- The George Washington University (Washington, DC)
- …skills Strong organization skills Medical terminology and treatment procedures Claims management systems or database system Enterprise financial systems ... data analysis and reporting. Reporting to and supporting the Director , Risk Management , this position supports the...liability, and property to ensure a comprehensive approach to claims management . Maintain updated records of all… more
- HomeSafe Alliance (Arlington, VA)
- …and motivated Assistant Claims Manager to assist in all aspects of claims management , to support and promote process improvement methodologies and best ... Raising awareness of any settlement practices, trends, or areas of concern to the Director of Claims . Responds to internal and external customer disputes and… more
- Humana (Washington, DC)
- …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 (Washington, DC)
- …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
- CVS Health (Washington, DC)
- …clinical coverage and policies. **Primary Job Duties & Responsibilities:** Behavioral Health Medical Director + Collaborates with health plan Sr Leadership to ... and appeal system. + Leads the administration of all medical management activities of the aligned Plans....the delivery of holistic and integrated person-centered care. The Medical Director will be responsible for provider… more
- Humana (Washington, DC)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director reviews cases of diverse scope and complexity ranging...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical /surgical utilization management review experience + Experience… more
- Norstella (Washington, DC)
- …will be pivotal in integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health ... Senior Director , RWD Analytics and Innovation Company: Citeline Location:...of data and intelligence on clinical trials, drug treatments, medical devices and what's new in the regulatory and… more
- J&J Family of Companies (Washington, DC)
- Director , Health Economics and Market Access - Wound Closure and Healing and Biosurgery - 2406204292W **Description** Johnson & Johnson is recruiting a Director , ... and profoundly impact health for humanity. Learn more at https://www.jnj.com/. The Director , Health Economics & Market Access for the Wound Closure & Healing… more
- WTW (Arlington, VA)
- …experience in the US market in both market-facing and home office or product management roles to join as an Associate Director in our Insurance Consulting ... In this role, you will collaborate with our team of pricing, portfolio management , underwriting, finance, and claims experts to deliver advisory and technology… more
- EPAM Systems (Mclean, VA)
- …- Payor, Provider, or Life Sciences and/or horizontal areas - Core Operations: Claims , Enrollment and Billing, Med Management ; RCM; Commercial Operations, Supply ... sounds like you, this could be the perfect opportunity to join EPAM as a ** Director , Healthcare Advisory** . In this role, you will engage with insurance clients in… more
- Cardinal Health (Washington, DC)
- …future. The Director , Managed Care is responsible for strategy and management of managed care contracts and relationships with payers. They are responsible to ... implement strategic initiatives related to payer contracts. The Director , Managed Care contributes to practice growth and profitability by providing contracting… more
- Takeda Pharmaceuticals (Washington, DC)
- …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
- Southland Industries (Dulles, VA)
- …Lead workers' compensation and insurance efforts at the division level, ensuring proper claims management and proactive risk mitigation. + Develop and advise ... **POSITION SUMMARY** As the Division Safety Director , you will oversee all aspects of Safety...safety issues, regardless of level in the organization. **Talent Management and Development:** + Foster a collaborative and supportive… more
- Total Civil Construction & Engineering, LLC (Lanham, MD)
- Job Summary The Director of Human Resources is responsible for developing strategies to cost-effectively manage the human resources. Based upon market trends, ... on full-cycle staffing and retention, employee relations, training/development, Change Management , total rewards, and compliance Acts as primary liaison with… more
- Norstella (Washington, DC)
- Director , RWD Product Company: MMIT Location: Remote, United States Date Posted: Jul 15, 2024 Employment Type: Full Time Job ID: R-440 **Description** Why Norstella? ... assess market potential, and inform strategic decision-making. + Translate product management strategy into actionable data deliverables, guiding development of data… more
- Robert Half Finance & Accounting (Washington, DC)
- …reputable non-profit organization in Washington, DC looking for a permanent Human Resources Director . The ideal candidate will act as an employee champion and a ... + Function as a strategic, human capital business advisor to the senior management team + Develop initiatives, policies and programs to complement existing practices… more
- Capital One (Mclean, VA)
- Center 1 (19052), United States of America, McLean, Virginia Distinguished Engineer ( Director IC) - Fraud Technology As a Distinguished Engineer at Capital One, you ... to lead our modernization journey of Fraud disputes and claims processing. You will partner with engineers, product and...full or part-time status, exempt or non-exempt status, and management level. This role is expected to accept applications… more
- Community Clinic Inc. (Silver Spring, MD)
- …projects or other duties or responsibilities as assigned by the DIO/Program Director . Day-to-Day Programmatic Management : + Assist the Program Director ... and faculty. + Participate in committees, meetings, and conferences related to graduate medical education as requested by the DIO/Program Director . + Serve as… 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
- Prime Therapeutics (Washington, DC)
- …Thorough understanding of pharmaceutical claims data and general understanding of medical claims data; highly analytical + Self learns new processes/software ... business requirements, system specifications, process flows, process change and/or project management + Provides leadership to the business in the identification and… more
