• Utilization Management

    CareFirst (Baltimore, MD)
    …location based on business needs and work activities/deliverables that week. The Director , Utilization Management provides strategic leadership of the ... who is willing and able to work in a hybrid model. The incumbent will be expected to work... utilization management team and is responsible for the design, assessment,… more
    CareFirst (11/26/24)
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  • Change Management Director

    Stanley Black and Decker (Towson, MD)
    **Change Management Director - Hybrid ** ** Hybrid to Towson, MD/Valley City, OH/ New Britain, CT/Fishers, IN** **Come build something that matters.** It ... BLACK+DECKER(R), CRAFTSMAN(R), STANLEY(R), CUB CADET(R), and HUSTLER(R). **The Job:** The Change Management Director will report directly to the Global Process… more
    Stanley Black and Decker (11/02/24)
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  • Medical Director --Claims Management

    Humana (Annapolis, MD)
    Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (10/29/24)
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  • Reviewing Medical Director

    Conviva (Annapolis, MD)
    …Physician Leadership in Population Health Strategy at Primary Care Organization. The Medical Director conducts Utilization Management of the care received by ... other board demonstrating advanced training in transitions of care, quality assurance, utilization management and care coordination. + A current and unrestricted… more
    Conviva (12/11/24)
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  • Change Management Manager - Hybrid

    Stanley Black and Decker (Towson, MD)
    **Change Management Manager - Hybrid ** ** Hybrid to Towson, MD/Valley City, OH/ New Britain, CT/Fishers, IN** **Come build something that matters.** It takes ... BLACK+DECKER(R), CRAFTSMAN(R), STANLEY(R), CUB CADET(R), and HUSTLER(R). **The Job:** The Change Management Manager will report to the Director , Change … more
    Stanley Black and Decker (11/02/24)
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  • Director , Payer Agnostic/Client…

    CenterWell (Annapolis, MD)
    …part of our caring community and help us put health first** The Director of Payer Agnostic/Client Management ensures strategic relationships with industry ... into CWSP and proactively gain new profitable payer business. The Account Management Relations director manages multiple relationships with external vendors and… more
    CenterWell (12/17/24)
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  • Sr Associate Director , Prospect…

    Johns Hopkins University (Baltimore, MD)
    …university business can count those days towards their onsite days. The Sr. Associate Director of Prospect Management plays a critical role in supporting the ... Management Manager Job Posting Title (Working Title): Sr Associate Director , Prospect Management Role/Level/Range: ATP/04/PF Starting Salary Range: Minimum:… more
    Johns Hopkins University (12/21/24)
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  • Vice President, Chief Medical Officer…

    CareFirst (Baltimore, MD)
    …Center, the Maryland medical society (MedChi), among others. **Medical Policy and Utilization Management Infrastructure** + Oversees the Medical Policy team and ... who is willing and able to work in a hybrid model. The incumbent will be expected to work...Provides support and a clinical escalation path to care management and utilization management staff,… more
    CareFirst (12/06/24)
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  • Corporate Medical Director - Grievances…

    Humana (Annapolis, MD)
    …and interpretation skills with prior experience leading teams focusing on quality management , utilization management , discharge planning and/or home health ... of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The Corporate Medical … more
    Humana (11/27/24)
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  • Clinical Ops Associate Medical Director

    Elevance Health (Hanover, MD)
    …preferred. + Extensive orthopedic surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. For ... **Clinical Ops Associate Medical Director - Ortho** **Location:** **This is a virtual...offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty… more
    Elevance Health (12/17/24)
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  • Director of Fleet and Logistics

    Johns Hopkins University (Baltimore, MD)
    …individual to work as the **_Director of Fleet and Logistics_** . The Director position provides oversight and management of the procurement, inventory, ... and supply budget; prepares and submits purchase requisitions/orders; and obtains management approval for new purchases. + Manages staff that receives, stores,… more
    Johns Hopkins University (11/22/24)
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  • Senior Director , Measurement and Evidence…

    Global Communities (Silver Spring, MD)
    …MELI-related capacity of relevant internal and partner staff, in areas including data management , analysis, reporting and utilization of findings for data driven ... **Overview** The Senior Director , Measurement and Evidence for Learning and Impact...areas of monitoring and evaluation, research, MERL tech, knowledge management and learning for greater organizational impact. This includes… more
    Global Communities (12/26/24)
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  • Pharmacy Medicaid Manager ( Hybrid )

    CareFirst (Owings Mills, MD)
    …to and oversight of pharmacy staff, and directing the contracted Pharmacy Benefit Management (PBM) plus other vendor(s) under the general direction of the ... Director of Government Programs Pharmacy Services. The Medicaid Pharmacy...and reports to MDH. + Analyze pharmacy and medical utilization data to identify trends and at-risk populations; recommend… more
    CareFirst (12/21/24)
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  • Sr. Director , Federal Managed and Advanced…

    Optiv (Baltimore, MD)
    …personnel, and technology can handle current and future demands. Implement capacity management practices to optimize resource utilization . + Define and manage ... be hired anywhere in the continental US_ The Sr. Director , Federal Managed and Advanced Services (MAS) for the...CMMC, FISMA, FedRAMP, and NIST. Implement and monitor risk management practices to safeguard sensitive data. + Support the… more
    Optiv (12/11/24)
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  • Practice Management Analyst

    Johns Hopkins University (Baltimore, MD)
    We are seeking a **_Practice Management Analyst_** who will be responsible for DOM ambulatory practice management analysis, reporting, project management , ... business planning and program development across 13 clinical Divisions. The Practice Management Analyst functions as an advisor to the Administrators, Faculty and… more
    Johns Hopkins University (10/30/24)
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  • CO Research Nurse Manager

    Johns Hopkins University (Baltimore, MD)
    We are seeking a **_CO_** **_Research Nurse Manager_** to work under the Director of the Upper Aerodigestive Cancer (UAD) Program and the Director of Clinical ... Research Nurse Manager will be responsible for the overall management of the clinical trials portfolio and clinical research...Candidate will have a dual reporting relationship to the Director UAD Program and Director of Clinical… more
    Johns Hopkins University (12/19/24)
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  • Sr Clinical Research Program Manager

    Johns Hopkins University (Baltimore, MD)
    We are seeking a **_Sr Clinical Research Program Manager_** to work under the Director of the Upper Aerodigestive Cancer Program (UAD) and the Director of ... Clinical Research Administration. Will be responsible for the overall management of the clinical trials portfolio and clinical research...trained. Will have a dual reporting relationship to the Director UAD Program and Director of Clinical… more
    Johns Hopkins University (12/24/24)
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  • HR Manager - Clinical

    Johns Hopkins University (Baltimore, MD)
    …**_HR Manager - Clinical_** who will be responsible for the operational management of human resources matters across all clinical, administrative and research areas ... work in close association with DOM Administrators and the Director and Assistant Director of Human Resources...a high level of competency and mastery in effective management and resolution of employee and labor relations issues.… more
    Johns Hopkins University (11/09/24)
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  • HPC Sr. Systems Engineer

    Johns Hopkins University (Baltimore, MD)
    …resources in coordination with respective vendors. + Automate user account creation, management , and purging. + Contribute to planning sessions on network and ... group. + Implement network configuration and security measures to assure effective utilization of resources. + Understand HPC technical needs. Work closely with the… more
    Johns Hopkins University (10/29/24)
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  • Fleet Manager

    Johns Hopkins University (Baltimore, MD)
    …individual to work as the **_Fleet Manager_** . The Fleet Manager performs daily management and control of the fleet system for the Johns Hopkins Public Safety and ... informed decisions related to fleet transactions. + Manages vehicle inventories and utilization . + Controls downtime across both mechanical and damage incidents. +… more
    Johns Hopkins University (11/22/24)
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