- Humana (Washington, DC)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- Humana (Washington, DC)
- … management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
- Humana (Washington, DC)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- Microsoft Corporation (Washington, DC)
- …of those assets. We are looking to fill the critical role of Procurement Director for the Americas region. In alignment with our Microsoft values, we are committed ... and compliance through supplier selection, supplier selection and award, and contract management . ** Procurement + Leads a team of leaders who create, align,… more
- AeroVironment (Washington, DC)
- **Worker Type** Regular **Job Description** **_Summary_** The ** Director , Government Accounting Compliance** serves as the subject matter expert on government cost ... and CAS) and point of contact between the Company and Defense the Contract Management Agency (DCMA) and Defense Contract Audit Agency (DCAA) related to cost rates… more
- UIC Government Services and the Bowhead Family of Companies (Springfield, VA)
- …Business Line and our Army Cyber market operations. As a Business Development Director , you will be responsible for brand awareness, building, managing, and maturing ... or equivalent combination of education plus five (5) years operations/project management experience and/or business development experience in a government setting. *… more
- Takeda Pharmaceuticals (Washington, DC)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
- Total Civil Construction & Engineering, LLC (Lanham, MD)
- Job Summary The Director of Human Resources is responsible for developing strategies to cost-effectively manage the human resources. Based upon market trends, ... on full-cycle staffing and retention, employee relations, training/development, Change Management , total rewards, and compliance Acts as primary liaison with… more
- Medtronic (Washington, DC)
- …a more connected, compassionate world. **A Day in the Life** The IP Director , Neuromodulation will be responsible for (a) leading, mentoring and developing a ... advice and strategic direction on key IP issues, and (c) strategic management of the Neuromodulation patent portfolio to support the business's growth initiatives… more
- Guidehouse (Arlington, VA)
- …areas: + Project governance, eg organizational and process aspects + Risk management and analysis, eg risk register, quantitative (probabilistic) risk modeling, root ... cause analysis, issue management , prudency reviews + Construction project management ...common commercial terms, procurement processes, administration, scope control, construction claims + Performance metrics and project reporting + Project… more
- General Dynamics Information Technology (Fairfax, VA)
- …The NCMMIS program built and operates the NC Tracks system, a multi-payer claims adjudication system for the State of North Carolina, and is the Medicaid ... through collaboration with customer executives using the contractual change management process, and handle performance escalations from program stakeholders. This… more
- HomeSafe Alliance (Washington, DC)
- **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... directly or through PPM options + Provide consolidated oversight and management of coordinators under supervision + Monitor international operations performing… more
- Amentum (Washington, DC)
- …Budget and Evaluation (OPBE), US Treasury and Congressional statute. Monitor daily Claim Management System (CMS) payment reports for: paid claims data import ... VCF teams and, under the supervision of the Deputy Director , this position will manage processes related to the...Department of Treasury for payment + Monitor daily Claim Management System (CMS) payment reports for: paid claims… more
- WTW (Arlington, VA)
- …Risk and Broking** Segment. The business supports an integrated approach to risk management by advancing "the analytical broker". Simply put, our purpose is to ... reduce the likelihood of claims and reduce the cost of incidents when they...Role** We have an exciting opportunity as an Associate Director within our **North America Enterprise Risk Consulting** practice,… more
- Evolent Health (Washington, DC)
- …Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for processing ... medical treatment requests in accordance with departmental policies, regulatory...contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, Intake Utilization … more
- Prime Therapeutics (Washington, DC)
- …with data consolidation and modeling + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + ... with business partners across client facing divisions, product/ project management , analytics, operations, and IT to enable data-driven strategic decisions.… more
- Prime Therapeutics (Washington, DC)
- …and program impact measurement using eligibility, medical , and pharmacy administrative claims and external data, (eg, care management , disease management ... advanced scientific model design, including advanced predictive modeling, with health claims data, applying statistical theories and methods to solve complex… more
- Intermountain Health (Washington, DC)
- …Director of Physician Compensation, Manager of Physician Compensation, Medical Group, region/market, service line, Provider Recruiting, Professional Staff ... of compensation programs and performs other duties as assigned by the Director - Physician Compensation and/or Physician Compensation Manager. **Skills** + Attention… more
- Intermountain Health (Washington, DC)
- …a liaison in order to facilitate the prompt resolution of complex benefit, claims or enrollment issues for external, internal and team contacts. Handles service ... the task resolution process in Salesforce by utilizing task management with other departments and complaint tasks to seek...Assists in the design of marketing literature for unique medical and dental plans. SALES SYSTEMS: Is committed to… more
- Fujifilm (Washington, DC)
- …limited management oversight. The position will report to the Director of Corporate Compliance. **Duties and responsibilities** + Develop and implement elements ... needs of healthcare across prevention, diagnosis, and treatment. Fujifilm's medical imaging portfolio includes solutions for digital radiography, mammography,… more