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Remote Jobs with MHA Education

26 fresh jobs found

Director, Auditing, Monitoring & Oversight (Marketplace)
Remote-MO, United States

Centene Corporation

Oversight tools Executive Reporting Audit readiness Government programs Health administration Compliance requirements Healthcare Regulations Compliance management Health Plan +37

Exec Senior Full Time

USD 116K+

Provider Engagement Account Executive
Remote-OK, United States

Centene Corporation

Value-based performance Utilization Cost and utilization Interpersonal relationships Quality measures HEDIS Health administration Provider engagement Network management +37

Exec Mid Full Time

USD 86K+

Medical Director - Gulf South
Remote US, United States

Post-acute services Grievance and appeals processes Community Groups Outpatient services Clinical group practice management Commercial health insurance Inpatient rehabilitation Post-acute care Humana policies +88

Exec Senior Full Time

USD 223K+

Program Coordinator - SJCARES Registry Program, Department of Global Pediatric Medicine
Memphis, TN, United States

St. Jude Children's Research Hospital

Epidemiologic analysis Scientific terminology Population-based registries Technical terminology Clarity Implementation science Planview Microsoft SharePoint Data Tracking +32

USD 70K+

Medical Director - Mid West Region
Remote US, United States

Computer-Based Review Community Groups Outpatient services Grievance and appeals processes Inpatient rehabilitation Commercial health insurance Clinical group practice management Post-acute care Humana policies +83

Exec Senior Full Time

USD 223K+

Senior Manager, Operational Excellence & Strategic Initiatives
Denver, CO or Remote

Workforce Optimization Executive Communication Client Success KPI development AI technologies Healthcare experience Stakeholder Collaboration Six Sigma Team Development +19

Senior Full Time

USD 90K+

Medical Director- South Central
Remote US, United States

Community Groups Outpatient services Grievance and appeals processes Post-acute services Clinical group practice management Inpatient rehabilitation Post-acute care Commercial health insurance Humana policies +86

Exec Senior Full Time

USD 223K+

Medical Director - Pacific SW
Remote US, United States

Health claims review Community Groups Outpatient services Grievance and appeals processes Clinical group practice management Commercial health insurance Inpatient rehabilitation Post-acute care Humana policies +84

Exec Senior Full Time

USD 223K+

Medical Director - Northeast Region
Remote US, United States

Community Groups Outpatient services Post-acute services Grievance and appeals processes Clinical group practice management Commercial health insurance Post-acute care Inpatient rehabilitation CMS policies +88

Exec Senior Full Time

USD 223K+

Vice President, Network Strategy & Management
Remote-MO, United States

Centene Corporation

Unit cost management M&A activities Provider network management Claims Configuration Network strategy Contracting Strategy Reimbursement strategy Contract Analysis Government programs +33

USD 231K+

Medical Director - Southeast Region
Remote US, United States

Health claims review Community Groups Outpatient services Post-acute services Grievance and appeals processes Clinical group practice management Commercial health insurance Inpatient rehabilitation Humana policies +84

Exec Senior Full Time

USD 223K+

Senior Director, Compliance Advisory (Marketplace)
Remote-MO, United States

Centene Corporation

ACA requirements Executive Reporting Audit readiness Government programs Health Plan Compliance requirements Metrics Development Health administration Healthcare Regulations +36

Senior Full Time

USD 145K+

Service Delivery Executive/Strategy
Virtual Office, United States

Healthcare Consulting Proposal Development Insights Consulting Strategic planning Product Management Account management Business Development Strategy +11

Exec Senior Full Time

USD 117K+

Medical Director, Medicare Strategy
Full Time Remote - North Carolina, United States

Value-based strategies Health care consulting Improvement Clinical programs Clinical operations Clinical knowledge Behavioral health Medicare Feedback +10

Exec Senior Full Time

USD 185K+

Surgical Associate Medical Director or Medical Director
Renton, WA, United States

Cambia Health Solutions

Accountable care Medical utilization management Provider reimbursement DO MD Clinical Leadership Federal regulations Clinical Experience Quality improvement +10

Senior Mid Full Time

USD 202K+

Medical Director - South Central
Remote US, United States

Community Groups Grievance and appeals processes Outpatient services Post-acute services Clinical group practice management Commercial health insurance Inpatient rehabilitation Post-acute care Social determinants +85

Exec Senior Full Time

USD 223K+

Analytic Manager - IC Clinical Effectiveness, Clinical Effectiveness
US, Virtual

EHR data Performance Improvement Visualization Data & Analytics R Tableau Data Visualization Recruiting Development +15

USD 104K+

Senior Quality Program Development Manager
Remote-NY, United States

Centene Corporation

Training and guidance CAHPS Cphq Quality Initiatives Process Enhancement Healthcare quality Needs Assessment Strategic Analysis Workflow Design +46

Senior Full Time

USD 86K+

Medical Director- South Central
Remote US, United States

Post-acute services Clinical group practice management Commercial health insurance Outpatient services Grievance and appeals processes Clinical Decision Making Post-acute care Inpatient rehabilitation Social determinants +83

Exec Senior Full Time

USD 223K+

Director, Clinical Pharmacy
Remote US, United States

Drug Utilization Analysis Formulary Development Pharmacy benefit management Clinical pharmacy Development programs Home health services Medication Adherence PBM Corporate Communications +44

Exec Senior Full Time

USD 168K+

Senior Consultant - Program Delivery CMU Outcomes
Remote, United States

TQM Persuasion Interviewing Process Healthcare Technology Digital solutions Six Sigma Integrity Program Management +17

Senior Mid Full Time

USD 108K+

Vice President of Provider Engagement
United States - Remote

Provider engagement strategy Consultative conversations Network development Provider engagement Risk Adjustment Value-based care KPI Tracking Clinical operations Performance Optimization +18

Exec Senior Full Time

USD 180K+

Vice President, Network Strategy & Management
Remote-MO, United States

Centene Corporation

M&A activities Unit cost management Provider network management Network strategy Claims Configuration Contracting Strategy Reimbursement strategy Network development Staff management +26

USD 231K+

Medical Director - Southeast Region
Remote US, United States

Post-acute services Outpatient services Grievance and appeals processes Clinical group practice management Inpatient rehabilitation Commercial health insurance Coding practices Medical background Hospitalist +82

Exec Senior Full Time

USD 223K+

Director Cardiovascular Service Line Advisory
USA-TX, United States

Patient care systems Clinical program development Strategic Account Management Healthcare administration Healthcare Access Market development KPI development Quality improvement Operational Efficiency +27

Exec Senior Full Time

USD 258K+

VP, Network Development & Contracting
Remote-TX, United States

Centene Corporation

Network development Provider Relations Healthcare administration Market Expansion Due Diligence Contracting Network Business administration Health Insurance +18

USD 182K+

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