- Highmark Health (Washington, DC)
- …review process. + Actively manage projects and/or participate on project teams that require a physician subject matter expert . + Other duties as ... **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with… more
- Intermountain Health (Washington, DC)
- …and policies. + Acts as the enterprise subject matter expert and resource for all Physician Contracting. + Monitors the healthcare environment ... **Job Description:** The Senior Director is responsible for leading all Physician Contracting Services for Intermountain Health, establishing a vision and strategy… more
- Evolent Health (Washington, DC)
- …when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert . + Discusses determinations (peer to peer phone ... for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer you will be a key member...the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our… more
- Evolent Health (Washington, DC)
- …when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert . + Provides clinical rationale for standard and ... the culture. **What You'll Be Doing:** As a Cardiology, Physician Clinical Reviewer you will be a key member...the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our… more
- Evolent Health (Washington, DC)
- …staff during performance of initial and second level screening, while serving as a subject matter expert in meetings, as assigned with practices and/or ... Directors, and health plan members and staff whenever a physician `s input is needed or required. Responsible for acting...the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our… more
- GAP Solutions Inc (Rockville, MD)
- …of clinical trials and ensure all concerns are addressed. 3 + Provide subject matter expertise during protocol development. + Provide support for extramural ... clinical trials that they participate in. In addition, this physician consultant may offer guidance on other DCTD initiatives...literature to provide a scientifically rigorous review of the subject matter . Participate in discussions of and… more
- Georgetown Univerisity (Washington, DC)
- …as needed to communicate changes in federal proposal development policies. + Work as a subject matter expert for post award financial management questions. + ... the groundwork for the intellectual and ethical formation of physician healers committed to the clinically competent care of...and excellent customer service in a demanding, deadline-driven environment. Subject Matter Expert + Act… more
- United Therapeutics (Silver Spring, MD)
- …urgent medical inquiries from internal and external study teams and sites + Serve as a subject matter expert in the field of organ transplantation and assist ... surgical management of organ transplant recipients + MD - Physician - State Licensure Existing licensure in Maryland or...on studies + Ability to assess medical and clinical subject matter to provide assistance to business… more
- Humana (Washington, DC)
- …are holistic, competitive, and adhering to regulatory requirements. + Serve as the enterprise subject matter expert on market trends and pay strategies that ... impact physician , advanced practitioner, and clinical pay trends and practices....on delivering value-based care + 3+ years' experience in Physician , Advanced Practitioner Compensation including design and evaluation of… more
- Fresenius Medical Center (Bethesda, MD)
- …+ Participates in staff training and orientation as assigned. + Acts as a subject matter expert to hospital staff for dialysis related patient/equipment ... to the treatment plan as indicated by the appropriately credentialed physician . Communicate problems or concerns to the Inpatient Program Manager, appropriately… more
- Intermountain Health (Washington, DC)
- …for Administrative Law Judge hearings as part of the appeal process. + Serves as a subject matter expert , resource and mentor to others within the RCO, ... and Federal and State regulations. + Refers appeal cases to the designated Physician Advisor and works with them for obtaining support for appeals. + Collaborates… more
- Pension Benefit Guaranty Corporation (Washington, DC)
- …most complex investigations, leading investigative teams, and serving as an authoritative subject matter and consultant to the Assistant Inspector General for ... to be filled. Specialized experience for this position includes expert knowledge of Federal laws, court procedures, and rules...criterion in the 2010 Telework Act. This position is subject to a negative drug test prior to entrance… more
- Defense Health Agency (Bethesda, MD)
- …HR opportunities, professional growth, and career broadening experiences. Responsibilities Serves as a subject matter expert and provide advice on the use ... on Title 5 Special Salary Rates, Title 38 Additional Pay Authorities, and Physician , Podiatrists, and Dentists Pay Plan, required to recruit, manage, and retain… more
- Sedgwick (Washington, DC)
- …or equivalent combination of education and experience required. **Skills & Knowledge** + Subject matter expert of appropriate insurance principles and laws ... medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.… more
- Sumitomo Pharma (Washington, DC)
- …cross-functional inspection readiness and operational improvement activities. + Serve as a subject matter expert in Pharmacovigilance, including operations ... authority, site, or health care professional requests, along with PV physician , including communication with internal and cross-functional team members, submission… more