- Guidehouse (Washington, DC)
- …deliver innovative solutions from design, through development and implementation for revenue challenged managed care health systems, hospitals, AMCs, IDNs to ... during this heavy reform time for managed care provider and provider sponsored plan organizations...advising health system CFO, CSO, CEO on managed care contract details and benefits design… more
- Children's National Medical Center (Washington, DC)
- …from a regulatory and strategic perspective.Evaluate and monitor performance of Managed Care contracts for problematic terms, language, administrative/clinical ... cycle functions, including establishing the vision, mission, short-term and long-term goals. Plan , implement, direct, and evaluate care management and revenue… more
- Regency Centers (Bethesda, MD)
- …insurance Family planning benefit with Frame Fertility Award winning incentive-based well-being program Health Care and Dependent Care FSA Paid leave ... qualified real estate investment trust (REIT) that is self-administered, self- managed , and an S&P 500 Index member. Learn more...is very competitive and includes: 401(k) + Profit Sharing plan with generous company match 3 medical insurance … more
- GW Medical Faculty Associates (Washington, DC)
- …Financial Regulatory Compliance Ensures compliance with all financial regulations governing health care delivery and rules of accrediting bodies. This ... About GW MFA MFA physicians provide comprehensive patient care , offering one practice for the whole person...As members of the GW School of Medicine and Health Sciences faculty, MFA providers are teachers and mentors… more
- Enterprise Community Partners (Washington, DC)
- …a comprehensive total rewards package for you and your family, including dental, health and vision care plans, family building benefits, such as fertility, ... the Chief Human Resources Officer regarding analysis of the cost of self-insured health benefits programs, compensation and incentive plans, the retirement plan … more
- Cardinal Health (Washington, DC)
- …HMO, ACO, clinically integrated network preferred + Must possess experience with negotiating managed care / health plan contracts, administering and ... about helping oncology practices navigate the future. The Director, Managed Care is responsible for strategy and...well-being. Medical, dental and vision coverage Paid time off plan Health savings account (HSA) 401k savings… more
- Cardinal Health (Washington, DC)
- …to the National VP of Sales, the Director, Sales & Business Development - Managed Care is an individual contributor, executive sales position. This individual ... at decision-makers and decision influencers at existing and new managed care accounts. This individual must be...Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) +… more
- Highmark Health (Washington, DC)
- …**Preferred** + 1 year in Medical Management in a Health Insurance Plan ; strong knowledge of managed care industry **LICENSES AND CERTIFICATION** ... + Listening + Telephone Skills + General Computer Skills + Clinical Software + Managed Care **Language (Other than English)** None **Travel Required** 0% - 25%… more
- Humana (Washington, DC)
- …, or a related field **AND** three (3) to five (5) years of prior experience leading managed care health plan operations **OR** Five (5) to seven (7) ... years of prior experience leading managed care health plan operations. + Minimum two (2) years of prior experience leading integrated LTSS programs such… more
- Humana (Washington, DC)
- …or related field. + Three (3) or more years of previous experience working in a managed care field. + Previous experience in a field based or a homecare-based ... Humana Healthy Horizons in Virginia is seeking a Manager, Care Management (Physical Health ) who will lead...per yearThis job is eligible for a bonus incentive plan . This incentive opportunity is based upon company and/or… more
- Elevance Health (Washington, DC)
- …or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... with the law. **Job Level:** Non-Management Exempt **Workshift:** **Job Family:** RDA > Health Economics & Cost of Care Please be advised that Elevance… more
- Elevance Health (Ashburn, VA)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... Python and R preferred. **Job Level:** Non-Management Exempt **Workshift:** **Job Family:** RDA > Health Economics & Cost of Care Please be advised that Elevance… more
- Option Care Health (Washington, DC)
- …home infusion provider, there is no limit to the growth of your career.** Option Care Health , Inc. is the largest independent home and alternate site infusion ... Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion ...Evaluate, develop, and implement strategies for key partnerships with health plan subsidiaries and large employer groups.… more
- CVS Health (Washington, DC)
- …with MCO's clinical leadership as needed for integration of all health care needs and services for aligned plan 's members. Position Description: Aetna ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....Behavioral Health Medical Director + Collaborates with health plan Sr Leadership to identify, develop,… more
- CVS Health (Washington, DC)
- …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable....field as a psychiatrist. **Preferred Qualifications** * Experience with managed care , as a provider and manager… more
- Humana (Washington, DC)
- …health management strategies or products. + 5+ years of experience supporting Medicaid managed care health services operations and the Medicaid managed ... model. + Lead cross-functional teams of growth partners and health plan leaders to design high-impact, innovative,...experience in strategy consulting supporting Medicaid managed care clinical strategy and population health management… more
- Elevance Health (Arlington, VA)
- …member needs. + Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified during ... assessment. + Monitors and evaluates effectiveness of care plan and modifies plan ...range of complex psychiatric/substance abuse and/or medical disorders. + Managed care experience required. **Preferred Skills, Capabilities… more
- Elevance Health (Washington, DC)
- …member needs. + Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified during ... assessment. + Monitors and evaluates effectiveness of care plan and modifies plan ...range of complex psychiatric/substance abuse and/or medical disorders. + Managed care experience required. + For Government… more
- Elevance Health (Ashburn, VA)
- …the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, ... transition through the healthcare continuum and refers treatment plans/ plan of care to clinical reviewers as... clinical experience or case management, utilization management or managed care experience; or any combination of… more
- Elevance Health (Washington, DC)
- …**Minimum Requirements:** + Requires BA/BS in Pharmacy. + Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; ... **Anticipated End Date:** 2024-09-12 **Position Title:** Health Insurance Exchange Pharmacist - CarelonRx **Job Description:** ** Health Insurance Exchange… more
