- Koniag Government Services (Chantilly, VA)
- …**Job ID 24200055** **Kadiak, LLC,** a Koniag Government Services company, is seeking a Medical Physician with a Public Trust Clearance in support of **Kadiak** ... & Plant Health Inspection Services (APHIS). **This is a Remote opportunit** y. We offer competitive compensation and an...training, expertise, and experience to render opinions about the medical qualifications and decide as to the fitness of… more
- Prime Therapeutics (Washington, DC)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Physician Clinical Reviewer- GI - REMOTE **Job Description Summary** Key member of ... the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines.… more
- STG International (Washington, DC)
- STGi is seeking an Internist to perform medical review work and provide consultation and guidance to the Department of Labor (DOL) for a variety of workers' ... compensation cases. Each physician will receive work on a case by case...mission. STGi offers a competitive benefits package which includes Medical , Dental, Vision, 401k with company match and a… more
- Highmark Health (Washington, DC)
- …the APP, RN and SW as needed to interact/ communicate with the primary care physician as necessary for appropriate medical care. The role will provide oversight ... of physician services by complementing the primary care physician , acting as a medical resource to the interdisciplinary group, assuring continuity of care,… more
- Sutherland Global Services (Washington, DC)
- Have you kept up with the changes in medical coding, physician practices, and the healthcare industry in general? Are you proficient with ICD-10, CPT and HCPCS ... with some of the country's largest healthcare systems and physician practices to help support their coding organizations in...in these efforts, we're looking for Multispecialty Pro Fee Medical Coders to join us on a **work from… more
- Prime Therapeutics (Washington, DC)
- …+ Determines appropriateness for medications. Communicates decision to physicians, physician `s office staff, medical management staff and/or pharmacists. ... criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician `s office staff, medical management staff and/or pharmacists.… more
- Prime Therapeutics (Washington, DC)
- …drives every decision we make. **Job Posting Title** Clinical Pharmacist Reviewer- REMOTE **Job Description Summary** Facilitates efforts in the development of ... medical pharmacy solutions programs. Supports drug utilization review (DUR)...programs. Supports drug utilization review (DUR) efforts by reviewing physician prescribing patterns, consulting with physicians regarding these patterns… more
- Huron Consulting Group (Washington, DC)
- …internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and ... clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team… more
- Huron Consulting Group (Washington, DC)
- …internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and ... clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team… more
- Sutherland Global Services (Washington, DC)
- Have you kept up with the changes in medical coding, physician practices, and the healthcare industry in general? Are you proficient with ICD-10, CPT and HCPCS ... ask about our new Global Flexible Vacation Policy!) + Medical , dental, and vision benefits, EAP - and 401K...religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected… more
- Sharecare, Inc. (Rockville, MD)
- …+ Ability to extrapolate information from a variety of sources including medical records to create concise records that accurately depict the medical ... experience in any of these areas: acute care, home health, physician office management, managed care organization, provider relations, pharmaceutical sales. +… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records ... ensure correct coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation… more
- Amgen (Washington, DC)
- …science that can turn the tide of serious, life-interrupting illnesses. **Executive Medical Director, Cardiovascular** **What you will do** Let's do this. Let's ... change the world. In this vital role as Executive Medical Director, Cardiovascular you will oversee a team of physician -scientists that support evidence… more
- Centene Corporation (Arlington, VA)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... care team. Meets with clients in their homes, work-sites, physician 's or hospital to provide management of services. +...needs. + Identifies and escalates member cases with complex medical needs to Supervisor or Manager. + Act as… more
- Sedgwick (Washington, DC)
- …environment, who are driven to deliver great work. + Apply your medical /clinical or rehabilitation knowledge and experience to assist in the management of ... complex medical conditions, treatment planning and recovery from illness or...on the health and lives of others, and a remote work environment.. + Enjoy flexibility in your career… more
- Humana (Washington, DC)
- …projects in quality oversight, data reporting, performance improvement, physician engagement, informatics, network development, and contract/payer relations. This ... EMR + Assesses behavioral health integration readiness of ACO physician practices + Leads the design of a new...starting your FIRST day of employment. Benefits include: + Medical Benefits + Dental Benefits + Vision Benefits +… more
- Danaher Corporation (Washington, DC)
- …standard for innovation and impact wherever health care happens-from a family physician 's office to leading trauma hospitals and laboratories. Our teams collaborate ... Reporting to the CSO, Danaher Diagnostics, this position will provide medical /clinical, scientific, and technological insights and related expertise to the… more
- Highmark Health (Washington, DC)
- …including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and ... identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS… more
- Cardinal Health (Washington, DC)
- …including the insurance payers, specialty pharmacies, support organizations, and the patient/ physician to facilitate coverage and dispense of product in a timely ... our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. ** REMOTE DETAILS:** You will work remotely, full-time. It will...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Cardinal Health (Washington, DC)
- …and keep updated on policy or procedural changes + Investigate and resolve patient/ physician inquiries and concerns in a timely manner + Enter detailed information ... our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. ** REMOTE DETAILS:** You will work remotely, full-time. It will...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more