- 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 ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- Microsoft Corporation (Washington, DC)
- …the Cloud Operations and Innovation (CO+I) Engineering Procurement Construction (EPC) Global Claims Management framework. You will be responsible for the ... oversight of the SAP Ariba Claims Management Module, ensuring its seamless integration...role reports to the Microsoft CO+I EPC GSC Senior Director of Global Claims and works seamlessly… more
- CommuniCare Health Services Corporate (Linthicum Heights, MD)
- …posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management , and others. The CBO claims validation staff will strive to always ... growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing...of benefit options from life and disability plans to medical , dental, and vision coverage from quality benefit carriers.… more
- Humana (Annapolis, MD)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Humana (Annapolis, MD)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- Merck (Annapolis, MD)
- …needs to support collaboration to further differentiate our portfolio. The Oncology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, ... **Job Description** Our Medical Affairs team advances patient care by engaging...and scientific community. Scientific exchange does not include promotional claims about any drug, vaccine or biologic product. RMSDs… more
- Cardinal Health (Annapolis, MD)
- …and delivers human resource programs and policies, including recruitment, talent management , diversity and inclusion, compensation and benefits, among others. This ... **_Job Summary_** We are seeking an experienced and strategic Director of US Benefits to lead and oversee the...Benefits to lead and oversee the design, implementation, and management of employee benefit programs. This role will be… more
- HomeSafe Alliance (Annapolis, MD)
- **Title:** Director of International, Global Household Goods Moving Services **_HomeSafe Alliance_** is the single global household goods movement manager of over ... the Role** HomeSafe Alliance is seeking a highly skilled and motivated Director of International, Household Goods Moving Services to drive optimization and improve… more
- Maryland Department of Transportation (Baltimore City County, MD)
- Human Resources Director & Benefits Administrator (DOT Executive VI) Salary $109,247.00 - $176,552.00 Annually Location Baltimore City Job Type Full Time Job ... level human resources professional to serve as the next Human Resources Director & Benefits Administrator (DOT Executive VI). As Human Resources Director… more
- Takeda Pharmaceuticals (Annapolis, MD)
- …plasma-derived therapies for patients with immunologic, hematologic, and other complex diseases. The Director , Global Labeling Strategy Lead is a key role in the PDT ... new TLP, CCDS, USPI and EU SmPC. **How you will contribute:** ** Management of Labeling Cross-Functional Teams** + Leads Labeling cross-functional teams providing… more
- Takeda Pharmaceuticals (Annapolis, MD)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
- Compass Group, North America (Washington, DC)
- …MLB, NBA, NFL, and MLS All-Star Games. Job Summary As a Human Resources Director , you will be responsible for overseeing the recruitment, training and engagement of ... the location HRIS system + Ensuring the timely processing of all unemployment claims + Plans the team's activity to deliver against medium-term objectives + Managing… more
- HomeSafe Alliance (Annapolis, MD)
- **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... directly or through PPM options + Provide consolidated oversight and management of coordinators under supervision + Monitor international operations performing… more
- WTW (Arlington, VA)
- …Risk and Broking** Segment. The business supports an integrated approach to risk management by advancing "the analytical broker". Simply put, our purpose is to ... reduce the likelihood of claims and reduce the cost of incidents when they...Role** We have an exciting opportunity as an Associate Director within our **North America Enterprise Risk Consulting** practice,… more
- Wounded Warrior Project (Washington, DC)
- …schedule (three days in the office, two days' work from home) . Full medical , dental, and vision coverage for both teammates AND family members . Competitive pay ... (NSO) educates and advocates for warriors and their families as they pursue claims for injuries sustained during activity duty military service. The NSO guides and… more
- Brookings (Washington, DC)
- …areas. + Works on ad hoc financial assignments as requested by the Managing Director . Finance and Procurement Management (35%) + Provides budgetary approval for ... success? The Finance Manager is responsible for the preparation, management , implementation, and reconciliation of budgets, financial transactions, and grants… more
- Mathematica (Annapolis, MD)
- …or APCD claims data; EHR and/or HIE data; healthcare informatics; medical coding). * Ability to describe difficult technical problems and solutions to a ... data pipelines and analyses involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data sources such as EHRs and… more
- Evolent (Annapolis, MD)
- …to both members and providers + Appropriately identifies and refers quality issues to the Senior Director of Medical Management or Medical Director . ... and Oncology Heathcare experience/knowledge** + Minimum of one year of experience with medical management activities in a managed care environment + Excellent… more
- Sunrise Senior Living (Arlington, VA)
- …answers and resolutions. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Coach Department Coordinators ... in compliance with OSHA requirements and promotion of Risk Management programs and policies and adherence to safety rules...Quality Improvement, and others as directed by the Executive Director . + Keep abreast of professional developments in the… more
- CenterWell (Annapolis, MD)
- …for the following: clinical and survey metrics, clinical operations metrics, claims denials, AO/state survey results, risk mitigation, clinical compliance, QAPI ... to make an impact** **Knowledge/Skills/Abilities/Expectations:** + Knowledge of business management and government regulations; expertise in relevant state regulations… more