- Humana (Washington, DC)
- …community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new delivery models. ... Maintains efficient operations while ensuring attainment of quality of care and...work is performed without direction. The Behavioral Health Medical Director actively uses their medical background, experience, and judgement… more
- Prime Therapeutics (Washington, DC)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Director Clinical Account Services DC Sole Source - Remote DC **Job Description ... + 5+ years of experience in Pharmacy Benefits Management (PBM), Health plan or Medicaid clinical customer service. + Working knowledge of MS Office Suite and… more
- Organon & Co. (Washington, DC)
- **Job Description** **The Position** The Director , Government Public Policy will report to the Chief Government Affairs and Policy Officer, working directly with the ... General Counsel's office to accomplish meaningful priorities and goals. The Director will pursue solutions-oriented approaches to healthcare policy analysis and… more
- Prime Therapeutics (Washington, DC)
- …+ Builds successful relationships with internal customers (ex. Finance, Accounting, Rebate Operations , Clinical and Account Management Staff). + Serves as ... our passion and drives every decision we make. **Job Posting Title** Sr Director , Value Based Pricing - Preferably on the West Coast **Job Description Summary**… more
- Humana (Washington, DC)
- …highly motivated and self-driven individuals to join our team. As an Associate Director , Partner Channel Inside Sales, you will support Humana's production goals by ... candidates with multilingual skill sets to service our consumers. The Associate Director , Partner Channel is tasked with achieving regional sales targets by leading… more
- Somatus (Mclean, VA)
- …and mental well-being + Community engagement opportunities + And more! The Director , Medicare Risk Adjustment (MRA) will lead the execution strategy and ... of the organization's Risk Adjustment Programs to optimize the programs' clinical benefit, financial accuracy and ensure program compliance with governing bodies'… more
- Trinity Health (Gaithersburg, MD)
- …collaborating with the TH PACE VP of Sales and Enrollment and the TH PACE Director of Marketing as they build and implement annual marketing plans which align with ... including but not limited to, Center for Medicare and Medicaid Services and the State Administering Agency. Prepare reports...all marketing materials as directed by the TH PACE Director of Marketing and as required by various regulatory… more
- Gentiva (Fairfax, VA)
- …the day to day operations of your assigned hospice site, administering the clinical aspects of the hospice program and for ensuring the provision or quality of ... RN - Hospice - FT** **10K SOB!!** You will report directly to the Executive Director , Administrator, or Senior Patient Care Manager. You will be responsible for… more
- Prime Therapeutics (Washington, DC)
- …and ability to adjust focus **Reporting Structure** + Reports to Supervisor, Manager, or Director in the Clinical Operations , Supply Chain, Contact Center or ... Suite and relevant business unit systems (eg RxClaims in Clinical Operations ) + Ability to meet tight...+ Knowledge of, or experience with Medicare Part D, Medicaid , Commercial or HIM lines of business + Experience… more
- VHC Health (Arlington, VA)
- …sustainable improvements. These components along with knowledge and experience of frontline clinical operations will provide structure and oversight to improve ... organization in four essential domains which include Patient Safety, Clinical Quality Management, Regulatory Compliance, and Performance Improvement. In conjunction… more