• 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 (08/27/24)
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  • Director of Planning & Architecture

    Johns Hopkins University (Baltimore, MD)
    …improvement projects. + In partnership with the assigned D&C Associate Director , manage ongoing stormwater management master plan implementation, tracking, ... Senior Architects and Architects under direct supervision. + Work with the Senior Director to orchestrate resource management for P&A unit staff assignments. +… more
    Johns Hopkins University (06/22/24)
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  • Medical Director - South Central

    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 (08/15/24)
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  • Medical Director - Acute Inpatient…

    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 ... skills, with prior experience participating in teams focusing on quality management , utilization management , and acute inpatient rehabilitation… more
    Humana (08/27/24)
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  • Associate Director , Care Management

    Humana (Annapolis, MD)
    …with mandated and corporate policies regarding other departmental areas such as medical management , utilization management , population health and quality. + ... Humana Healthy Horizons in Virginia is seeking an Associate Director , Care Management (LTSS/ABD) who will lead...**Work at Home Internet Statement** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided… more
    Humana (08/29/24)
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  • Director - Information Security…

    Marriott (Annapolis, MD)
    …United States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Director of Privileged Access ... as a service (IDaaS) platform + Graduate/post graduate degree **CORE WORK ACTIVITIES** + Director role focused on Privileged Access Management + This function is… more
    Marriott (08/27/24)
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  • Director MidAtlantic Operations

    SAM LLC (Baltimore, MD)
    …are developed and managed throughout their lifecycles. Your Impact at SAM The Director of MidAtlantic Operations is a project excellence focused role, that reports ... parallel with Area, Location, and other senior leaders to integrate Project Management best practices, monitor project health, mitigate risk, and drive project… more
    SAM LLC (09/10/24)
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  • Associate Director Admissions

    Johns Hopkins University (Baltimore, MD)
    The Johns Hopkins School of Medicine (JHUSOM) is seeking an **_Associate Director Admissions_** who will be responsible for critical components of managing the staff ... exceed new medical student enrollment targets. Reporting to the Director of SOM Admissions the position will be working...of the Johns Hopkins University School of Medicine Enrollment Management organization is to recruit and enroll an outstanding… more
    Johns Hopkins University (08/20/24)
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  • Executive Director of Development,…

    Johns Hopkins University (Baltimore, MD)
    …Department of Medicine Chair's leadership team, the Fund for Johns Hopkins Medicine Director of Development Leadership Team and DAR Management team. **Key ... includes four different work modalities. This role has a hybrid work arrangement with an onsite presence of 3-4...advance medicine and improve the human condition. The Executive Director of Development for the Department of Medicine will… more
    Johns Hopkins University (07/10/24)
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  • Associate Director , Third-Party Billing…

    Johns Hopkins University (Baltimore, MD)
    We are seeking an **_Associate Director , Third-Party Billing (TPP) and Student Payments (ADTPBSP)_** who will report to the Director of University Student ... the Johns Hopkins University's (JHU) Student Account and Enrollment Management (SEAM) team. SEAM Student Accounts is a Shared...staff, and serve as second in command to the Director of University Student Accounts in their absence. The… more
    Johns Hopkins University (08/23/24)
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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 (09/06/24)
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  • Global Senior Director of Medical Affairs,…

    Merck (Annapolis, MD)
    …headquarters submission (ex-USA) + Manages programs (patient support, educational or risk management ) to support appropriate and safe utilization of Our Company ... **Job Description** **Role Summary:** + The Global Senior Director Medical Affairs (GDMA), Oncology is responsible for driving execution of scientific & medical… more
    Merck (09/06/24)
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  • Medicare Grievances and Appeals Corporate Medical…

    Humana (Annapolis, MD)
    …on continuously improving consumer experiences **Preferred Qualifications** + Medical/surgical utilization management review experience + Experience in working ... our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The… more
    Humana (08/10/24)
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  • National Director , Clinical Pharmacy-…

    CenterWell (Annapolis, MD)
    …under the PCO's Chief Medical Officer. This role reports to the National Director , High Risk Patient Management . Responsibilities will include: + Lead ... community and help us put health first** The National Director , Clinical Pharmacy is a strategic pharmacy leader responsible...care, high quality health outcomes, and improved cost and utilization in pharmacy-related care, and serve as a national… more
    CenterWell (07/27/24)
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  • Director of Finance Corporate Systems

    Marriott (Annapolis, MD)
    …States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** Marriott has an exciting opportunity for a ... Director on the Corporate Systems team within the Finance...systems (APIs, middleware tools etc.) + Understanding of environment management , release management , code versioning best practices,… more
    Marriott (06/25/24)
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  • Director - Information Security - Analytics…

    Marriott (Annapolis, MD)
    …States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY:** We are seeking an experienced Cybersecurity ... Director to lead our organization's efforts in developing and...similar functions. + Working knowledge of Information technology lifecycle management + Working knowledge of software development lifecycle … more
    Marriott (07/13/24)
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  • Regional Sales Director - Enterprise East…

    PagerDuty (Annapolis, MD)
    …and sign-up for job alerts! PagerDuty is looking for an Strategic Software Sales Director who will lead a team of account executives to generate expansion business ... in any of the following: modern SaaS, enterprise or infrastructure management , application development and management , security, and/or analytics. **Your… more
    PagerDuty (09/06/24)
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  • Tax Director - US Tax Compliance…

    American Express Global Business Travel (Annapolis, MD)
    …restructuring, a vacancy has arisen for a North American (US or Canada) based Tax Director to join Amex GBT Tax to lead on US income tax compliance and NYSE ... successful candidate, it may be possible to offer a hybrid work arrangement. **What You'll Do:** + Leading a...as well as assist with provision of guidance to management and investors on Amex GBT's Effective Tax Rate… more
    American Express Global Business Travel (08/24/24)
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  • Provider Contracting Senior Manager - Evernorth…

    The Cigna Group (Baltimore, MD)
    …Enhance the Facility Center of Excellence Program along with with Network Medical Director and Clinical Operations which include but not limited to developing a ... performance meeting process which will increase the utilization and expand the number of Facility Center of...Work with other Contract Managers to build a contract management system and oversee contract governance for facility contracting… more
    The Cigna Group (07/20/24)
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  • Sr. Director , Regulatory Compliance

    HealthEdge Software Inc (Annapolis, MD)
    …Quality Assurance), CMS (Centers for Medicare & Medicaid Services), URAC ( Utilization Review Accreditation Commission) and other State regulatory bodies. The ideal ... where they need it. We call it Digital Health Management . Our comprehensive suite of Digital Health Management...focus. + Work across multiple time zones in a hybrid or remote work environment. + Long periods of… more
    HealthEdge Software Inc (09/06/24)
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