- Abt Global Inc. (Rockville, MD)
- …teams and drive project success in a government contracting environment. + CMS contract and data experience required + Strong analytical and problem-solving ... meaningful work? Now's your chance. **The Opportunity** As a Project Director you will lead and manage...data from the Provider Enrollment Chain and Ownership System (PECOS) + Other CMS administrative … more
- Abt Global Inc. (Rockville, MD)
- …research projects, ensuring alignment with CMS objectives. + Keep the Project Director informed of progress, challenges, and accomplishments. + Anticipate ... using Medicare claims data (FISS, MCS, VMS, CWF), provider enrollment data (PECOS), and other CMS administrative datasets. + Interpret Medicare A/B/C/D… more
- NORC (Washington, DC)
- …decision makers can trust. **RESPONSIBILITIES:** + Serving as program area and project director with significant responsibilities on complex scientific and/or ... Databases) + Superior analytic skills, including well-developed problem-solving skills, data analysis, time management , personal organization, attention to… more
- CenterWell (Washington, DC)
- …toadaptand the courage to innovate. **Additional Information** Will report to the Director of Physician Strategy at Utilization Management . The Medical ... community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The… more
- Humana (Washington, DC)
- …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The… more
- 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 in an ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The… more
- Humana (Washington, DC)
- …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 to complex issues...to complex issues where the analysis of situations or data requires a case by case consideration of the… more
- Highmark Health (Washington, DC)
- …SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current ... be required. The incumbent ensures compliance to NCQA, URAC, CMS , DOH, and DOL regulations at all times. In...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- Highmark Health (Washington, DC)
- …timelines + Proficient in MS Office suite, including Word, Excel, PowerPoint and project management software + High level of autonomy and self-direction, to ... Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved… more
- Partnership for Public Service (Washington, DC)
- …candidate is skilled in WordPress, CSS, HTML and Javascript and possesses strong project management skills. Understanding the entire web development process from ... of new webpages, sites and apps. + Manages our data storage backend system , using Javascript with...lead the process and coordinates with external communication and project management leads to disseminate to target… more
- Cardinal Health (Washington, DC)
- …previous audit findings, management priorities, coding utilization patterns, national normative data , CMS and CCI initiatives, OIG work plans and advisories ... determines method for completion of new projects + Receives guidance on overall project objectives + Excellent time management , personal integrity and ability to… more
- Insight Global (Washington, DC)
- …demands a strong background in healthcare administration, operations, program development, and project management . Candidates with a proven record of driving ... experience required * Strong background in: ○ Healthcare administration ○ Operations ○ Project and program management ○ Critical thinking and execution *… more
- Guidehouse (Mclean, VA)
- …to shape decisions made from the data and report ROI; demonstrated project management skills + Proficiency in PowerPoint, Excel, LinkedIn, SEO/SEM, Copilot, ... events, and thought leadership. This role reports to the Director of Financial Services marketing. We are looking for...with a strong work ethic and excellent time and project management skills + Strong writing and… more