Remote Director, Clinical Account Services - Medicaid PBM
primetherapeutics
- Remote job
Prime Therapeutics is seeking a Director of Clinical Account Services to lead Medicaid Virginia accounts, oversee clinical activities, and drive renewal of strategic services. You will partner with Account Managers to identify clinical opportunities, mentor clinical liaisons, coordinate cross‑functional teams, and measure program impact on cost, quality and patient care. This remote role emphasizes collaboration, data insight and accountable program delivery. #J-18808-Ljbffr primetherapeutics
$163k - $190k
HealthCare Support is seeking an Associate Director, PBM Client Services to be part of an Enterprise Health... ...) Hybrid: 3 days in office / 2 days remote in New York, NY! FSA & HSA Life... ...for guiding and developing a team of Clinical Account Consultants while ensuring the...Remote workWork at officeLocal area$131.5k - $303.2k
...with purpose, hold ourselves accountable and prioritize safety and... ...pharmacy benefit manager (PBM). We work to ensure the path... ...recruiting for an Executive Director, Clinical Services Operations for the PBM... ...leading large, multi‑site or remote teams, including recruitment...Remote workHourly payFull timeTemporary workLocal areaFlexible hours- ...and products and services in our Allergan... ...This is a remote position with up... ...The National Medicaid team strategically... ...with Medicaid PBM customers. Develop... ...state pharmacy directors, gathering... ...finances Convey clinical expertise and collaborate... ...access or account management...Remote workFull timeContract workLocal area
- Aetna is seeking a Member Service Representative to support Medicaid members and providers with inquiries on eligibility, ID cards, benefits, and programs. This full‑time role offers remote work opportunities and requires residence within 50 miles of Linthicum, MD. You...Remote jobFull timeWork at officeWork from home
$153k - $207k
DescriptionKforce's client, a rapidly growing accounting/consulting firm in New York, is seeking a Director of Accounting Services to manage the accounting services vertical.... ...packages, career growth, and mobility (remote work option available)Duties:* Partner with...Remote work- #nowhiring Lutheran Services Florida (LSF) envisions a world... ...LSF is looking for talented Director of Clinical Services who want to make... ...regions. (40% travel, 60% remote). Other duties as assigned... ...priorities, and drive accountability across multiple service lines...Remote workFull timeContract workFor subcontractorWork at office
- .... (NYSE: CBZ) is a leading professional services advisor to middle-market businesses nationwide... ...industry knowledge and expertise in accounting, tax, advisory, benefits, insurance, and... ...BILL, Ramp, Gusto, Avalara), including remote collaboration toolsAdvanced proficiency...Remote workWork at office
$150.75k - $251.25k
...disease. The Associate Director, Field Reimbursement Corporate Account, NYC North will operate... ...of reimbursement support services. In addition, the role requires... ...Parts A, B, C, D, Medicaid and Commercial Payers Ability... ...& Collaboration #LI-Remote #LI-ViiV #LI-GSK Skills...Remote workLocal area$223.8k - $313.1k
...Behavioral Health Medical Director is responsible for... ...determinations whether requested services, requested level of... ...may include national clinical guidelines, state... ...sources Learn Medicaid requirements and understand... ...: While this is a remote position, occasional travel...Remote workFull timeTemporary workApprenticeshipWeekend work- ...BHS in Maryland seeks a Medical Billing Manager to oversee the Medicaid billing team, coordinating with Medical Billing Specialists and... ...demonstrates strong attention to detail, exceptional customer service, and the ability to lead a team while handling large data volumes...Remote job
$193k - $257k
...largest health systems. The Director of Corporate Accounts (Health Systems Sales) is... ..., and value-added services.Lead complex sales engagements... ...initiatives involving Sales, Clinical, Operations, Contracting,... ...to work effectively from a remote home office environment or...Remote workFull timeContract workTemporary workLocal areaImmediate startWork from homeHome office- ...candidate to lead Global Key Account Management for one of the world... ...’s foremost hyperscalers. As Director, you will shape the strategic... ...industry. This role is remote based in Austin, Texas. YOUR... ...the forefront of data center services. YOUR PROFILE Bachelor’s degree...Remote workFlexible hours
$174.07k - $374.92k
..., hold ourselves accountable and prioritize safety... ...full-time, fully remote role. You can... ...and well-being of Medicaid members across... ...seeking a Medical Director to join our centralized... ...consistent, and clinically sound decisions... ...and outpatient services Acute and post-acute...Remote workHourly payFull timeTemporary workLocal areaWork from home- Humana is seeking a Behavioral Health Medical Director to lead clinical decision-making on authorization for services, aligned with Medicaid rules and Humana policies. Role requires... ...experience in a health plan environment. Remote work from cluster states with occasional...Remote job
- AbbVie in the United States is seeking an Associate Director, Medicaid National Accounts to lead strategic partnerships with national payers and coordinate... ...efforts to optimize access and outcomes. This remote role leverages deep knowledge of Medicaid programs to drive...Remote job
$215.95k - $409.42k
Director, Accounting and Financial Advisory ServicesSkip to main contentWe use cookies to enable... ...#Director, Accounting and Financial Advisory Services page is loaded## Director, Accounting... ...USA TX Houston 500 Dallas St: USA IL Remote: USA CA San Francisco 333 Bush St: USA...Remote workWork at officeLocal areaWorldwideFlexible hoursNight shiftAfternoon shift$160k - $175k
...be impact-inspired to provide vital clinical services to communities nationwide, vital products... ...of our organization. As the Senior Director of Accounting and Financial Services, you'll... ...develop high-performing teams in hybrid, remote, and in-person environments.Strong interpersonal...Remote workTemporary workWorldwideHome officeShift work2 days per week3 days per week- ...PROPOSALS:\n\nINTERIM HEALTH SERVICES DIRECTOR (CONSULTANT)\n\nIssue Date:... ...working with tribal health clinics in order to help structure and... ...HIPAA, Medicare and Medicaid requirements, HRSA and IHS program... ...leadership, supplemented by remote availability as needed, and...Remote workHourly payPermanent employmentContract workFor contractorsFor subcontractorInterim roleLocal area
$77k - $110k
...the Healthcare Manager, Medicaid Eligibility role at... ...and technology-enabled services to payors and providers... ...analytics, clinical data exchange capabilities... ...professionalism, and accountability to achieve quality results... ...Compliance (United States-REMOTE) Healthcare Commercial...Remote workFull timeWork at officeLocal areaRelocation packageShift workDay shift- ...place to work. PURPOSE: The Director, Accounts Receivable, Laboratory & Specialized Services provides strategic and... ...Technology, Compliance, Finance, and Clinical Operations to identify and... ...CPT, ICD-10, HCPCS, Medicare, Medicaid, commercial payer guidelines, and...Full timeTemporary workImmediate start
- ...LTSS Service Care Manager Location: Remote/Field-Based Texas (Dallas, Nueces, and Central Service Delivery Areas) Duration: 12 Months Schedule: MondayFriday... ...Qualifications Previous experience in LTSS, Medicaid Managed Care, or Managed Care Organizations (MCOs)....Remote workHourly payWork at officeWork from home
$128k - $175k
...Director Of Clinical Services DaVita SNF Dialysis This position functions as DaVita SNF Dialysis clinical lead responsible for quality, education and nursing services across the DSD national footprint. Responsible for the implementation of programs to improve patient...Remote workMinimum wage- ...their seniority and benefits. The Director, Clinical Pharmacy Services administers and provides... ...Commercial, Self Funded, HCR, Medicaid, MIChild and Medicare. This role... ...requests with pharmacy vendors.Accountable for oversight of PBM performance expectations for benefit...Contract work
$50 - $120 per hour
...Job Description Benefits: ~ Flexible schedule e are hiring: Director of Clinical (Remote – Connecticut License Required) We are seeking a dedicated and experienced Director of Clinical Services to join our growing team! This is a fully virtual position for a...Remote workHourly payFull timeMonday to FridayFlexible hoursWeekend work- ...to it every day. We provide services in 14 states across the USA,... ...supporting more than 100,000 employer accounts and over $1 billion in annual... .... Experience leading remote teams preferred. Ability to... ...have extensive experience with Medicaid, Medicare, private insurance,...Remote workTemporary workWork at officeLocal areaFlexible hours
$112.7k - $193.2k
Associate Director of Clinical Consulting Oversee clinical... ...alignment of PBM clinical priorities... ...and clinical account management with a... ...clinical product/service ideation and liaison... ...and project work Remote Work Eligible to... ...advanced degree Medicaid and/or Medicare Experience...Remote workFull timeWork experience placementLocal area$150k - $220k
...offers a full range of integrated accounting, consulting and business management services from tax planning and audits to... ...a growth-oriented and strategic Director to expand our Client Accounting Services... ...ago Client Development Director (Remote - Georgia or Florida) Client...Remote workFull timeLocal area$135k - $165k
...If so, we'd love to connect!As a Manager within Huron's Managed Services practice, you'll lead Oracle HCM Payroll support engagements,... ...Payroll managed services engagements for enterprise clients.Work remotely from anywhere in the U.S. or Canada.Grow your career within a...Remote workFull timeLocal area- Life Care Services (LCS) is seeking a Regional Director of Clinical Services to ensure clinical success across managed communities. The role requires an RN and... ...compliance. The position serves on-site and remotely, with emphasis on Assisted Living and Memory Care...Remote job
$103.6k - $235.3k
...600 - $235,300Job Function: Business Tax Services (BTS)Employer: EY Global ServicesApply by... ...customer documents in line with Foreign Account Tax Compliance Act (FATCA) and Common Reporting... ...solutions and work with staff located in remote delivery centers.In this role, you’ll be...Remote workSummer holidayLocal areaImmediate startFlexible hours
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