• Utilization Management

    Humana (Annapolis, MD)
    …for our provider partners and reducing unnecessary costs from the healthcare system. The Utilization Management Strategy Lead role works closely with ... and providers, (3) achieve these outcomes while driving operating efficiency. The Utilization Management Strategy Lead will bring deep expertise in… more
    Humana (09/19/24)
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  • Associate Medical Director - Genetic Testing…

    Elevance Health (Hanover, MD)
    …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Clinical Operations Associate Medical Director** **Carelon Health** **Genetics Testing Utilization Review** **Location** : The ideal candidate will live within 50… more
    Elevance Health (09/17/24)
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  • Capture Lead , Medicaid Clinical…

    Humana (Annapolis, MD)
    …for key Medicaid programs and subpopulations. Areas of focus include Care Management , Quality Improvement, Utilization Management , Population Health, Social ... health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy , to...Medicaid Managed Care Organization (MCO) focusing on Medicaid clinical strategy and population health management strategy more
    Humana (08/15/24)
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  • Strategy Advancement Advisor

    Humana (Annapolis, MD)
    …with various stakeholders to drive strategic advancements in the Clinical - Utilization Management operating model. The Advisor must exercise independent ... caring community and help us put health first** The Strategy Advancement Advisor plays a crucial leadership role that...**Manage the operating model elements of the Clinical - Utilization Management (UM) domain** + Serve as… more
    Humana (09/17/24)
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  • Lead Director - Observability Governance

    CVS Health (Annapolis, MD)
    …optimal cost recovery, parity of service, minimal service impact, and optimal resource utilization . Establish a strategy to aggregate cross-platform data onto a ... health care more personal, convenient and affordable. **Position Summary** The Lead Director of Observability Governance is responsible for leading strategic… more
    CVS Health (08/31/24)
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  • Nurse Audit Lead - Carelon Payment…

    Elevance Health (Hanover, MD)
    …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... Nurse Audit Lead - Carelon Payment Integrity **Location:** The ideal...responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by healthcare providers through prepayment… more
    Elevance Health (09/19/24)
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  • Technology Adoption Lead

    Under Armour, Inc. (Annapolis, MD)
    Technology Adoption Lead **Date:** Sep 14, 2024 **Location:** Remote, US **Company:** Under Armour **Values & Innovation** At Under Armour, we are committed to ... (https://performancemanager8.successfactors.com/sf/careers/jobsearch?bplte\_company=ua&\_s.crb=aNMP8gWoYkBDFn%252bz2BldysgcgQHZpVs6tHzE9smSuXE%253d) **Purpose of Role** The Technology Adoption Lead is responsible for driving successful global… more
    Under Armour, Inc. (08/27/24)
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  • Lead Google Cloud Solutions Engineer,…

    Humana (Annapolis, MD)
    …a part of our caring community and help us put health first** The Lead Cloud Solutions Engineer (Network) is responsible for the planning, design, and engineering of ... infrastructure and platforms related to cloud network & cloud computing. The Lead Cloud Solutions Engineer (Network) provides strategic advice and guidance to… more
    Humana (08/20/24)
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  • Requirements and Systems Staff Integration…

    Parsons Corporation (Columbia, MD)
    …Duties and Responsibilities:** + Provide functional expertise in requirements management , workflow optimization, organizational dynamics, manpower utilization ... joint level + Decision analysis and facilitation + Program management + DoD cyber policy, strategy , doctrine...+ Program management + DoD cyber policy, strategy , doctrine and DoD implementation + DoD Combatant Command… more
    Parsons Corporation (09/19/24)
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  • Director - Information Security - Privileged…

    Marriott (Annapolis, MD)
    …to handle access, and the strategy and governance of the privileged access management + Lead PAM product definition, requirements and development + Lead ... States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Director of Privileged Access Management more
    Marriott (08/27/24)
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  • Director, Master Data Management

    Catalent Pharma Solutions (Harmans, MD)
    …improved planning, scheduling, and supply chain optimization. The Director, Master Data Management plans and executes the end-to-end data strategy in ... Facilitate adherence to data governance policies, and guide the management of data standards. + Lead , recruit,...degree preferred. + 8+ years of experience in data strategy , data architecture, data management , and/or data… more
    Catalent Pharma Solutions (07/27/24)
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  • Vice President, Clinical Operations (Hybrid)

    CareFirst (Baltimore, MD)
    …Executive Vice President, Health Services, this position leads and oversees Case Management , Utilization Management including prior authorization, and post ... management at all stages of the health continuum, utilization management decisions themselves and the consequences...Leads the development of clinical and diagnostic clinical operations strategy . The Vice President will lead and… more
    CareFirst (09/06/24)
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  • Associate Director, Care Management

    Humana (Annapolis, MD)
    …with mandated and corporate policies regarding other departmental areas such as medical management , utilization management , population health and quality. + ... Horizons in Virginia is seeking an Associate Director, Care Management (LTSS/ABD) who will lead teams of...Humana Healthy Horizons deliver on their contractual and business strategy . + Develops educational and training programs for the… more
    Humana (08/29/24)
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  • Director of Planning & Architecture

    Johns Hopkins University (Baltimore, MD)
    Johns Hopkins Real Estate, Capital Strategy , and Development - Planning and Architecture has retained Helbling (https://www.helblingsearch.com/) to assist in ... & Construction department's project managers who are responsible for overall management of projects authorized by JHFRE Leadership, Senior Leadership, and Trustees.… more
    Johns Hopkins University (06/22/24)
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  • Pharmacist Program Manager

    Elevance Health (Hanover, MD)
    …to deliver member-centered, lasting pharmacy care. The **Pharmacist Program Manager** will lead initiatives to manage and optimize drug utilization , improve ... health conditions. This role is responsible for the holistic management of drug spend through proactive clinical program ideation,...creating a culture that is designed to advance our strategy but will also lead to personal… more
    Elevance Health (09/18/24)
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  • Department Manager - Networks, Integration,…

    Burns & McDonnell (Baltimore, MD)
    …areas of responsibility include the following, with other duties assigned by senior management : Fostering Culture + Lead by example, a dynamic department with ... + NIA Managing Director - responsible for overall NIA strategy and direction across our national practice. + Peer...and maintain a strong relationship with national business line management , PMs, and other key leadership to support the… more
    Burns & McDonnell (09/17/24)
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  • Regional Manager, Colleague and Labor Relations

    Trinity Health (Silver Spring, MD)
    …colleague culture. Locally drives and implements the colleague and labor relations strategy through systemic policy alignment and program management to support ... implementation and standardization of system-wide colleague and labor relations strategy , policies, processes and programs throughout the Regional Health Ministries… more
    Trinity Health (08/17/24)
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  • HEOR Senior Manager

    BD (Becton, Dickinson and Company) (Sparks, MD)
    … and tracking of value communication tools. + Support HEOR Business Unit lead in ensuring that HEOR strategy is incorporated into broader commercial ... HEOR Senior Manager will work alongside the HEOR functional lead and HEOR leadership team to develop and execute...HEOR leadership team to develop and execute the HEOR strategy for priority products in development at BD while… more
    BD (Becton, Dickinson and Company) (08/24/24)
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  • Sr Product Manager - AI

    Pearson (Annapolis, MD)
    Product Manager - Generative AI Product Strategy in Higher Education Background: Pearson is the world's learning company. We help people of all ages acquire the ... AI in a thoughtful way and adapting our product strategy to meet customer needs and realize the possibilities...This role will report to the Director of Product Management in the Higher Education division at Pearson and… more
    Pearson (08/16/24)
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  • Managing Director, Medicare & Debt Resolution

    Travelers Insurance Company (Annapolis, MD)
    …Finance and Claim Business Intelligence Analytics to develop and deliver a financial management and control strategy to limit financial risk associated with ... at industry related conferences and forums. **What Will You Do?** + Claim Strategy : + For specific national line of business initiatives develops and directs… more
    Travelers Insurance Company (07/18/24)
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