• Medical Director - Care Plus…

    Humana (Washington, DC)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations,… more
    Humana (03/18/25)
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  • Medical Director - Medicaid N.…

    Humana (Washington, DC)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations,… more
    Humana (03/11/25)
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  • Director , Quality

    Somatus (Mclean, VA)
    …the best version of themselves, including: + Subsidized, personal healthcare coverage ( medical , dental vision) + Flexible Paid Time Off (PTO) + Professional ... well-being + Community engagement opportunities + And more! The Director of Quality, reporting to the AVP of Quality,...guidance and oversight to all lines of business including Commercial , Medicaid, Medicare, and Special Need Plans (SNPs). The… more
    Somatus (02/11/25)
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  • Patient Access Liaison

    Grifols Shared Services North America, Inc (Arlington, VA)
    …criteria, including technology options for electronic submission of PA, Letter of Medical Necessity, appeals , step edits, formulary exception requests and ... including HCPs and their staff, Market Access, the US Pulmonary National Sales Director and Regional Sales Directors and SP/Hub partners in the field, supporting… more
    Grifols Shared Services North America, Inc (02/25/25)
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  • Field Reimbursement Manager Mid-Atlantic Region…

    GE HealthCare (Washington, DC)
    …global supplier of contrast media and molecular imaging agents used to enhance medical imaging exams for major disease area diagnostic and treatment pathways. PDx ... with travel up to 40% required. This position will report to the Director of Patient Services. **Job Description** Roles and Responsibilities . Will be subject… more
    GE HealthCare (03/19/25)
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