Medicaid Health Strategy Director (Remote)
Jobleads-US
- Remote job
Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations. The role requires medical degree, board certification, and licensure in at least one cluster state with readiness to obtain others.
Responsibilities include clinical review, peer discussions, and collaboration to advance population health initiatives. This is a virtual role with travel occasional; the role reports to the Cluster Lead Medical Director and supports regional priorities across several states.
#J-18808-Ljbffr Jobleads-US- ...Humana Inc. is seeking a Medical Director focused on Medicaid care strategy and operations, with at least five years post-training clinical leadership experience... ...providers to advance value-based care across Medicaid populations. Remote, with travel as needed. #J-18808-LjbffrRemote work
- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations. The role includes complex clinical review, peer-to-peer discussions... ...to support regional priorities. The position is remote-based with travel as needed and requires board-...Remote job
- ...Humana Inc. seeks a Medical Director to lead Medicaid care strategy and operations. The role involves complex clinical determinations, regulatory compliance... ...across outpatient and inpatient settings. This remote position requires licensure in cluster states and travel...Remote job
- ...Humana Inc. seeks a Medical Director to lead Medicaid care strategy and operations. The role involves reviewing complex clinical scenarios, determining... ...internal teams and external physicians. You’ll work remotely within a designated cluster, travel occasionally, and...Remote job
- ...Humana, Inc. is seeking a Medical Director to lead Medicaid care strategy and operations, reviewing complex clinical scenarios and ensuring regulatory compliance. The role involves peer-to-peer discussions with external physicians, collaboration on value-based care,...Remote jobWeekend work
- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations in a remote-eligible role spanning multiple states, including Wisconsin. The position involves reviewing complex clinical cases, ensuring regulatory compliance, and guiding care...Remote job
- ...Humana Inc. is seeking a Medical Director to shape Medicaid care strategy and oversee complex clinical determinations. The role focuses on regulatory... ...with the ability to collaborate with external physicians and health plan stakeholders. #J-18808-Ljbffr Jobleads-USRemote job
- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations in a remote capacity, supporting a cluster that includes Indiana, Ohio, Kentucky, Virginia, Wisconsin and Illinois. The responsibilities include medical determinations on services...Remote job
- ...CVS Health Corporation is seeking a Medical Director for Medicaid to join the centralized Medical Management team. This fully remote role supports Aetna Better Health of Virginia while providing regional coverage across the Northeast and other plans as needed. The...Remote job
- ...CVS Health, including Aetna, seeks a Medical Director for a remote role supporting Medicaid members nationwide. Lead medical management decisions, partner with clinicians, and ensure timely, clinically sound reviews for diverse plans. Requirements include MD/DO with...Remote job
- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations in a remote setup. The role involves evaluating moderately complex to complex clinical scenarios, reviewing medical records, and determining appropriate authorization within regulatory...Remote job
- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations within a high-complexity environment. The role involves evaluating... ...and support regional priorities, with travel as needed and a remote-based work setup. #J-18808-Ljbffr Jobleads-USRemote job
- ...Humana Inc is seeking a Medical Director to lead Medicaid care strategy and operations. You will evaluate complex clinical data to authorize services... ...ensure regulatory compliance across your cluster. This remote role requires an MD or DO, ABMS/ABPN board...Remote job
- ...Geisinger in Pennsylvania is seeking a Medical Director to lead the clinical strategy for its Medicaid line. This role involves ensuring compliance with state... ...provider networks. The position offers onsite/hybrid/remote options with periodic travel within Pennsylvania....Remote work
- ...Humana Inc. seeks a Medical Director to lead Medicaid care strategy and operations in a remote role across multiple states. The role involves determining authorization decisions, reviewing complex cases, and engaging with external physicians to discuss determinations...Remote job
- ...Humana Inc. seeks a Medical Director to oversee Medicaid care strategy and operations across assigned clusters, applying clinical judgment to authorize services within regulatory requirements. The role involves complex case reviews, peer discussions with external physicians...Remote job
- ...The Medical Director role at Humana Inc. is a remote leadership position focused on Medicaid care strategy and operations. You will analyze complex clinical data, review records, and authorize services within regulatory guidelines. The role involves peer discussions...Remote job
$72k - $130k
Transformcap is seeking an Associate Director/Director of Medicaid Entitlement & Coverage Strategy to lead their strategic response to federal Medicaid changes. The... .... The position offers the flexibility of remote work, although candidates from certain states are...Remote job$1,020 per month
...Description Job Description THE HEALTH INITIATIVE SENIOR DIRECTOR, HEALTH PLANS The Context It is... ...THI supported North Carolina to use Medicaid dollars to provide patients with... ...full-time, exempt role and is fully remote within the US. THI expects staff to...Remote workFull timeTemporary workInterim roleWork at officeFlexible hoursShift workWeekend workAfternoon shift$122k - $203k
...dedicated focus on State Health agencies, with an emphasis on Medicaid programs and the... ...leader who can connect strategy to execution, partnering... ...production.The Associate Director will oversee cross-functional... ...fee.SummaryLocation: US - Remote (Any location); US - IL,...Remote workFull timeFlexible hours$140k - $180k
...Biolink360 is seeking a Senior Director, Policy, Research & Analysis to lead health policy strategy for pharmaceutical and biotech clients. With a compensation range of $140K-$180K plus bonus, this remote role requires a seasoned leader who can navigate complex policy...Remote work$174.07k - $374.92k
...We're building a world of health around every individual - shaping... ...This is a full-time, fully remote role. You can work from anywhere... ...the health and well-being of Medicaid members across the country.... ...We are seeking a Medical Director to join our centralized Medical...Remote workHourly payFull timeTemporary workLocal areaWork from home- ...Medicaid Program Health Manager At Blue Cross and Blue Shield of Minnesota, we are committed to... ...work of multiple programs to ensure the strategy is in alignment to solutions put forth... ...: Teleworking is working full time remote. Hybrid is a minimum of 2 days onsite...Remote workFull timeFor contractorsWork at office2 days per week
- ***Remote and must live in or relocating to Idaho***JOB DESCRIPTION... ...directs team responsible for health plan provider network... ...activities. Supports network strategy and development with respect... ...for Medicare, Marketplace, and Medicaid services. • In conjunction with...Remote workContract workLive inWork at officeRelocation
- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations in a remote nationwide role. This senior physician will evaluate requested... ...demonstrated expertise in utilization and case management within a health plan. #J-18808-Ljbffr Jobleads-USRemote job
$141.6k - $212.4k
...management, life, supplemental health, medical stop-loss insurance,... ...solutions are designed for Medicaid and CHIP, Medicare Advantage,... ...plus AK. The opportunity: The Director, Health Plan Dental Solutions... ...operate independently in a remote environment while managing multiple...Remote workFull timeWork at officeLocal areaFlexible hours- ...Summary Lead clinical strategy, medical management,... ...performance for our Medicaid line of business across... ...Pharmacy, Behavioral Health, Provider Network, and... ...leadership role (Medical Director or Deputy) specific... ...Pennsylvania (onsite/hybrid/remote with periodic in‑state...Remote workContract workRelocation
$223.8k - $313.1k
## Medical Director Behavioral Health, MedicaidApplylocations: Remote Nationwide: Remote Louisiana: Remote Indianatime type... ...for behavioral health care strategies and/or operations. You will work... ...other reference sources* Learn Medicaid requirements and understand how...Remote workWeekly payFull timeTemporary workWeekend work$86.3k - $118.7k
United States Digital Space LLC is hiring a Product Manager-Medicaid & Duals to oversee insurance products tailored for Medicaid and Dual... ...'s degree and 3+ years of related experience. The position is remote, accommodates EST/CST hours, and offers a competitive salary...Remote work$120k - $135k
...#LifeatRealChem.Job Summary:Real Chemistry is looking for an Associate Director, Medical Strategy tojoin our growing team!Our Associate Directors play a... ...York City, Boston, Chicago, Carmel, or San Francisco—or remotely within the US, depending on team and business needs.What...Remote workWork at officeLocal area2 days per week
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