- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …This includes preparation of image data set and initial measurements for physician review . Coordinate care and prepare patients for transesophageal ... other health services we offer at Washington DC VA Medical Center. Responsibilities This Physician Assistant will...of the PA patient care audit processes involving in-depth review and analysis of medical records. Preferred… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …information, and the other health services we offer at Washington DC VA Medical Center. Responsibilities The physician shall provide primary care services ... required for VA beneficiaries. The physician shall provide care at the Washington DC VA Medical Center or at the associated Community Based Out Patient clinics… more
- Department of State - Agency Wide (Washington, DC)
- …the Bureau of Medical Services (MED). The incumbent serves as a Physician Assistant responsible for providing a full range of primary care, preventative and ... emergency medical services, filling vacant medical positions at...physician assistant educational program, accredited by the Accreditation Review Committee on Education for the Physician … more
- Highmark Health (Washington, DC)
- …URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the multidisciplinary ... and improve the care of our members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may… more
- Amgen (Washington, DC)
- …that can turn the tide of serious, life-interrupting illnesses. **Clinical Research Medical Director, Endocrinology/Sleep Apnea** **What you will do** Let's do this. ... change the world. The Obesity organization is seeking a Medical Director that will work with a team of... Director that will work with a team of physician -scientists that support evidence generation for obesity and obesity-related… more
- Sedgwick (Alexandria, VA)
- …is correct. + May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on ... Loved Workplace(R) Forbes Best-in-State Employer Claims Adjuster - Workers Compensation ( REMOTE ) **PRIMARY PURPOSE** **:** To analyze mid- and higher-level workers… more
- Humana (Washington, DC)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to ... The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities,… more
- Elevance Health (Hanover, MD)
- **Title** : Associate Medical Director This position will be 100% remote **Location** : IL-CHICAGO, 8600 W BRYN MAWR AVE, STE 800 or MD-HANOVER, 7550 TEAGUE RD, ... board certified specialty. + Makes physician to physician calls to gather appropriate medical information...decisions. + Brings to their supervisor's attention any case review decisions that require Medical Director … more
- Evolent (Washington, DC)
- …and guilds, and across health plan partners. **Qualifications for the Role** + MD/DO/MBBA Physician + Active/Unrestricted Medical License in one or more states + ... to achieve better outcomes for people with complex health conditions. Working across medical specialties and primary care, we seek to ensure that care plans align… more
- Cardinal Health (Washington, DC)
- …Networks works with over 11,500 providers across 1,500+ independent specialty physician practices and groups. The _Clinical Analyst_ will be responsible for ... data, patient identification, data registry and report production to present to physician groups. This Clinical Analyst will also be responsible for teaching member… more
- Cardinal Health (Washington, DC)
- …for driving complex, consultative sales of Navista memberships to new physician practice customers through face-to-face or telephone contact to meet individual ... customers at all levels, leads the acquisition of new physician practices, and focuses on winning to meet development...on winning to meet development objectives. This is a remote , work from home position with travel. This position… more
- Intermountain Health (Washington, DC)
- …criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician 's office staff, medical management staff and/or pharmacists. ... Escalates requests to Pharmacists when request requires extensive clinical review or denial. Researches, resolves and documents physician or client inquiries and… more
- Cardinal Health (Washington, DC)
- …+ Manage workload of inbound faxes (if applicable) + Investigate and resolve patient/ physician inquiries and concerns in a timely manner + Enter detailed information ... team members regarding next steps + Communicate with external constituents including physician offices and pharmacies + Ability to identify, document and submit… more
- Lincoln Financial Group (Washington, DC)
- …Charlotte, NC (North Carolina); Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of a commutable distance ... organization. This position will be responsible for reviewing, analyzing, and interpreting medical information available for disability claims. In this role you will… more
- Guardian Life (Washington, DC)
- …experience. **Activity** Review and assess claimant subjective reports and objective medical evidence to determine the impact of medical conditions on ... assessments. Specifically define issues to be addressed or clarified by outside physician or provider and oversee quality of review . Follow best practices… more
- Cardinal Health (Washington, DC)
- …Law, HIPAA and other laws applicable to management services organization and physician practices + Demonstrate strong business acumen and draft and negotiate ... + Strong preference for candidates with prior experience handling physician employment agreements, management service agreements, vendor contracts (eg revenue… more
- Cardinal Health (Washington, DC)
- …including the insurance payers, specialty pharmacies, support organizations, and the patient/ physician to facilitate coverage and delivery of product in a timely ... and the Affordable Care Act preferred + Knowledge of Medical /Pharmacy billing and coding is preferred + Important to...flexibility to work a scheduled shift of 7am-7pm CT.** ** REMOTE DETAILS: All US residents are eligible to apply… more
- Cardinal Health (Washington, DC)
- …Specialty Networks works with over 11,500 providers across 1,500+ independent specialty physician practices and groups. The _Project Manager_ will work closely with ... Analyst Services (for any disease state). **Location** - Fully remote (full time role with hours dependent on standard...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Cardinal Health (Washington, DC)
- …Networks works with over 10,000 providers across 1,500+ independent specialty physician practices and groups. The _Consultant, Customer Success_ individual will ... development of their assigned customer base. **Location** - Fully remote (expectation of less than 10% travel, which typically...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Cardinal Health (Washington, DC)
- …including the insurance payers, specialty pharmacies, support organizations, and the patient/ physician to facilitate coverage and dispense of product in a timely ... our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. ** REMOTE DETAILS:** You will work remotely, full-time. It will...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more