- Highmark Health (Washington, DC)
- …Inc. **Job Description :** **JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and ... **ESSENTIAL RESPONSIBILITIES** + Full-cycle ownership of commercial and Medicare Advantage medical policy creation process including writing clinical criteria… more
- Elevance Health (Washington, DC)
- …decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation. + Determine ... **Clinical Operations Medical Director ** **Carelon MBM** **Virtual:** This...which may include AIM Appropriateness Guidelines, client-specific health plan medical policy , well established evidenced based guidelines,… more
- AbbVie (Washington, DC)
- …X, Facebook, Instagram, YouTube, LinkedIn and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description The Director , US Policy will support the US Policy & ... that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a...could impact AbbVie and the patients we serve. The Director will be lead within the US Policy… more
- Bristol Myers Squibb (Washington, DC)
- …. **Position Summary** This position will work under the oversight of the Executive Director , Policy and Research and will be a Washington, DC or Princeton, ... NJ based role. The Director will lead policy development and strategy...may require enrollment. Our benefits include: + **Health Coverage:** Medical , pharmacy, dental, and vision care. + **Wellbeing Support:**… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Georgetown Univerisity (Washington, DC)
- …on students for McCourt, such as commencement exercises and the Georgetown Public Policy Challenge. Work Interactions The Director of Student Engagement reports ... to making a difference in the world. Requirements Job Overview The Director of Student Engagement coordinates all co-curricular and extracurricular experiences and… more
- Amgen (Washington, DC)
- …Let's do this. Let's change the world. In this vital role the Health Policy & Reimbursement Executive Director will lead development and implementation of ... market and payer data to inform engagement on reimbursement objectives. The Health Policy Executive Director will regularly update via written and oral… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Gilead Sciences, Inc. (Washington, DC)
- …and help create possible, together. **Job Description** **KEY RESPONSIBILITIES** The Senior Director , Quality Policy and Advocacy is a recognized expert both ... business externally and will be focused on influencing while developing and advocating policy positions (internally and externally) for Quality Policy issues in… more
- Humana (Washington, DC)
- …Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Amgen (Washington, DC)
- …million patients worldwide. It's time for a career you can be proud of. Regulatory Policy and Intelligence - US Director **Live** **What you will do** Let's do ... this. Let's change the world. Global Regulatory Policy team engages regulators, industry and professional associations, and patient advocates externally and subject… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ... (Part D & B). The Medical director work assignments involve moderately complex...value based care in accordance with Medicare and Humana policy . All work occurs within a context of regulatory… more
- Elevance Health (Washington, DC)
- …+ Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation. **Mimimum Requirements:** + ... **Clinical Operations Medical Director ** **Carelon Medical ...onboarding and skill development. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable… more
- Philips (Washington, DC)
- The Regulatory Science & Policy Director is responsible for guiding the analysis of global regulatory requirements, policies and industry standards to identify ... with regulatory bodies, industry organizations, and key stakeholders to influence policy development and advocate for Philips' interests. + Monitors changes in… more
- GRAIL (Washington, DC)
- …and healthcare companies. For more information, please visit grail.com . As the Policy and Reimbursement Lead reporting to the Vice President of Government Affairs, ... Policy & Alliance Development and working closely with highly...coverage. + Coordinate with internal stakeholders across Commercial, HEOR, Medical Affairs, Regulatory Affairs, and Marketing to enhance support… more
- Elevance Health (Washington, DC)
- **Plan Performance Medical Director ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... locations can be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...is granted as required by law. The **Plan Performance Medical Director ** serves as a lead clinician… more
- Elevance Health (Washington, DC)
- **Behavioral Health Medical Director - Psychiatrist - District of Columbia (aka Washington DC) Medicaid** **Location:** This role requires associates to be ... distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...Fulltime, regular business hours. No weekends. The **Behavioral Health Medical Director ** is responsible for reviewing cases… more
- Sumitomo Pharma (Washington, DC)
- …a dynamic, highly motivated, and experienced individual for the position of **Associate** ** Medical Director , Clinical Development - Oncology** . The associate ... medical director is responsible for the leadership, development, and management...in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays… more