Remote VP, Medicaid Clinical Operations & Transformation
Humana Inc
- Remote job
Humana Inc. is seeking a strategic VP to lead Medicaid Clinical Operations, coordinating utilization management, care management, and program delivery across markets. The role emphasizes transforming strategy into scalable workflows, resulting in improved quality, access, and performance while partnering with Product, Technology, Data, and Analytics teams. The candidate will drive governance, workforce productivity, and operational readiness for new markets, ensuring regulatory compliance and #J-18808-Ljbffr Humana Inc
- Humana Inc. seeks an innovative VP for Medicaid Clinical Operations to lead clinical programs, utilization... ...delivery across markets. This fully remote executive role emphasizes scalable... ...managing performance, and driving transformation across complex #J-18808-Ljbffr Humana...Remote jobOperationsTransformation
$275k - $300k
...virtual obesity medicine clinic delivering physician‐... ...Role We are seeking a VP, Clinical Services to... ...will lead clinical operations for a large, nationwide... ...and People. This is a remote position that can be located... ...and drive practice transformation (e.g., physician‑APP...Remote workOperationsTransformationFlexible hoursShift work- ## VP, Medicaid Clinical OperationsApplylocations: Remote Nationwidetime type: Full timeposted on: Posted Todayjob requisition... ...**The VP, Medicaid Clinical Operations is an enterprise executive... ...outcomes.**Healthcare Transformation and Strategy*** Develop and execute...Remote workOperationsTransformationContract workWork at officeWork from homeHome office
$190k - $300k
VP/Executive Director of Federal Value-... ...Development, & Medicare (Remote Eligible) Primary... ...Payors & Delivery Transformation Division seeks an... ...for Medicare and Medicaid Innovation (CMMI),... ...the Center for Clinical Standards and... ...payment design, model operations and implementation...Remote jobOperationsTransformationWork at officeLocal area$90k - $120k
...with a strong focus on Medicaid, Medicare, and payer/provider operations. You’ll guide clients through... ..., aligning digital transformation goals with evolving... ...effectively across executive, clinical, and technical teams,... ...: This is a fully remote position ; however, candidates...Remote workOperationsTransformationFull timeMonday to FridayFlexible hours- ...Services Pvt Ltd. is looking for a Vice President of Clinical Affairs to lead global clinical strategy and operations in diagnostics. The ideal candidate will have a... ...across diagnostics. While the role is primarily remote, candidates near San Diego, CA, Raritan, NJ, or...Remote workOperations
- QuidelOrtho is seeking a Vice President of Clinical Affairs in San Diego, CA, to lead the global clinical strategy and operations. This role involves overseeing clinical evidence generation for a range of diagnostics, including infectious diseases and cardiology. The ideal...Remote jobOperations
- ...for strategic leadership and operational oversight of Patient... ...denial rates. Partners with clinical and executive leaders, leverages... ...contracts, regulations (Medicare/Medicaid), coding (ICD, HCPCS/CPT),... ...leading large-scale operational transformation initiatives that improve...OperationsTransformation
$264.13k - $346.67k
Hi, we’re Oscar. We’re hiring a VP, Clinical Strategy & Integration. Oscar is the first health... ...Strategy & Integration serves as the operational architect and connective tissue of the... ...-functional workflows necessary to transform clinical insights into a cohesive, end-...OperationsTransformationWork at officeFlexible hoursShift work- ...vision and profound transformation of Highmark’s... ...(e.g., Medicare, Medicaid, commercial, ACA)... ...through strategic and operational transformation... ...experience in a VP of Operations or... ...managing Medicaid and clinical teams. ~ PMP or... ...Office- or Remote-based Teaches...Remote workOperationsTransformationWork at officeLocal area
- VP, Clinical Services - Lead the design, development, and deployment of new clinical programs... ...at the intersection of care delivery, operations, and product, building programs that... ...Medicare and value-based care Will consider remote for the right candidate. Preferred...Remote workOperations
$180k - $210k
WORK LOCATION: Remote JOB OVERVIEW: This role... ..., outcomes, and operational performance. The business... ...-sponsored plans, Medicaid managed care... ...-cost drug strategy, clinical and financial analytics... ...implementation and transformation support, and technology...Remote workOperationsTransformationFull timeContract work$80k - $200k
Veeva Systems, Inc. is seeking experienced consultants for remote roles within the U.S. to lead MedTech clients in implementing Veeva Clinical applications for clinical transformation. Candidates should have extensive experience in clinical systems and processes, along...Remote jobOperationsTransformation- ...systems. This role includes leadership in Medicaid and Medicare projects, ensuring... ...15 years of experience in healthcare operations and transformation projects, and strong communication skills... ...are essential. This is a full-time, remote position with flexible hours and...Remote jobOperationsTransformationFull timeFlexible hours
$121.93 - $170.71 per hour
Job Summary and Responsibilities This is a Remote role with travel as needed. The System Vice President, Clinical and Industry Trials at CommonSpirit Health, will... ...individual in this role will oversee clinical trial operations, including regulatory compliance, budgeting,...Remote workOperationsContract workTemporary workWork experience placementLocal area- ...credibility, and the ability to operate at the intersection of... ...inclusion in advisory-led RFPs and transformation programs Drive qualified... ...This job operates in a 100% remote environment. This role... ...workflows, care coordination, and clinical research on a global scale....Remote workOperationsTransformationFull timeWork at officeMonday to FridayWeekend work
- Humana Inc. seeks a VP of Medicaid Clinical Operations to lead utilization management, care coordination, and clinical program delivery across Medicaid... ..., and Analytics to ensure operational excellence. This remote role emphasizes strong preference for Tampa, FL or Louisville...Remote jobOperations
- ...Solutions practice seeks a Senior Managing Consultant to lead clinical quality transformation engagements for hospital systems. You will guide multi-workstream initiatives, translate strategy into operations, and drive measurable improvements in patient outcomes and efficiency...Remote jobOperationsTransformation
- Allied Community Care is looking for a Director of Data Operations to lead payroll and Medicaid billing processes. In this hybrid role, you'll... ...compliance. Responsibilities include data collection and transformation, Medicaid billing preparation, and maintaining billing...Remote jobOperationsTransformation
- Humana Inc. is seeking a VP of Medicaid Clinical Operations to lead enterprise Medicaid strategy, operations, and program delivery across markets. This remote role prioritizes candidates in Tampa, FL or Louisville, KY. You will direct utilization management, care coordination...Remote jobOperations
- Humana Inc. invites a strategic, results-driven VP, Medicaid Clinical Operations to lead nationwide clinical programs, utilization management, care... ...workforce productivity, regulatory compliance, and care quality, with a remote-first arrangement and #J-18808-Ljbffr Humana IncRemote jobOperations
- We are actively seeking a Clinical Post Acute Care (PAC) Subject... ...Years (preferred). Location: Remote. Role Type: Contract. Key Responsibilities... ...Care (PAC) workflows and operations Collaborate with clinical,... ...in healthcare IT or digital transformation projects Preferred...Remote workOperationsTransformationContract work
- ...is the pioneer in Contactless Remote Patient Monitoring (RPM), proven to drive transformation at scale. Headquartered in... ...ideal candidate will help manage clinical operations, ensure regulatory compliance... ...adherence to Medicare, Medicaid, and commercial insurance documentation...Remote workOperationsTransformation16 hoursShift work
$170k
...professionals for this role. Embark on a transformative journey as a Network Security Engineer - VP. At Barclays, our vision is... ...evolving threats. You will operate as a hands-on subject matter... ...firewalls, IDS/IPS, proxy services, remote access, network access control (...Remote workOperationsTransformationHourly payTemporary workWork at office- ...is seeking a Vice President/Senior Vice President of Ambulatory Care Management. This remote position, located in the Midwest, emphasizes strategic leadership in ambulatory operations, integrating care management and enhancing value-based care practices across a large health...Remote workOperationsTransformation
$80k - $200k
...experienced consultants in Boston, Massachusetts, to optimize Clinical Operations data. The role involves working with MedTech clients for... ...responsibilities include leading clients through clinical transformations, developing solutions, and improving business processes....Remote jobOperationsTransformationFlexible hours- Humana Inc. is seeking a VP of Medicaid Clinical Operations to lead enterprise Medicaid strategies, oversee utilization and care management, and drive... ...a focus on outcomes and cost management. The position is remote with a strong preference for candidates in Tampa, FL or...Remote jobOperations
- Humana Inc is seeking the VP of Medicaid Clinical Operations to lead utilization management, care management, and clinical program delivery across Medicaid... ...while ensuring regulatory readiness. The role is remote with strong preference for candidates in Tampa, FL or Louisville...Remote jobOperations
- ...financial planning and analysis (FP&A), accounting, and operations, we transform how teams operate, empowering leaders to make... ...We are seeking a visionary and strategic VP, HR to join our leadership team in a remote position based in the United States. As a key member...Remote workOperationsTransformationWork at office
- ...President of Applied AI to define and lead AI‑driven transformation across Employee Benefits and Operations. This role will oversee ML, Generative AI, agentic... ...responsible AI practices across the organization. Hybrid or Remote work options are available. The incumbent will...Remote jobOperationsTransformation
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