PART_TIME

FEED

UNKNOWN

Strong understanding of provider reimbursement methodologies, claims adjudication processes, delegated reimbursement models, managed care contracting principles, Medicare Advantage, population health, risk adjustment, STARS, HEDIS, quality improvement programs, and healthcare operations. Provides strategic oversight to ensure contracted providers are reimbursed in accordance with negotiated contract terms and reimbursement methodologies by partnering with Claims Operations, Network Contracting, and Finance to identify trends, resolve systemic issues, and improve provider satisfaction.

YEAR

P3 Health Group Management,LLC

Sr Director Provider Relations

Such responsibilities include but are not limited to: performance and oversight of the claim management functions including investigation and analysis, performance of risk assessments including new services, performance of root cause analysis for the system including action plan tracking and facilitation, and management of the Patient Safety Council with incorporation of the corporate TERM program into the overall risk management program. As a teaching hospital with graduate medical education, a new pharmacy residency program and over 600 multidisciplinary clerkships and internships offered annually, we focus on the use of evidence-based medicine and the importance of following clinical pathways that research has shown to be effective with most patients.

University Health Services Inc

DIRECTOR OF RISK MANAGEMENT

With a network of 1,000 animal hospitals, we impact pets, people and our communities by delivering world-class medicine with hometown care to over 4.5 million pets annually. With access to endless resources, we continuously learn and share knowledge to build fulfilling careers, push our profession forward and make a lasting impact on our shared future.

Vicar Operating dba VCA

Medical Director

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The AOD develops and implements staffing plans, oversees change, ensures adherence to policies, and procedures, and collaborates with their clinical dyad partner to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/STARs, AHCA, optimal patient scheduling, financial management, patient engagement, recruiting/hiring, and employee and patient retention. Represent CenterWell/Conviva brands in community and media activities while collaborating with the recruitment team to build and network a pipeline of high-quality primary care clinicians (physicians, APPs, MAs, and other clinical professionals).

Humana Inc

Associate Operations Director - Las Vegas

CaseManagement #DirectorCaseManagement #HospitalLeadership #CareCoordination #RNLeadership #SocialWorkLeadership #HealthcareOperations #LasVegasHealthcare #AcuteCareLeadership #HospitalAdministration. Director of Case Management, Hospital Case Management Director, Care Coordination Director, Utilization Management Leadership, RN Case Management, Social Work Leadership, Acute Care Leadership, Hospital Operations, Las Vegas Healthcare Leadership, Case Management Executive.

Texas Nursing Services

Director of Case Management

THE JOB: The primary responsibility of the Director of Workforce Management is to plan, direct and oversee the activities of the Workforce Management department. Manage relationships with property leadership to develop strong communication channels between Workforce Management and operating departments.

MGM Resorts International

Director Workforce Management - Restaurants

Lead organizational and workforce planning decisions, including team structure, staffing levels, role composition, hiring priorities, and the balance between FTEs, contingent workers, and AI-enabled capacity. This role is responsible for shaping engineering strategy, optimizing organizational structure, and guiding technology investments and capability development to improve delivery effectiveness, quality, and innovation.

MGM Resorts

Director AI-Enabled Engineering

In this critical leadership role, you will be responsible for overseeing day-to-day data operations, driving team and platform productivity, and executing strategies to reduce technology debt across our data ecosystem. Communication: Exceptional ability to communicate complex technical operational issues in clear, business-friendly, non-technical terms to senior business leaders Required.

Director of Data Operations

Excellent interpersonal skill to deal effectively with suppliers, internal leadership peers, staff, business partners and technology partners as well as excellent organizational skills and able to function under time constraints and deadline with attention to detail. Lead high-level negotiations with suppliers and collaboration with technology business partners, legal, risk, data security, technology leadership to obtain favorable pricing and terms and conditions.

Director Technology Sourcing

Director Ai-Enabled Engineering

Director Of Data Operations

Minimum Requirements: Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Elevance Health Inc

Associate Medical Director- Post Acute Care

Forming a diverse, inclusive, and collaborative community, Octapharma Plasma offers ways to enhance your life, career, and sense of professional accomplishment to everyone who joins our family. Our community relies on teamwork, compassion, and expertise to get things done the right way, while making a meaningful difference in the lives we touch.

Octapharma Plasma

Center Director I

Our mission is simple: make high-quality, convenient, and affordable massage therapy available to everyone — and we need a superstar leader to help make it happen. If you love fast-paced days, big sales wins, and leading a team that loves what they do, then Massage Heights is calling your name.

HOUR

Adobe is the global leader in digital marketing and digital media solutions. Our tools and services enable our customers to create groundbreaking digital content, deploy it across media and devices, measure and optimize it over time, and achieve greater business success. We help our customers make, manage, measure and monetize their digital content across every channel and screen.  </p>  <h2>Digital media</h2><p> Adobe helps creative professionals, publishers, developers, and businesses create, publish, promote, and monetize their content anywhere.</p> <h2>Digital marketing</h2><p> Our digital marketing solutions combine content and data, personalization, experience management, and social capabilities so businesses can move faster from data to insights to action. </p>

Adobe

Assistant Retreat Director

You'll coach and develop Boutique Directors, strengthen leadership capability, champion succession planning, and create opportunities for talent to grow across Cartier and Richemont. Working closely with the Regional AVP and cross-functional partners, you'll connect strategy with execution-bringing people, ideas, and innovation together to create exceptional results for our clients, our teams, and our business.

Compagnie Financiere Richemont SA

Area Director, Southwest

This leadership role focuses on developing high-performing teams, fostering strong client relationships, and executing strategic initiatives to drive business growth. WealthBridge Financial Group is seeking an experienced and dynamic Managing Director to lead and grow our team of financial advisors.

WealthBridge Financial Group

Managing Director

The Medical Director may develop and implement programs to improve quality, cost, and outcomes; provide clinical consultation and serve as a clinical and strategic advisor to enhance clinical operations; and identify cost-of-care opportunities that increase value for clients and members. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.

Elevance Health

Medical Director (Us)

Minimum Qualifications: Requires a BA/BS in a related field and minimum of 5 years related progressive experience, including experience in process improvement, minimum of 4 years management experience; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Director Continuous Value Improvement

As a teaching hospital with graduate medical education, a new pharmacy residency program and over 600 multidisciplinary clerkships and internships offered annually, we focus on the use of evidence-based medicine and the importance of following clinical pathways that research has shown to be effective with most patients. Qualifications Education: Graduate of an accredited school of Nursing, Master's degree required Experience: Minimum of five (5) years emergency clinical experience and a minimum of two (2) years progressive management experience required.

DIRECTOR OF NURSING - FED

This role advances the American Heart Association’s position as the leading authority on cardiovascular health and science through integrated external and internal communications, marketing campaigns, media outreach, digital strategies, sponsorship activation, and special initiatives. The American Heart Association’s 2028 Goal: Building on over 100 years of trusted leadership in cardiovascular and brain health, by 2028 the Association will drive breakthroughs and implement proven solutions in science, policy, and care for healthier people and communities.

Health And Wellness Director Jobs in Las Vegas, NV

Sr Director Provider Relations P3 Health Group Management,LLC

DIRECTOR OF RISK MANAGEMENT University Health Services Inc

Medical Director Vicar Operating dba VCA

Associate Operations Director - Las Vegas Humana Inc

Director of Case Management Texas Nursing Services

Director Workforce Management - Restaurants MGM Resorts International

Director AI-Enabled Engineering MGM Resorts

Director of Data Operations MGM Resorts

Director Technology Sourcing MGM Resorts International

Director Ai-Enabled Engineering MGM Resorts

Director Of Data Operations MGM Resorts

Associate Medical Director- Post Acute Care Elevance Health Inc

Center Director I Octapharma Plasma

Assistant Retreat Director Adobe

Area Director, Southwest Compagnie Financiere Richemont SA

Managing Director WealthBridge Financial Group

Medical Director (Us) Elevance Health

Director Continuous Value Improvement Elevance Health

DIRECTOR OF NURSING - FED University Health Services Inc

Marketing Communications Director American Heart Association

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