- Newlab Careers (Brooklyn, MD)
- …and real-time visibility across the organization Oversee enterprise risk management , ensuring robust insurance programs, fraud controls, and mitigation of ... experience International finance experience Compensation Base of 175,000-220,000 Eligible for bonus program Comprehensive benefits ( medical , dental, vision) In-office… more
- Home Care Evolution (Bowie, MD)
- …with care managers, caregivers, office staff, clients, family members and other medical professionals about client's needs and concerns Consults with the Clinical ... Director regarding the supervision of services Provides training to...mentor caregivers Comfort with technology; prior experience with electronic medical records preferred Ability to drive and travel to… more
- CapitolHill Consortium for Counseling & Consultation LLC (Upper Marlboro, MD)
- …welcoming demeanor. Promptly respond to referral outreach from partners like One Medical , Women's Comp Health, and more. Uphold our commitment to timely ... by addressing emails, voicemails, and faxes within 24 hours. Clinician Schedule Management Maintain schedules for a group of clinicians Ensure seamless communication… more
- Franklin Group (Baltimore, MD)
- …Resident Service Coordinator works in conjunction with the Community Manager(s) and other management staff to empower residents to positively age in place and remain ... AND RESPONSIBILITIES include the following but are not limited to: Case Management *Provides general assistance related to supportive, social services and activities… more
- Home Care Evolution (Ellicott City, MD)
- …and when called to do so. Report to: Reports to the Owner/CEO/Executive Director / Director of Business Operation Knowledge, Skills, and Abilities Required Staff ... managers, caregivers, office staff, clients, family members, and other medical professionals about client's needs and concerns 8. Makes...and all hiring decisions will be made by the management of this agency. All inquiries about employment at… more
- Highmark Health (Annapolis, MD)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care… more
- Humana (Annapolis, MD)
- …reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those within the medical ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Evolent (Annapolis, MD)
- …accountability for utilization management while working in conjunction with the Senior Medical Director . May assist the Senior Medical Director ... Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management , you will be a key member of the...process. + On a requested basis, may function as Medical Director for selecting health plans or… more
- Humana (Annapolis, MD)
- … 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 relies on medical background and reviews health claims. The … more
- Humana (Annapolis, MD)
- … medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Humana (Annapolis, MD)
- … 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 relies on medical background and reviews health claims. The … more
- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- CenterWell (Annapolis, MD)
- …a part of our caring community and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical leadership position ... polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy… more
- Evolent (Annapolis, MD)
- …non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... utilization management while working in conjunction with the Senior Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical… more
- Otsuka America Pharmaceutical Inc. (Annapolis, MD)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible ... , Franchise Lead CNS Early Assets. **Position Summary:** The Medical Director , Global Medical Affairs,...for any assigned assets in development. + Support lifecycle management initiatives and planning for assigned assets as applicable.… more
- Evolent (Annapolis, MD)
- …for utilization management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** + MD/DO/MBBS Degree + ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key...Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On… more
- Evolent (Annapolis, MD)
- …for utilization management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** + MD/DO/MBBS- Required ... **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key...Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On… more
- Parexel (Annapolis, MD)
- …Parexel!** In anticipation of future needs, we are seeking an additional Associate / Medical Director to join Parexel's highly recognized Medical Sciences ... Immunology and Inflammation Therapeutic Franchise! As an Associate / Medical Director , you will work closely with...protocol Note that this does not include any direct medical advice on patient care or management … more
- Humana (Annapolis, MD)
- …a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... and preservice appeals. The Corporate Medical Director works on problems of diverse...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with… more
- Parexel (Annapolis, MD)
- …Patients First, Quality, Respect, Empowerment & Accountability. **Parexel is looking for a Medical Director with a very strong background in Ophthalmology to ... remo** t **ely in the US or Canada.** The Medical Director is a medical ...counterparts + Client-focused approach to work + Excellent time management skills + Excellent verbal and written medical… more
