• Medical Director -- Claims

    Humana (Washington, DC)
    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
    Humana (10/29/24)
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  • Medical Director - Florida

    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 (12/14/24)
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  • Reviewing Medical Director

    Conviva (Washington, DC)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Physician Leadership in Population Health Strategy at Primary Care Organization. The Medical Director conducts Utilization Management of the care received by… more
    Conviva (12/11/24)
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  • Medical Director - National Medicare…

    Humana (Washington, DC)
    management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
    Humana (11/08/24)
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  • Director , Medical Affairs - NYC…

    Merck (Washington, DC)
    **Job Description** **Role Summary** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... SLs, including questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
    Merck (12/19/24)
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  • Corporate Medical Director

    Humana (Washington, DC)
    …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
    Humana (11/27/24)
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  • Managing Director - Insurance Advisory…

    EPAM Systems (Mclean, VA)
    …driving strategic and operational excellence across client functions such as underwriting, claims and distribution management . You will contribute to the ... - go-to-market, sales, engagement delivery and practice development. As a **Managing Director - Insurance Advisory** , you will lead the demand generation, pursuit,… more
    EPAM Systems (12/18/24)
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  • Director of International, Global Household…

    HomeSafe Alliance (Arlington, VA)
    **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
    HomeSafe Alliance (12/21/24)
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  • Director Healthcare Economics & Trend…

    Baylor Scott & White Health (Washington, DC)
    claims data to uncover trends and assist in managing and understanding incurred medical and pharmacy cost. - The Director will design, develop, and support ... **Position Overview:** Reporting to the VP, Value-based Care Analytics, he Director of Healthcare Economics and Trend Analytics will support the Baylor Scott & White… more
    Baylor Scott & White Health (12/21/24)
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  • Associate Director , Global Labeling Lead…

    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
    Takeda Pharmaceuticals (10/16/24)
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  • Division Safety Director

    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
    Southland Industries (12/20/24)
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  • Director of Human Resources - Audi Field

    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
    Compass Group, North America (12/18/24)
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  • Operations Supervisor - Move Management

    HomeSafe Alliance (Arlington, VA)
    **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
    HomeSafe Alliance (10/02/24)
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  • Coordinator, Intake Utilization Management

    Evolent (Washington, DC)
    …Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for processing ... medical treatment requests in accordance with departmental policies, regulatory...contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, Intake Utilization … more
    Evolent (12/04/24)
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  • Coordinator, Utilization Management

    Evolent (Washington, DC)
    …and LPCs, Clinical Reviewers. Opportunities to work collaboratively with other Utilization Management Leaders including our Director may also be available. ... culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of...also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our… more
    Evolent (12/24/24)
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  • Certified Medical Assistant, Employee…

    Erickson Living (Springfield, VA)
    …with external health care facilities to support the EHWC nurse practitioner with claims management for work-related injuries. + Supports the EHWC NP with ... Senior Living Join our team as a full-time Certified Medical Assistant in our Employee Health and Well-Being Center...responsibilities as delegated. This position reports directly to the Director of Operations based out of our home office… more
    Erickson Living (12/03/24)
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  • Data Visualization Consultant - Remote

    Prime Therapeutics (Washington, DC)
    …with data consolidation and modeling + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + ... **Responsibilities** + Under general supervision, analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics to… more
    Prime Therapeutics (12/19/24)
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  • Assistant County Attorney V - Employment/Labor Law

    Fairfax County Sheriff's Office (Fairfax, VA)
    …sued for actions taken in the performance of their duties, including state law tort claims and federal Section 1983 claims such as excessive force claims . ... organization. In 2021, the most recent award cycle, the International City/County Management Association (ICMA) announced that it had awarded its Certificate of… more
    Fairfax County Sheriff's Office (12/13/24)
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  • Manager, Reporting & Analytics - Remote

    Prime Therapeutics (Washington, DC)
    …+ Experience writing SQL queries + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + ... as assigned **Minimum Qualifications** + Bachelor's Degree in Business Administration, Management , Economics or related area of study, or equivalent combination of… more
    Prime Therapeutics (12/18/24)
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  • Procurement Subregional Manager

    Microsoft Corporation (Washington, DC)
    …of those assets. We are looking to fill the critical role of Procurement Director for the Americas region. In alignment with our Microsoft values, we are committed ... compliance through supplier selection, supplier selection and award, and contract management . + Manages the development and execution of multi-year sourcing… more
    Microsoft Corporation (12/21/24)
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