- Evolent Health (Washington, DC)
- …We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health… more
- Trinity Health (Silver Spring, MD)
- …closely related area. + Extensive knowledge of payer mechanisms and clinical utilization management is required. + Knowledge of pertinent regulatory, ... **Employment Type:** Full time **Shift:** **Description:** The Manager-Care Management & Utilization Review, under the supervision and in collaboration with the… more
- Trinity Health (Silver Spring, MD)
- …acute healthcare setting required. + Extensive knowledge of payer mechanisms and clinical utilization management is required **Preferred:** + At least 5-7 years ... - 4:30pm + Reporting to the Director of Care Management + The RN Manager is responsible and accountable...RN Case Managers for in inpatient care coordination and utilization review. Oversees interactions of staff with outside activities… more
- Amazon (Arlington, VA)
- …to oversee data center electrical infrastructure optimization projects. You will lead cross-functional and technical teams identify sub-optimal utilization , ... job is for you! Key job responsibilities - Optimize utilization of electrical distribution systems across AWS data center...Qualifications - Bachelor's Degree AND 5+ years of project management experience OR 8+ years of project management… more
- DAI (Bethesda, MD)
- **Senior Lead Specialist, Public Financial Management ** City/Country Location Details **Bethesda, Maryland** Employment Status Job Type **Corporate** **Job** ... _Job Title_ : Senior Lead Specialist (Grade P10) _Department_ : USG, Development Innovations...helping to achieve targets for new business and direct utilization , ensuring technical excellence and adhering to DAI principles… more
- CVS Health (Washington, DC)
- …health care more personal, convenient and affordable. **Position Summary** The Lead Director of Observability Governance is responsible for leading strategic ... standards to meet the needs of all CVS Health businesses. As a Lead Director of Observability Governance, you will collaborate with observability engineering and… more
- EAB (Washington, DC)
- …commercial team including skills coaching, staff career management /pathing, pipeline management , service strategy and utilization management , and ... page. The Role in Brief: Managing Director, Seramount Relationship Expansion Team Lead The Managing Director is responsible for directing, developing and maintaining… more
- Humana (Washington, DC)
- …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 lead...health of the communities it serves. The **Medicaid Capture Management ** team's purpose is to successfully position Humana to… more
- Elevance Health (Washington, DC)
- **RN Hospital Bill Audit/Appeal Lead ** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model (remote and ... eliminate and prevent unnecessary medical-expense spending. The **RN Hospital Audit/Appeal Lead ** is responsible for leading a team of clinicians responsible for… more
- Koniag Government Services (Germantown, MD)
- …**Koniag Professional Services, LLC,** a Koniag Government Services company, is seeking a Lead Document Reviewer Level 5 (DRL5) with Top- Secret clearance to support ... weeks paid time off, and more. Koniag Government Services is seeking experienced Lead Document Reviewers Level 5 (DRL5) to join a dynamic team supporting critical… more
- General Dynamics Information Technology (Fairfax, VA)
- …**Skills:** Active Directory (AD),Cloud Technology,DevSecOps,Platform Development **Certifications:** Project Management Professional (PMP) - Project Management ... - Microsoft **Experience:** 10 + years of related experience **Job Description:** ** Lead SME Platform Architect** Secure and expertly apply the latest technologies… more
- Jacobs (Reston, VA)
- …, and escalation of issues that cannot be resolved by the team. * Lead the planning, staffing, scheduling, budget management , quality control, safety, and ... * Responsible for the quality of project work performed, client service, utilization of staff, marketing, contract management , billing collection, and project… more
- ManTech (Herndon, VA)
- …not limited to:** + Lead one or more engagements that deliver data management and analytics solutions to Federal clients across the full project life cycle. + ... ManTech is seeking a motivated, career and customer-oriented Data Services Senior Engagement Lead to join our team. **_The position is remote with the possibility of… more
- Humana (Washington, DC)
- …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
- CACI International (Ashburn, VA)
- …* * **What You'll Get to Do:** CACI is seeking an Organizational Change Management (OCM) Lead with demonstrated expertise in developing and implementing change ... Marketing, Growth & Communications Lead Job Category: Engineering Time Type: Full time...management strategies, standards, playbooks, best-practices, and plans, particularly for… more
- ManTech (Mclean, VA)
- …team of IT support professionals responsible for incident response, deskside service, and project management . As LSC Lead , you will use an ITIL-based process to ... a motivated, career and customer-oriented **Location Support Center (LSC) Lead ,** to join our team in **McLean, VA** ....of groups to be working with, such as co-workers, management , and customers; must be able to exchange accurate… more
- Merck (Washington, DC)
- …for this hybrid position will have responsibilities as both an Institutional Account Lead (IAL) and Payer Account Executive within the assigned geography and for ... but are not limited to the following:** The IAL Hybrid Institutional Account Lead / Payer Account Executive will manage the business relationship between our Company… more
- ManTech (Chantilly, VA)
- …advancement. Currently, **ManTech** is seeking a motivated, career and customer-oriented **Business Lead ** to join our team in **Chantilly, VA** . The MI Division ... and facilitate personnel in processing and out processing. + Lead and manage functional team by serving as Technical...Requires Bachelor's degree and ten years of related business management experience required. + Strong organization and time … more
- The Cigna Group (Washington, DC)
- **Role Summary** The Provider Performance Enablement Lead Analyst is a key member of the market that assists in the growth and development of the provider network. ... that represents Cigna Medicare Advantage. The Provider Performance Enablement Lead Analyst's responsibilities include: + Most likely to have responsibility… more
- KBR (Arlington, VA)
- Title: Senior Proposal Writer and Volume Lead , Government Services (REMOTE) Responsibilities include the research and analysis of business opportunities, consistent ... with special studies in areas such as operational effectiveness, capacity utilization , or cost containment. Under general direction, responsible for keeping abreast… more