- 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
- Caris Life Sciences (Washington, DC)
- …and develop relationships to targeted National Payer key stakeholders from medical director , network management , and claims management . + Inform ... in-network contracts with National Payers. + Manage BCBS Caresourcing relationship. + With medical policy team, drive improved medical policies and adoption of… 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)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- Evolent Health (Washington, DC)
- …including the CEO, CFO, CMO, pharmacy leadership, clinical operations/UM, medical economics/actuarial services/analytics, and vendor management . **Performance ... Management ** - maintain overall accountability for medical expense and P&L performance of designated client partners, including the facilitation of… more
- Elevance Health (Washington, DC)
- …responsibility for Program Management and/or Medicare Integrity Operations. + Program Management includes but is not limited to: Claims , Grievance & Appeals, ... ** Director I Medicare Operations** **Location:** This position will...years professional/leadership experience with CMS, including strategic planning, project management , Medicare or related healthcare insurance or medical… more
- J&J Family of Companies (Washington, DC)
- …safety data, international regulatory safety databases, and other data sources, eg, claims and electronic medical records. This position develops and implements ... Associate Director , Signal Detection Scientist - 2406212640W **Description** Johnson...position is to lead the implementation of the Signal Management Group's aggregate surveillance strategies for proactive and systematic… 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
- Sumitomo Pharma (Washington, DC)
- …a dynamic, highly motivated, and experienced individual for the position of ** Director , Market Access Insights** to support US Market Access strategic and tactical ... navigating complex organizational structures / experience in highly matrixed environments. The Director will be a member of the Commercial Insights team. This… 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
- Evolent Health (Washington, DC)
- …core Payer Data Warehouse datasets and Evolent Data Warehouse tables, including medical , pharmacy and ancillary claims data, membership data, clinical ... a growth mindset as we solve complex business problems. **Collaboration Opportunities** The Director , Client Analyst role will be serving as a strategic advisor to… 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
- Evolent Health (Washington, DC)
- …models using healthcare data (ie, both structured and unstructured data from operations, claims , and medical charts) to solve complex problems, drive innovation, ... in everything from scrubs to jeans. **Position summary** As an Associate Director , Data Scientist (Machine Learning Engineer), you will be responsible for… more
- HomeSafe Alliance (Washington, DC)
- **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
- 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
- Stantec (Laurel, MD)
- …and forecasting. + Experience with scheduling large, complex projects. + Experience with claims management for design projects. + Sound knowledge and experience ... Claims /Risk mitigation. + Oversee and approve development and management of the Project Scope WBS. + Oversee and...Internal (PGC) Monthly Reports; issue following review with Design Director . + Responsible for the formulation of the Project… more
- Community Clinic Inc. (Takoma Park, MD)
- …Health Center leadership including the Health Center Manager and Health Center Medical Director , identifying concerns requiring resolution + Engages in health ... POSITION SUMMARY: The Lead Registered Nurse (Lead RN), under the direction of the Director of Nursing and the clinical care team, serves as an integral member of… more