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Remote Jobs with MHA Education

23 fresh jobs found

Medical Director - Southeast Region
Remote US, United States

Health claims Clinical patient care Health claims review Computer-Based Review Post-acute services Outpatient services Grievance and appeals processes CMS policies Post-acute care +90

Exec Senior Full Time

USD 223K+

Director Commercialization Sales Operations
USA - MD - Remote, United States

AmerisourceBergen

Customer onboarding Liaison Operational processes Commercialization Market development KPI Tracking Business Operations Inside sales Contracting +40

Exec Senior Full Time

USD 121K+

Director of Provider Engagement (Mid West Market)
Ohio, United States - Remote

Healthcare Strategy Provider engagement Network development Risk Adjustment Value-based care Resource Management Clinical operations Performance Optimization Budgeting +9

Senior Full Time

USD 161K+

Medical Director--Claims Management
Remote US, United States

Inpatient care Clinical patient care Computer-Based Review Outpatient services Home health services Grievance and appeals processes Clinical reference materials CMS policies Post-acute care +87

Exec Senior Full Time

USD 223K+

Medical Director - Florida
Remote US, United States

Clinical patient care Health claims Managed Care Knowledge Post-acute services Home health services Family practice Inpatient rehabilitation Hospitalist National Guidelines +73

Exec Senior Full Time

USD 223K+

Asst Dir - Managed Markets
USA - NJ - Remote, United States

AmerisourceBergen

Brand Planning Contracting Strategy Value proposition development HEOR Strong interpersonal Managed markets Staff training Outcomes Research Proposal Writing +34

Senior Mid Full Time

USD 98K+

Medical Director - National Medicare Team
Remote US, United States

Healthcare provider management Medicaid Experience Managed Care Knowledge NCD LCD Humana policies Medical interpretation National Guidelines Clinical group practice management +49

Exec Senior Full Time

USD 223K+

Medical Director - Medicaid N. Central
Remote US, United States

Health claims review Computer-Based Review Post-acute services Grievance and appeals processes Post-acute care Humana policies Family practice Clinical group practice management Medical interpretation +92

Exec Senior Full Time

USD 223K+

Senior Vice President, Network Development & Contracting
Remote-IL, United States

Centene Corporation

Contracting management Provider contracts Network strategy Contract Analysis Provider Contracting Network development Network Operations Contract negotiations Provider Relations +29

Exec Senior Full Time

USD 221K+

Medical Director - Care Plus
Remote US, United States

Grievance processes Health claims review Outpatient services Grievance and appeals processes Post-acute care Clinical group practice management Commercial health insurance Hospitalist Inpatient rehabilitation +90

Exec Senior Full Time

USD 223K+

Medical Director - Mid West Region
Remote US, United States

Computer-Based Review Outpatient services Grievance and appeals processes Post-acute care Humana policies Hospitalist Medical interpretation National Guidelines Family practice +83

Exec Mid Full Time

USD 223K+

Director of Clinical Training Design and Deployment
Remote US, United States

Data-Driven Management Team culture Learning Design Service coordination Clinical Training Curriculum Design Efficiency Emotional Intelligence Collaborative +51

Exec Senior Full Time

USD 138K+

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+

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+

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+

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+

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