care… more
