- Chapters Health System (Washington, DC)
- Director , Billing and Collections It's inspiring to work with a company where people truly BELIEVE in what they're doing! When you become part of the Chapters Health ... make all the difference in our success! Role: The Director of Billing and Collections provides operational leadership for...and knowledge with third party payors to include Medicaid, Medicare and state and federal regulations for both acute… more
- Blue Cross Blue Shield Association (Washington, DC)
- …audiences, BCBS Plans and external audiences. Collaborates with BCBSA's business/ operations team to support synchronized efforts to assess current landscape, ... one or more of the following health policy areas: Medicaid and/or Medicare issues, health equity, health insurance contracts, prescription drug issues, improving… more
- Elevance Health (Hanover, MD)
- ** Director I Medicare Operations ** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of ... and Medicaid Services to transform federal health programs. The ** Director I Medicare Operations ** is responsible for directing multiple business function… more
- Humana (Washington, DC)
- … Director is responsible for behavioral health care strategy and/or operations . The Behavioral Health Medical Director work assignments involve moderately ... requires an in-depth evaluation of variable factors. The Behavioral Health Medical Director actively uses their medical background, experience, and judgement to make… more
- Somatus (Mclean, VA)
- …and mental well-being + Community engagement opportunities + And more! The Sr. Director , Medicare Risk Adjustment (MRA) will lead the execution strategy and ... ensure program compliance with governing bodies' regulations, including the Center for Medicare and Medicaid Services. This role will partner with leadership to… more
- CareFirst (Baltimore, MD)
- …based on business needs and work activities/deliverables that week. The Director , Utilization Management provides strategic leadership of the utilization management ... Will be responsible for the Commercial, Federal Employee Program, Medicaid, and Medicare lines of business. Establishes performance metrics to ensure the needs and… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Director , Pharmacy Government Programs is responsible for implementing the organization's pharmacy vision and strategic plan ... for government programs ( Medicare and Medicaid). This role has oversight of pharmacy...other key stakeholders including external vendors to ensure effective operations and value realization of government pharmacy programs. This… more
- BrightSpring Health Services (Baltimore, MD)
- …clinician retention through oversight of ongoing staff development. Collaborate with Director , HH Clinical Education to monitor integrity of orientation program, and ... individual development plans + Assists branch leadership in monitoring and analyzing Medicare performance data. Ensures adherence to standards of practice + Delivers… more
- Sunrise Senior Living (Arlington, VA)
- …big breath of fresh air."_** **_- Sunrise Leader_** At Sunrise, our Assistant Director of Nursing Services is responsible for providing assistance and supervision of ... care and services to residents in the skilled nursing operations in accordance with federal, state and local standards...consistent delivery of quality resident services - Assisting the Director of Nursing Services (DNS) in maintaining the skilled… more
- Sunrise Senior Living (Silver Spring, MD)
- …**COMMUNITY NAME** Bedford Court **Job ID** 2024-216274 **JOB OVERVIEW** The Director of Nursing Services is responsible for providing leadership and management ... to the skilled nursing operations . Responsible for planning, organizing and leading overall ...members and targeted referral sources. + Assists the executive director in completing the annual community budget. + Understands… more
- Cardinal Health (Washington, DC)
- …team is passionate about helping oncology practices navigate the future. The Director , Managed Care is responsible for strategy and management of managed care ... responsible to implement strategic initiatives related to payer contracts. The Director , Managed Care contributes to practice growth and profitability by providing… more
- Humana (Washington, DC)
- …of our caring community and help us put health first** The Director , Broker Digital Sales (Innovation Portfolio Strategy) utilizes ideas, identifies innovation ... opportunities, and translates ideas into actionable and profitable business. The Director , Innovation Portfolio Strategy requires an in-depth understanding of how… more
- Humana (Washington, DC)
- …Medical Director responsible for behavioral health care strategy and/or operations . The Behavioral Health Medical Director work assignments involve ... Reporting Relationship: This position reports directly to the Cluster Lead Medical Director . **Use your skills to make an impact** **REQUIREMENTS:** + Doctor of… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Director , Actuarial of Medicaid Pricing provides actuarial support across a broad range of ... actuarial and business needs for specific product lines. The Director , Actuarial requires an in-depth understanding of how organization capabilities interrelate… more
- Humana (Washington, DC)
- …Best Places to Work, and be a part of our dynamic team as the Director of Technology Solutions. We are on a mission to revolutionize our Customer Relationship ... your chance to make a substantial impact! As the Director of Technology Solutions, you will spearhead the strategy...of IT initiatives that are vital to our business operations . Your deep understanding of organizational capabilities and your… more
- Amneal Pharmaceuticals (Washington, DC)
- Description: The Senior Director - Policy will lead "on the ground" development and advocacy for Amneal's positions on policies proposed and/or enacted by Congress, ... the Centers for Medicare and Medicaid (CMS), the US Food and Drug...and company leadership across these work functions, the Senior Director will be responsible for soliciting, collating, drafting, and… more
- Gentiva (Windsor Mill, MD)
- …in people's lives every day. **Overview** We are looking for an **Executive Director Specialist RN** traveling to many of our offices throughout our East Region ... guidelines. + Registered Nurse required, BSN preferred. + Experience in hospice operations , state and federal regulations and compliance required + Strong regulatory… more
- HealthEdge Software Inc (Washington, DC)
- …them: NCQA (National Committee for Quality Assurance), CMS (Centers for Medicare & Medicaid Services), URAC (Utilization Review Accreditation Commission) and other ... particularly in the Payer space, with a perspective on how health plan operations impact willingness to adopt digital transformation and innovation + 7+ years'… more
- American Institutes for Research (Rockville, MD)
- …care policy and programs. + Experience with Medicare payment policy and Medicare program structure and operations . + Experience with managing the development ... candidate should have a strong working knowledge of the requirements and operations of current health care policy priorities, including the Affordable Care Act… more
- Option Care Health (Columbia, MD)
- …data to the Regional Nurse Manager, Area Director of Nursing, and/or Director of Operations . Supports the development and implementation of the Plan of ... direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also...office specific continuing education and orientation programs. Assists the Director of Operations , Area Director … more
