- Daiichi Sankyo, Inc. (Bernards, NJ)
- …dynamics. The individual will be required to have in-depth knowledge of payer policy, Medicare , Medicaid and the Oncology Care Model. This individual is ad ... pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and… more
- Novo Nordisk Inc. (WA)
- …to: Tax, Trade, Intellectual Property, Supply Chain, Private Health Insurance, Medicare , Medicaid , Reference Pricing, Pricing / Price Increases, Reimbursement, ... in Plainsboro, NJ or Washington, DC. The Position The Director - US Tax, Trade, IP works on complex...well as other Market Access & Public Affairs teams, Medical , Legal, Compliance, Communications and other key stakeholders locally… more
- Elevance Health (Walnut Creek, CA)
- ** Medical Director - Medicare and Medicaid ** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... and skill development. Candidates must live in California. The ** Medical Director ** will be responsible for utilization...will be responsible for utilization review case management for Medicare and Medicaid in the California market… more
- ChenMed (Metairie, LA)
- …years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population + Board eligibility is required. + Board ... preferred. + Preferred to be an existing high performing PCP partner and/or Medical Director within the ChenMed core model, with a proven ability to manage a… more
- Commonwealth Care Alliance (Boston, MA)
- …have):** + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical ... operations, health care reimbursement, public health care programs and reimbursement methodologies ( Medicaid and Medicare ) + Medical Coding, Compliance,… more
- OhioHealth (Columbus, OH)
- …**Job Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This ... position will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid ) reimbursement is received for OhioHealth. * This position is… more
- Fallon Health (Worcester, MA)
- …responsible for the presentation of the member appeal to the FH Medical Director , Center for Medicare / Medicaid Services, contracted reviewer, as well as ... staff. Work with Team Leaders, Department Managers, Department Chairs and/or Medical Director to resolve member complaints; formulate improvement measures… more
- Aston Carter (Honolulu, HI)
- …of enrollment information and demographic changes (including coordination of benefit, Medicare Secondary Payer and Medicare Late Enrollment Penalty information), ... for all lines of business (including all post-application activities for Medicare , QUEST newborn follow-up and disability disenrollment tracking), TPL follow-up for… more
- Humana (Annapolis, MD)
- …the courage to innovate + **Resides in KY** **Additional Information** Reports to the Lead Medical Director - North Central Medicaid Markets. The Medical ... caring community and help us put health first** The Medical Director relies on medical ...managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical … more
- Humana (Topeka, KS)
- …a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... and preservice appeals. The Corporate Medical Director works on problems of diverse...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must… more
