- Humana (Sacramento, CA)
- **Become 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...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- Humana (Honolulu, HI)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims. The Corporate Medical Director works on problems of diverse...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis… more
- Humana (Jefferson City, MO)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- RWJBarnabas Health (Oceanport, NJ)
- …filings. In partnership with the Vice President of Corporate Reimbursement, the Director will manage the completion of DSH, Medicare Bad Debts, Wage Index, ... Director , Corporate Reimbursement (Hybrid/Remote) - Oceanport,...as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment… more
- CVS Health (Jackson, MS)
- …business.** CVS Health/Aetna is working to transform the way [State] Medicare beneficiaries experience health care - improving quality, emphasizing whole-person ... Manager to support the growth of our industry leading Medicare business. This is a highly collaborative role that...highly collaborative role that will report to the Sales Director and drive local broker distribution and sales success.… more
- AmeriHealth Caritas (Detroit, MI)
- …facilitating authorizations/referrals for the utilization of services. + Interfaces with the Medical Director and other Integrated Care Team participants on ... this job:** Under the supervision of the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care...innovation, and quality. + Demonstrates and supports commitment to corporate goals and objectives. + Performs other related duties… more
- AdventHealth (Maitland, FL)
- ** Corporate Responsibility Director - AdventHealth Medical Group** **All the benefits and perks you need for you and your family:** . Benefits from Day One . ... in an ever-changing health care market. **The role you'll contribute:** The Director of Corporate Responsibility (CR) provides direction and oversight of… more
- CommuniCare Health Services Corporate (Charleston, WV)
- Medical Director - Physician Since 1984, CommuniCare Health Services has provided superior, comprehensive management services for the development and management ... Indiana, West Virginia, Virginia, Missouri, Pennsylvania and Maryland. As Medical Director , you will be part of...+ Health care management/leadership experience + Familiarity with CMS, Medicare Advantage, SNP Rules and Regulations + HCC and… more
- CVS Health (Des Moines, IA)
- …and grassroots leads, and overall, in-person sales activity - Local sales director will provide guidance on expectations for field visits Fundamental Components: * ... 5 years sales and/or Broker sales experience in the Medicare industry. - Excellent written and verbal communication and...(Health & Life). - The ability to use standard corporate software packages and corporate applications. **Preferred… more
- BrightSpring Health Services (Arlington, TX)
- …Achieves productivity goals with regard to calls/claims per hour as determined by the Director and Clinical Hub Manager + Provide clinical support to members of the ... code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and State Laws, and applicable professional… more