Remote Product Management Director – Medicare/Medicaid
2 hours ago
A health services company seeks a Director of Product Management to lead the product life cycle for Medicare and Medicaid claims payment integrity. This role involves developing products for specific customer needs and monitoring their efficacy based on feedback. The Director will lead a team and ensure strategic plans drive performance. Applicants should have a background in product management, an understanding of Agile practices, and experience in the health insurance industry. Competitive salary and benefits offered.
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Remote VP, Medicare
3 weeks ago
Baton Rouge, United States Prime Therapeutics Full timeA leading pharmacy benefit manager is seeking a Vice President for Government Programs, focusing on Medicare and Managed Medicaid. This remote role demands strategic oversight for product development and expansion, with a strong emphasis on leadership and compliance. Candidates should have substantial experience in healthcare, with proven success in...
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Remote VP, Medicare
3 weeks ago
Baton Rouge, United States Prime Therapeutics Full timeA leading pharmacy benefit manager is seeking a Vice President for Government Programs, focusing on Medicare and Managed Medicaid. This remote role demands strategic oversight for product development and expansion, with a strong emphasis on leadership and compliance. Candidates should have substantial experience in healthcare, with proven success in...
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Baton Rouge, United States Humana Inc Full timeA healthcare services provider is seeking a Medical Director to oversee Medicare-related clinical operations. The ideal candidate will ensure compliance with national guidelines and CMS regulations, while managing clinical case reviews. Requires an MD/DO, ongoing board certification, and extensive clinical experience. This role offers a competitive salary...
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Remote Insurance Compliance Lead – Medicare
3 weeks ago
Baton Rouge, United States Humana Inc Full timeA healthcare insurance company is seeking an Insurance Product Compliance Lead to research, analyze, and consult on regulations for various insurance products. Responsibilities include partnering with stakeholders to draft documents for regulatory approvals and advising on functional strategies. The ideal candidate should have experience with Medicare...
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Remote Insurance Compliance Lead – Medicare
3 weeks ago
Baton Rouge, United States Humana Inc Full timeA healthcare insurance company is seeking an Insurance Product Compliance Lead to research, analyze, and consult on regulations for various insurance products. Responsibilities include partnering with stakeholders to draft documents for regulatory approvals and advising on functional strategies. The ideal candidate should have experience with Medicare...
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Remote Medical Director, Medicaid UM – Oklahoma
3 weeks ago
Baton Rouge, United States CVS Health Full timeA leading healthcare company seeks an experienced Medical Director to manage Utilization Management for their Medicaid plan. This is a remote position requiring strengths in direct patient care, board certification in a recognized specialty, and an active Oklahoma medical license. Candidates should also possess prior experience with UM processes. The role...
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Medical Director Claims Management
2 hours ago
Baton Rouge, United States Louisiana Staffing Full timeMedical Director Opportunity Become a part of our caring community and help us put health first. The Medical Director actively uses their medical background, experience, and judgment to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized at the initial or appeals/disputes level. All...
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Medical Director Claims Management
7 minutes ago
Baton Rouge, United States Louisiana Staffing Full timeMedical Director Opportunity Become a part of our caring community and help us put health first. The Medical Director actively uses their medical background, experience, and judgment to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized at the initial or appeals/disputes level. All...
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Baton Rouge, United States Humana Inc Full timeA leading health insurance company is seeking a Senior Medicaid Provider Education Professional to manage provider education materials and ensure compliance with Medicaid standards. This role involves content creation, project management, and collaboration across departments to provide top-quality educational resources. Ideal candidates will have a...
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Baton Rouge, United States Capital One Full timeA leading financial technology company is looking for a Director of Product Management to drive innovative product experiences. This remote-eligible role focuses on enhancing merchant relationships and leading cross-functional teams. Ideal candidates have extensive experience in product management and data analysis, with strong SQL skills. Competitive...