- Humana (Washington, DC)
- … Director relies on medical background and reviews health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Evolent Health (Washington, DC)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a key member of the utilization ... for acting as a clinical liaison to providers and clients as directed by the office of the Chief Medical Officer. While leading a team of Orthopedic and Spine… more
- National Labor Relations Board (Washington, DC)
- Summary This position is located in the Office of Representation Appeals , which reports to the office of the Board's Chairman. The Board is responsible for ... of this position serves as senior counsel in the Office of Representation Appeals . Responsibilities As a...exhibits, together with the Hearing Officer's or the Regional Director 's; decision and appeals and briefs of… more
- Office of the Director of National Intelligence (Mclean, VA)
- …guidance to defend the NIP budget at hearings , meetings, and other public Office of the Director of National Intelligence (ODNI) fora. Lead, manage, and ... to leadership. Demonstrated experience working across the Intelligence Community and the Office of the Director of National Intelligence. Demonstrated expert… more
- Office of the Director of National Intelligence (Mclean, VA)
- …guidance to defend the NIP budget at hearings , meetings, and other public Office of the Director of National Intelligence (ODNI) fora. Lead, manage, and ... to leadership. Demonstrated experience working across the Intelligence Community and the Office of the Director of National Intelligence. Demonstrated expert… more
- Prime Therapeutics (Washington, DC)
- …request by phone or fax. + Provides clinical rationale for standard and expedited appeals . + Provides assistance and act as a resource to Initial Clinical Reviewers ... guidelines. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a...On a requested basis, reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + On… more