• Chair, Departmental Appeals Board

    Office of the Secretary of Health and Human Services (Washington, DC)
    …including the Deputy Board Chair, the Chief Administrative Appeals Judge, the Executive Director of the Medicare Operations Division, the Executive ... divisions, the Appellate Division, the Civil Remedies Division and the Medicare Operations Division. Requirements Conditions of Employment Qualifications Open… more
    Office of the Secretary of Health and Human Services (11/08/24)
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  • Utilization Management Director (Hybrid)

    CareFirst (Baltimore, MD)
    …based on business needs and work activities/deliverables that week. The Director , Utilization Management provides strategic leadership of the utilization management ... Will be responsible for the Commercial, Federal Employee Program, Medicaid, and Medicare lines of business. Establishes performance metrics to ensure the needs and… more
    CareFirst (08/27/24)
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  • Director , Home Health Clinical Practice

    BrightSpring Health Services (Baltimore, MD)
    …clinician retention through oversight of ongoing staff development. Collaborate with Director , HH Clinical Education to monitor integrity of orientation program, and ... individual development plans + Assists branch leadership in monitoring and analyzing Medicare performance data. Ensures adherence to standards of practice + Delivers… more
    BrightSpring Health Services (08/20/24)
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  • Associate Director , Security…

    Conviva (Washington, DC)
    …of our caring community and help us put health first** The Associate Director , Security Architecture will play a key role in implementing security architecture, ... ensure the enterprise can achieve the enterprise security strategy. The Associate Director , Security Architecture will play a key role in implementing security… more
    Conviva (11/14/24)
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  • Associate Director - IT Financial Analytics

    Humana (Washington, DC)
    …you ready to lead a transformative journey in the insurance segment as an Associate Director of IT Finance? This is your opportunity to make a significant impact by ... of IT within the insurance sector! **Job Description** The Associate Director , Financial Analytics collates, models, interprets and analyzes data to identify,… more
    Humana (11/06/24)
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  • Sr Director , Regulatory & Public Policy

    Amneal Pharmaceuticals (Washington, DC)
    Description: The Senior Director - Policy will lead "on the ground" development and advocacy for Amneal's positions on policies proposed and/or enacted by Congress, ... the Centers for Medicare and Medicaid (CMS), the US Food and Drug...and company leadership across these work functions, the Senior Director will be responsible for soliciting, collating, drafting, and… more
    Amneal Pharmaceuticals (10/21/24)
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  • Executive Director Specialist RN

    Gentiva (Windsor Mill, MD)
    …offering a $10,000 Sign on Bonus We are looking for an **Executive Director Specialist RN** to provide assistance to our branches throughout Delaware, Maryland and ... all federal and state guidelines. + Knowledge of hospice operations , state and federal regulations and compliance + Strong...time throughout the region + Experience with Medicaid and Medicare reimbursement + Experience in health care sales and/or… more
    Gentiva (11/08/24)
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  • Sr. Director , National Field Reimbursement…

    Gilead Sciences, Inc. (Washington, DC)
    …the lives of patients with life-threatening illnesses worldwide. As the **Senior Director , Field Reimbursement Management (FRM)** for HIV Prevention, you will play a ... This position will drive the Field Reimbursement team's strategic direction, operations , and performance to optimize patient access and navigate complex insurance… more
    Gilead Sciences, Inc. (11/16/24)
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  • Department Manager - Health Care Technology…

    The MITRE Corporation (New Windsor, MD)
    …Centers' priorities . Job Description The Department Manager for Health Care Technology and Operations is accountable to the Director of the Health Care Quality, ... (Health FFRDC)'s Division for Health Care Quality, Innovation and Operations is seeking a Department Manager to join our...key components of MITRE's portfolio with the Centers for Medicare & Medicaid Services (CMS), including the Center for… more
    The MITRE Corporation (11/06/24)
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  • AVP of Operations

    Gentiva (Windsor Mill, MD)
    …lives every day. **Overview** We're looking for an **Area Vice President of Operations ** to join our team overseeing our branches in Delaware, Maryland and Virginia. ... to be qualified for this position. The Area Vice President of Operations is responsible for assisting in the development, implementation and evaluation of… more
    Gentiva (11/08/24)
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  • Division Chief Engineer - Health Care Quality,…

    The MITRE Corporation (New Windsor, MD)
    …Modernize Healthcare FFRDC (Health FFRDC)'s Division for Health Care Quality, Innovation and Operations is seeking a Chief Engineer to join our leadership team at ... work programs across key components of MITRE's portfolio with the Centers for Medicare & Medicaid Services (CMS), including the Center for Clinical Standards and… more
    The MITRE Corporation (11/06/24)
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  • Data Analyst, Health

    American Institutes for Research (Rockville, MD)
    …tools. The selected candidate will collaborate in research, technical assistance, and operations projects funded by Federal Agencies (such as Centers for Medicare ... to the analysis of healthcare data and provide support to the project director and/or senior team members on various tasks including querying large datasets… more
    American Institutes for Research (10/22/24)
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  • HIV/AIDS Program Manager

    Johns Hopkins University (Baltimore, MD)
    …an **_HIV/AIDS Program Manager_** . Under limited supervision and in collaboration with the Director of the Bartlett Ryan White Service and the Director of ... in applying for health insurance and prescription programs such as ACA, MADAP, Medicare , Medical Assistance, Social Security Extra Help, QMB, and SPDAP. + Refer… more
    Johns Hopkins University (10/18/24)
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  • Medication and Pharmaceutical Policy Analyst

    American Institutes for Research (Rockville, MD)
    …strong working knowledge of medications, drug policy, and the requirements and operations of current health care policy priorities, including the Affordable Care Act ... related to AIR Health's work with the Centers for Medicare & Medicaid Services (CMS). In addition, the candidate...legal compliance to its full integration in our strategy, operations , and work environment. At AIR, we define diversity… more
    American Institutes for Research (11/16/24)
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  • Senior Compliance Analyst (Regulatory Compliants…

    Prime Therapeutics (Washington, DC)
    …the organization to validate regulatory requirements are met and that business operations are aligned with expectations of applicable regulatory guidance + Develop ... and regulatory issues that impact Prime's compliance programs or business operations ; document requirements or disciplinary actions and escalate findings as… more
    Prime Therapeutics (11/09/24)
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  • CO Clinical Nurse Manager

    Johns Hopkins University (Lutherville, MD)
    …**_Clinical Nurse Manager_** the Clinical Nurse Manager collaborates with the Medical Director and Clinic Supervisor in a Triad leadership model to provide clinical ... Marsh and Towson. Applies advanced knowledge of clinical practice, unit operations , quality and safety, and professional development to bridge clinical practice,… more
    Johns Hopkins University (10/31/24)
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  • Regulatory Analyst Sr - Remote

    Prime Therapeutics (Washington, DC)
    …and ability to adjust focus **Reporting Structure** + Reports to a manager or director in the Clinical Operations , Contact Center, Network Management or PBM ... processes, and participates in committee review meetings within the Commercial, Medicare , Medicaid, and Health Insurance Marketplace for the assigned department.… more
    Prime Therapeutics (10/30/24)
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  • Full Time Home Health RN Clinical Manager

    CenterWell (Annapolis, MD)
    …and objectively, in consultation with the Human Resources Department and the Executive Director / Director of Operations . + Participates in the interviewing, ... Sign on Bonus! + Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed. + Conducts/delegates the assessment and… more
    CenterWell (10/30/24)
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  • CO Sr Production Unit Manager

    Johns Hopkins University (Middle River, MD)
    …analysis, consultation, and reports to the Department Administrator and the Senior Director of Revenue Operations Physicians Billing Service (PBS). Reviews ... if needed. + Provide assistance to the Department Administrator and the Senior Director of Revenue Operations Physicians Billing Service (PBS) in the form… more
    Johns Hopkins University (11/05/24)
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  • Researcher - Monitoring & Compliance

    American Institutes for Research (Rockville, MD)
    …seeking a full-time **Researcher** with a strong background in Medicare and Medicaid policyto join AIR'sHealth Division (https://www.air.org/our-work/health) . The ... and implementation support to evaluation and analytical support for Centers for Medicare & Medicaid Services (CMS), states, and foundations. Candidates hired for the… more
    American Institutes for Research (08/20/24)
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