- Immigration and Customs Enforcement (Washington, DC)
- …candidates are not eligible for this position. Responsibilities DUTIES AND RESPONSIBILITIES: Physician Support Duties: Serves at various IHSC medical facilities ... services may be provided via virtual means. Collects comprehensive medical and social history to include a review...a team leader for specified functions as needed; Provide remote and/or on site continuing medical education… 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
- 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)
- …can turn the tide of serious, life-interrupting illnesses. **Clinical Research Medical Director, Endocrinology/Obesity/Diabetes, US - Remote ** **What you will ... 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
- Prime Therapeutics (Washington, DC)
- …+ Determines appropriateness for medications. Communicates decision to physicians, physician `s office staff, medical management staff and/or pharmacists. ... criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician `s office staff, medical management staff and/or pharmacists.… more
- Huron Consulting Group (Washington, DC)
- …internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and ... clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team… more
- Johns Hopkins University (Baltimore, MD)
- …other related regulatory matters. + Oversees the management of the quality assurance review program to continuously assess physician and non- physician ... Health System (JHHS), Legal Department and Corporate Compliance Department, JHHS physician entity leadership, Revenue Cycle leadership, and SOM clinical department… more
- Fujifilm (Washington, DC)
- …to ensure compliance with the applicable transparency reporting requirements (eg, the Physician Payments Sunshine Act). + Manage Third Party program including the ... access and updates required for compliance systems. + Assist with due diligence review and integration related to Mergers & Acquisitions activities. + Keep abreast… 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)
- …referral intake, investigating all patient health insurance benefits (pharmacy and medical benefits), and proactively following up with various partners including ... the insurance payers, specialty pharmacies, support organizations, and the patient/ physician to facilitate coverage and delivery of product in a timely manner. +… more
- Cardinal Health (Washington, DC)
- …**Responsibilities** * Handle customer escalated cases through investigation and case review * Contact customers to confirm approval/denials of coverage, co-pays, ... while providing an empathetic and supportive experience to the patients, doctors, and physician offices * Support manufacturer field team members as required on case… 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 ... volume/low patient interaction program. + Assigned as point of contact for physician offices, patients, and FRM (Field Reimbursement Managers) for patients enrolled… more
- Cardinal Health (Washington, DC)
- …Networks works with over 11,500 providers across 1,500+ independent specialty physician practices and groups. Furthermore, this business unit leverages the strength ... roughly 40-45% travel (typically air travel), though will otherwise be remote (work from home). **_Qualifications_** + Clinical experience and expertise,… more
- Cardinal Health (Washington, DC)
- …health systems, pharmacies, ambulatory surgery centers, clinical laboratories and physician offices worldwide. The company provides clinically-proven medical ... are embedded into Cardinal Health's people, process and technology. We are a remote -first team and are excited to offer full-time remote opportunities.… more
- Cardinal Health (Washington, DC)
- …+ As needed conduct research associated with issues regarding the payer, physician 's office, and pharmacy to resolve issues swiftly **_Qualifications_** + 3-6 years ... policies and guidelines for coverage, preferred + Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear… more
- Highmark Health (Washington, DC)
- …including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and ... identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS… 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:** You will work remotely, full-time. It will… more
- Cardinal Health (Washington, DC)
- …nurses providing patients clinical services, guidance and advisement on physician recommended treatments.** **Monitors the written and verbal communications between ... our normal business hours of Monday-Friday, 8:00am- 5:00pm 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
- 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
- Cardinal Health (Washington, DC)
- …to Reimbursement Solutions Supervisor, Individualized Care **Location/Time Zone Support:** Remote . This role will generally support customers within a candidate's ... + Collaborate with facility EHR's to gather data to support diagnosis and medical clearances + Identify advocacy opportunities as it pertains to patient specific… more