- Elevance Health (Washington, DC)
- ** 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
- 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 (Arlington, VA)
- …The Jefferson - Health Care Center **Job ID** 2024-216549 **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 (Fairfax, VA)
- …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 (Washington, DC)
- …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
- Prime Therapeutics (Washington, DC)
- …a thorough understanding of operating infrastructure of Strategic Business Unit(s) (SBUs) operations to be able to proactively analyze and identify opportunities for ... and resolving complex problems and issues. + If supporting Medicare Part D, will be responsible for implementing CMS...focus **Reporting Structure** + Reports to Manager or Sr Director in the Finance department **Responsibilities** + 3+ years… more
- American Institutes for Research (Washington, DC)
- …team.The selected candidate will collaborate in research, technical assistance, and operations projects funded by Federal Agencies (such as Centers for ... Medicare and Medicaid Services (CMS) and the Centers for...of healthcare data and provide support to the project director and/or senior team members on various tasks including… more
- Humana (Washington, DC)
- …in hospice and/or in nursing facilities. They will lead LTSS-ABD care management operations and staff to ensure timely and culturally competent delivery of care ... Oversees staff training, evaluation, and performance monitoring. + Supports the Director /Leadership in meeting the goals of department/market. + Monitors and… more
- Conviva (Washington, DC)
- …the clinical education team and will work also closely with Coding operations team and Clinical Excellence team under the CenterWell Primary Care Organization. ... This role reports to Associate Director of coding education and has a dotted line...with the divisional clinical educator and insights from coding operations team and clinical excellence team. The training responsibilities… more
- American Institutes for Research (Arlington, VA)
- …seeking a full-time **Researcher** with a strong background in Medicare and Medicaid policyto join AIR'sHealth Division (https://www.air.org/our-work/health) . The ... and implementation support to evaluation and analytical support for Centers for Medicare & Medicaid Services (CMS), states, and foundations. Candidates hired for the… more
- HCA Healthcare (Reston, VA)
- …Coordinator,** Infusion Center, will be responsible for coordinating the daily office operations for the entire service line to ensure patient satisfaction and ... efficient office operations . Includes patient and staff scheduling, payer communication, record...communication, record keeping, purchasing, and regular communication with the Director of Oncology and staff. . You will promote… more