Medicaid Director $80,000 jobs

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Director of Utilization Management
Community Health Group - 16 reviews - Chula Vista, CA 91914
Experience in interpreting utilization and benefit data, knowledge of applicable state and federal laws and NCQA, working knowledge of Medicaid required....
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The Director works closely with Claims, Data Analytics, and Internal Audit to ensure efficient data collection and monitoring processes....
Director, Regulatory and Professional Practice (Clinical PA...
American Academy of Physician Assistants - Alexandria, VA 22314
Familiarity with government and/or private third party payment programs such as Medicare and Medicaid. The Director, Regulatory and Professional Practice...

Executive Director of Medicaid

Kaiser Permanente - 3,706 reviews - Rockville, MD
Leads the regional annual rate setting process with state Medicaid programs. Ensures awareness of Medicaid goals, strategies and tactics are communicated...

Director III

Health & Human Services Comm - 6 reviews - Austin, TX
$7,174 - $11,838 a month
Knowledge of Medicaid and CHIP programs. The Director III performs advanced contract monitoring oversight functions related to the Medicaid and CHIP programs,...

Program Integrity Project Director

Truven Health Analytics, an IBM Company - Des Moines, IA
Medicaid Program Integrity expert. Prior Iowa Medicaid Management Information System (MMIS). The PI Project Director is responsible for communication,....

Director of Operations

Liberty Healthcare Corporation - 17 reviews - Raleigh, NC
Healthcare industry experience preferable, ideally with a Medicaid or managed care plan. The Director of Operations is a key member of Liberty Healthcare’s...

Director Utilization Management

Kaiser Permanente - 3,706 reviews - Honolulu, HI
Responsible for all aspects of utilization management, care coordination, utilization compliance, authorizations and referrals, and discharge planning in the

Director, Medicare & Medicaid- Atlanta

Kaiser Permanente - 3,706 reviews - Atlanta, GA
The Medicare & Medicaid Director is responsible for achieving membership and margin targets for the Medicare & Medicaid Lines of Business....

Revenue Cycle Director

Bay Area Hospital - 13 reviews - Coos Bay, OR
Develop plans to ensure that claims submitted comply with industry-wide leading practice and the rules and regulations of CMS, Medicaid and other payers....

Director, Actuarial Services

Actuary - Woodland Hills, CA  +1 location
10+ years of actuarial experience, including 2+ years of Medicaid experience. Conduct analysis, pricing and risk assessment to estimate financial outcomes....

Sr. Director, Medicaid Finance and Care Delivery Analysis

Kaiser Permanente - 3,706 reviews - Oakland, CA
Medicaid reimbursement for members enrolled in Medicaid financing mechanisms,. Reimbursement and Compliance Regulations for Medicaid....

Director, Contract Operations and Analytics

Actelion - South San Francisco, CA
Accountable for managing Actelion’s relationship with government agencies and purchasing organizations (VA, FSS, 340 B, Medicaid, Medicare, CMS, Payers,...
Director of Clinical Operations
The Clinical Team Director (CTD) is accountable for all of the areas in the clinic listed below. Works with the Director of Clinical Informatics and Reporting...
Quality Improvement - Director
WellCare - 542 reviews - O‘ahu, HI
Plans, develops and directs the Quality Improvement functions. Provides leadership necessary to achieve national best practice performance levels in quality

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