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SENIOR DIRECTOR, MANAGED CARE CREDENTIALING AND PAYOR ENROLLMENT OPERATIONS

Department: Executive Office Nursing and Operations Infrastructure. Schedule: Full-Time, 8-hour day shift, Monday-Friday, Partially Remote with 30% travel. Facility: Ascension Standardize provider enrollment processes. Ensure prov...

CompanyAscension
AddressRemote
CategoryInformation Technology
SalaryFrom $126,962.96 a year
Job typeFull-time
Date Posted 3 weeks ago See detail

Senior Director, Managed Care Credentialing and Payor Enrollment Operations

Ascension

Remote

From $126,962.96 a year

Department: Executive Office Nursing and Operations Infrastructure. Schedule: Full-Time, 8-hour day shift, Monday-Friday, Partially Remote with 30% travel. Facility: Ascension Standardize provider enrollment processes. Ensure prov...

Manager Ambulatory Care RN, Primary Care Plus 20-Hours (Harbor City)

Kaiser Permanente

Harbor City, CA

Manages the delivery of nursing services and out-patient care which are integrated with business plans and meet or exceed cost, quality, clinical and utilization standards and performance measures. Ensures that services meet membe...

Pharmaceutical Sales- Associate Territory Manager - Primary Care

Biospace

Waycross, GA

Develops a strong understanding of territory and reimbursement landscape and utilizes appropriate business insights tools to analyze and adapt to business needs.. Systematically navigates the everchanging healthcare environment t...

Billing Managed Care Coordinator, Radiation Oncology

Brigham And Women's Hospital

Boston, MA

This position requires close attention to detail and will work daily with our Managed Care Supervisor along with the Managed Care teams at BWH & DFCI and the administrative personnel within our department.PRINCIPAL DUTIES AND RESP...

Acute Dialysis Services Program Manager - Columbus, United States - Fresenius Medical Care

Fresenius Medical Care

United States

Manage the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing. Monitor costs/spending in all areas includin...

Senior Manager, Health Care Compliance Officer

Johnson & Johnson

United, PA

The Senior Manager, Health Care Compliance Officer is responsible for the review of marketing strategies and materials, such as field sales aids, informational brochures, professional and consumer marketing materials, public-rela...

Dialysis Clinical Manager Registered Nurse - Austin, United States - Fresenius Medical Care

Fresenius Medical Care

United States

Manages the operations of the clinic, including costs, processes, staffing, and quality standards. Provides leadership, coaching, and development plans for all direct reports. Partners with internal Human Resources, Quality, and T...

Assistant Manager Ambulatory Care RN, Anesthesiology IN-PATIENT (Fontana)

Kaiser Permanente

Fontana, CA

Supervises daily operations and service delivery. Ensures staff provides the highest quality of care and are in compliance with the Nurse Practice Act, NCQA, TJC, federal, state and local requirements. Implements and maintains pat...

Manager I, GBD Special Programs (Kansas Foster Care)

Elevance Health

Kansas City, KS

Manages resource utilization to ensure appropriate delivery of care to members, adequate coverage for all tasks and job responsibilities. Coordinates service delivery to include member assessment of physical and psychological fac...

Nurse Manager of Cardiovascular Progressive Care

Methodist Healthcare

San Antonio, TX

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

Managing Counsel Managed Care Litigation

Hca Healthcare

Nashville, TN

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

Practice Manager, UCM Care Network and CHHD Infusion Sites

The University Of Chicago Medicine

Harvey, IL

Day to day management of practice and infusion center operations. Including: Establishes staff schedule and daily assignments. Responsible for time and attendance and monitoring overtime. Oversight of practice specific issues with...

Nurse Manager Ambulatory Care, Family Medicine (West LA)

Kaiser Permanente

Los Angeles, CA

Manages the delivery of nursing services and out-patient care which are integrated with business plans and meet or exceed cost, quality, clinical and utilization standards and performance measures. Ensures that services meet membe...

Managed Care Analyst III

Teva Pharmaceuticals

Parsippany, NJ

Using critical thinking skills and data analytics, the incumbent will complete complex investigational audit reviews, identify risks and compliance issues and present findings both verbally and in writing to key internal and exter...

MANAGED CARE OPERATIONS ANALYST

Cooper University Health Care.

Camden, NJ

Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. Develop and maintain reporting and modeling c...

Nurse Manager RN - Skilled Nursing & Transitional Care

Ecumen

Austin, MN

Day Hours, 8:00am-4:30pm. 40 hours/week. Weekend Rotation. Paid holidays off. Ensures that campus policies and procedures, State and Federal requirements, rules and regulations as they relate to nursing care are adhered to. Respon...

Pharmaceutical Sales - Associate Territory Manager - Primary Care

Biospace

Mansfield, OH

Develops a strong understanding of territory and reimbursement landscape and utilizes appropriate business insights tools to analyze and adapt to business needs.. Systematically navigates the everchanging healthcare environment t...

Coastal Central Florida Private Practice/Geriatric Managed Care - 401K Plan

Enterprise Medical Recruiting

Lorida, FL

A geriatric fellowship would be a plus but not mandatory. The group manages Medicare Advantage HMO plans for patients who are over the age of 65. Practice is capitated. The group is looking for a good clinician who also understand...

CLINICAL NURSE MANAGER- CARDIAC INTERMEDIATE CARE, PAVILION 9

Cooper University Health Care.

Camden, NJ

Support and maintain successful unit-based throughput efforts through the facilitation of appropriate and timely bed assignments resulting in fair, safe, and balanced clinical workloads for all clinical team members. Ensure that a...

Compliance Manager (Foster Care and Adoption Dept.) - Now Hiring

Asociacin Puertorriqueos En Marcha, Inc.

Philadelphia, PA

Provide children youth with protection, Care and a nurturing environment with certified Resource Parents (RP) while a permanent plan is established. Decrease the use of higher level child welfare and behavioral health placement se...

Manager - Managed Care & Prior Authorizations

Arkansas Children's

Little Rock, AR

Provides expertise in statutory and regulatory requirements and payer policies related to prior authorization for medical services and transplants and transports. Collaborates with admissions, physicians, utilization review/case m...

Manager Clinic Practice Primary Care

Children’s Wisconsin

New Berlin, WI

Affiliation with the #4 children's hospital in the country (according to Parents magazine). Board-certified pediatricians (learn what it means to be 'board-certified'). Many locations spread throughout southeast Wisconsin. Commitm...

Nurse Manager RN - Skilled Nursing & Transitional Care

Ecumen

Austin, MN

Day Hours, 8:00am-4:30pm. 40 hours/week. Weekend Rotation. Paid holidays off. Ensures that campus policies and procedures, State and Federal requirements, rules and regulations as they relate to nursing care are adhered to. Respon...

Case Management - Advanced Urgent Care Liaison Nurse 0.75 FTE - Silverdale WA

Kaiser Permanente

Silverdale, WA

Ensures patients referred to Case Management meet established Case Management criteria. Assess all patients referred for Case Management to determine physical, mental, financial, psychosocial status, utilizing comprehensive, stand...

Area Manager - Right at School (School Age Child Care)

Right At School

Los Angeles, CA

$67,000.00 to $73,000.00 per year

Oversees the implementation of Right At Schools curriculum and ensures high quality program delivery and continuous improvement in all aspects of program operations. Maintains direct profit & loss responsibility for assigned prog...

Assistant Manager Ambulatory Care RN, Allergy, Dermatology and Rheumatology (San Diego)

Kaiser Permanente

San Diego, CA

Supervises daily operations and service delivery. Ensures staff provides the highest quality of care and are in compliance with the Nurse Practice Act, NCQA, TJC, federal, state and local requirements. Implements and maintains pat...

LTSS Care Manager

Carolina Complete Health

Greensboro, NC

$25.97 - $46.68 per hour

Provides care coordination and care management and oversees higher acuity long-term support services / long-term care members. (i.e. individuals with complex medical or behavioral health issues that place populations at greater ri...

Home Health Patient Care Manager RN

Wfxrtv Jobs

Roanoke, VA

Receives referrals and ensures appropriate clinician and/or therapist(s) assignments for timely patient evaluation by signing off after authorization and plotting start of care (SOC) visits. Coordinates determination of patient ho...

Bilingual Behavioral Health Care Manager (Part-Time 24 hours a Week)

Primary Care Coalition

Silver Spring, MD

Perform and document biopsychosocial evaluations, seeks psychiatric team consultation, and develops and implements treatment plans with patient. Reassess and monitor patients response to treatment on a regular basis using program...

Licensed Practical Nurse Care Manager / Case Management (LPN)

Amsterdam Nursing Home

New York, NY

Collecting required information from new Residents to be admitted. Recording health details of Residents; including vitals & temperature. Administering medications and injections to Residents as needed. Treating and dressing wound...