- Immigration and Customs Enforcement (Washington, DC)
- …related to management , administration, or evaluation of public health programs. Healthcare management , finance or medical claims is preferred. If the ... Director for Healthcare Compliance, Office of Health Plan Management Unit (HPMU). This is a supervisory position. This...preferred. Well-developed knowledge and skills in the areas of claims management and medical necessity.… more
- Ryder System (Washington, DC)
- …of assigned staff. Assists Director with other staff as directed. Work with Director and other management team to develop tactics and strategies to achieve ... staff. Handles commercial lines bodily injury and property damage claims as well as insurance and contractual coverage issues....annual metrics and other KPI's + Participates with the Director in the selection and management of… more
- CommuniCare Health Services Corporate (Linthicum Heights, MD)
- …posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management , and others. The CBO claims validation staff will strive to always ... growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing...of benefit options from life and disability plans to medical , dental, and vision coverage from quality benefit carriers.… more
- University of Maryland, Baltimore (Baltimore, MD)
- * Claims Health Services Research Senior Programmer* *The University of Maryland Institute for Health Computing (UM-IHC)*is recruiting a staff*Health Services ... Research Senior Programmer*to query and manage large claims databases, including OptumLabs, Medicare, and similar ...Health in the UM-IHC and report directly to its Director working in close collaboration with other faculty, postdoctoral… more
- CVS Health (Washington, DC)
- …during the plan year. The **Medicare** **Benefits Standards & Guidance Lead Director ** ensures accountability for the implementation, management , and maintenance ... Employer Groups. The **Medicare** **Benefits Standards & Guidance Lead Director ** acts as the point of contact to our...such as Benefit & Product Strategy, Benefits & Product claims configuration, Medicare Service Operations (MSO), Medical … 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 ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… 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
- Cayuse Holdings (Washington, DC)
- …of safety, wellness, and proactive health management . **Responsibilities** + Serve as the Medical Director and as a consultant to BEP management on all ... **Overview** The Medical Director provides occupational health services...phone calls. + On occasion, review DCF workers' compensation claims and medical documentation. + Approve paperwork… more
- Ankura (Washington, DC)
- …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... trade association guidance; and international compliance standards governing pharmaceutical and medical device operations. You will be joining a team of industry… more
- Otsuka America Pharmaceutical Inc. (Rockville, MD)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. As ... a Director , Quantitative Pharmacology, Pharmacometrics you will play a critical...with bioanalytical team members on activities related to sample management , pharmacogenomics and biomarker development and provide analysis support… more
- Sedgwick Government Solutions (Bethesda, MD)
- …Workers' Compensation, Specialized Health Program Management , Employee Benefits, Disability Management , and Absence Management . The Director , Client ... Job Details Director , Client Solutions Architect 2025-1415 (Remote, Strong internal)...role in shaping and constructing technical proposals, leading project management for solution design, and collaborating with cross-functional teams… 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
- Prime Therapeutics (Washington, DC)
- …our passion and drives every decision we make. **Job Posting Title** Senior Director of Underwriting - REMOTE **Job Description** The Sr. Director Underwriting ... for prospective clients and new customer acquisitions. **Responsibilities** + Analyze claims data and develop cost-of-care projections for existing customer renewals… 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
- Compass Group, North America (Hyattsville, MD)
- …Derby, and NHL, MLB, NBA, NFL, and MLS All-Star Games. Job Summary As a Director of Human Resources at the Northwest Stadium, home to the Washington Commanders, you ... manager relationships, delivering on our service level agreement, requisition management , posting advertisements, sourcing, screening, and interviewing, candidate correspondence,… more
- Trustmark (Washington, DC)
- …+ Collaborate with the sales leadership teams of VP of Sales & Client Management , Senior Directors' Sales, and the whole sales team to maximize opportunities. + ... accounting of activities and sales. + Collaborate with and support the Client Management team to assure persistency goals are being achieved. + Review national… more
- Nestle (Arlington, VA)
- …**Position Overview:** The Account Associate is a key member of the Account Management team, providing support to the Account Director and Account Managers. ... Team and Sales Finance leader with trade deduction analysis and reconciliation. + Management of Customer post-audit claims + Collaborate with Account Managers… more
- Marriott (Forest Heights, MD)
- …protocols and practice guidelines * Maintains clinical oversight relationship with local medical doctor **Case Management (Occupational)** * Conducts a thorough ... **Schedule** Full Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** Directs health services unit in hotels.… more
- Wounded Warrior Project (Washington, DC)
- …schedule (three days in the office, two days' work from home) . Full medical , dental, and vision coverage for both teammates AND family members . Competitive pay ... (NSO) educates and advocates for warriors and their families as they pursue claims for injuries sustained during active duty military service. The NSO guides and… more