• Medical Director - Medicaid…

    CVS Health (Richmond, VA)
    …the Aetna Virginia Medicaid plan and the UM team. The UM Medical Director will ensure timely and consistent responses to members and providers related to ... and every day. **Position Summary:** Ready to take your Medical Director skills to the next level...opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, Florida,… more
    CVS Health (07/30/25)
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  • Medical Director - Kentucky…

    CVS Health (Frankfort, KY)
    …do it all with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout ... Better Health of Kentucky primarily, and the Southeast Region (FL, LA and WV). This Medical Director will be a "Work from Home" position primarily supporting the… more
    CVS Health (07/18/25)
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  • Medical Director - Dsnp/MMP

    CVS Health (Tallahassee, FL)
    …resistant illnesses through peer review and educational interventions. * Work with medical director teams focusing on inpatient care management, clinical ... oversight of DSNP/MMP complex populations (Dual-Eligible Special Needs Plan / Medicare- Medicaid Plan) * Develop and lead clinical strategy and objectives for… more
    CVS Health (07/18/25)
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  • Director , Managed Care Contracting - Large…

    Bon Secours Mercy Health (Cincinnati, OH)
    …care sites and clinicians are recognized for clinical and operational excellence. ** DIRECTOR MANAGED CARE CONTRACTING - LARGE ACCOUNTS** **| REMOTE** This position ... standards and directives regarding governmental/third party agencies (Medicare & Medicaid ) and/or third paLeads assigned negotiations of fee for service,… more
    Bon Secours Mercy Health (07/24/25)
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  • Provider Field Representative Work Lead

    State of Colorado (Denver, CO)
    …UHA04587_07.2025 Department Department of Health Care Policy and Financing Division Medicaid Operations Office Opening Date 07/23/2025 Closing Date 7/31/2025 11:59 ... Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health… more
    State of Colorado (07/24/25)
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  • Social Worker (Part-Time) Health Care Center

    Goodwin Living (Bailey's Crossroads, VA)
    …annually recognized as one of the top 100 employers for interns by the Top Virginia Employers for Intern Awards. These honors are based entirely on feedback from our ... social and emotional needs which may be related to medical conditions. The position will also provide back up...meeting and other meetings at the direction of the Director of Social Work. + Coordinates services and referrals… more
    Goodwin Living (08/02/25)
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  • Senior Skilled Nursing Administrator

    Sunrise Senior Living (Mclean, VA)
    …Town Hall, Quality Improvement, and others in partnership with the Regional Director of Resident Care (RDRC). + Build relationships with internal and external ... business partners (eg, pharmacy, therapy, medical directors, etc.) proactively. + Provides community leadership support as interim Skilled Nursing Administrator for… more
    Sunrise Senior Living (08/01/25)
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  • Manager, Enterprise PB Coding - Coder and Provider…

    University of Virginia (Charlottesville, VA)
    …PB Coding education team supporting physicians, other healthcare providers, and medical coders employed by UVA Health on coding practices, documentation guidelines, ... support the overall operational goals of the department and institution. + Assist Director with development of annual budget. + Design, develop and execute standard… more
    University of Virginia (05/31/25)
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