- 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 (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)
- … 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
- 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
- Western Digital (Washington, DC)
- …of action. + Develop, formulate and coordinate property and casualty insurance claims control function at all locations. + Continue review of existing safety, ... environment, loss prevention, employment and security programs as related to the management of risk or accidental loss. + Maintain historical record of all losses,… more
- 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
- 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
- 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, the Director of Healthcare Economics and Trend Analytics will support the Baylor Scott &… more
- Humana (Washington, DC)
- …our caring community and help us put health first** The Actuarial Director , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Director , Actuarial Analytics/Forecasting requires an in-depth understanding of how organization… more
- The MITRE Corporation (Mclean, VA)
- …a difference with us. MITRE is seeking an experienced and dynamic Contracts Director to lead and manage the Contracts Department, ensuring the effective negotiation, ... to ensure compliance with regulations, policies, and client needs. The Contracts Director will work closely with leadership teams across MITRE's various departments… 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
- 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 (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
- 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
- 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
- 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
- Mathematica (Washington, DC)
- …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
- SitusAMC (Washington, DC)
- …team! This role is responsible for aligning business goals with employees and management . The position should anticipate HR needs in a proactive manner and ... communicate these requirements and potential solutions to the management team. This position is the HR point of contact for management and employees for their… more
- HEI Hotels and Resorts (Reston, VA)
- …in the recruiting, screening and interviewing for all management and non- management hotel positions. Assist the Human Resources Director or Human Resources ... Manager in directing and instructing the management staff in effective recruiting and interviewing techniques using...to associates as required and assist with enrollment and claims processing. + Assist with associate relations events and… more