- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Utilization Management (UM) Director , Clinical Strategy and Practice for Medicaid ... of how organization capabilities interrelate across the function or segment. The Utilization Management (UM) Director , Clinical Strategy and Practice… more
- Trinity Health (Silver Spring, MD)
- … review, or a similar area. + Strong knowledge of payer mechanisms, utilization management , and regulatory requirements. + Proven ability to lead through ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Director of Care Management ** **Holy Cross... develops, organizes, and leads an integrated, hospital-wide care management program to optimize resource utilization , care… more
- Evolent (Annapolis, MD)
- …classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + Acts as ... for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of...reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with… more
- Evolent (Annapolis, MD)
- …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… 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 in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
- Genesis Healthcare (Mitchellville, MD)
- …Area Director ). 11. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and ... management of the rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient… more
- Maryland Department of Transportation (Anne Arundel County, MD)
- Director of Commercial Management (DOT EXECUTIVE VI) Salary $142,465.00 - $176,552.00 Annually Location Anne Arundel County Job Type Full Time Remote ... you to consider our aviation family for your career. This position is the Director of Commercial Management (DOT Executive VI) within the Office of Commercial… 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 in ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Humana (Annapolis, MD)
- …Medical Director , depending on size of team or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Evolent (Annapolis, MD)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National … more
- Evolent (Annapolis, MD)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National … more
- Terumo Medical Corporation (Elkton, MD)
- Director , Project Management Date: May 22, 2025 Req ID: 4806 Location: Elkton, MD, US Company: Terumo Medical Corporation Department: PM&PD Management Terumo ... shape wherever we go next!** **_Advancing healthcare with heart_** **Job Summary** The Director , Project Management is responsible for leading and overseeing all… more
- United Therapeutics (Annapolis, MD)
- …is innovative and inspiring where you can truly make a difference. The Regional Field Director , RNS Program Management serves as a director of all clinical ... the commercial non-promotional team. In addition, the Regional Field Director , RNS Program Management will: + Serve...initiation of a UT product, adverse effect mitigation, device utilization , and dosing upon request + Support the Clinical… more
- Grant Thornton (Baltimore, MD)
- …to share strategy, to implement process improvements and to roll out capacity management strategies to maximize utilization and drive operational excellence + ... Grant Thornton is seeking an Advisory Capacity & Resource Management (C&RM) Leader to join the team. Approved office...on yearly budget planning for headcount, gross charge hours, utilization , and leverage. You will lead your team to… more
- ICF (Annapolis, MD)
- Description **PROJECT DIRECTOR , Grants Management ** ICF seeks a motivated and experienced Project Director to manage a large government contract that ... on a national level. + Knowledge of federal grants financial management statutes, regulations and policy. + This position requires a deep understanding of… more
- Sysco (Jessup, MD)
- **Position Summary:** The Director of Local Sales is a member of the senior sales leadership team. This position will be included in all strategic planning, ... leadership team will consist of the VP, Region Sales, Director , Local Sales, Director , New Business Development,...represents an escalation of skills and ability from sales management to sales leadership. Through the senior sales leadership… more
- Humana (Annapolis, MD)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Evolent (Annapolis, MD)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... Surgery you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National … more
- Evolent (Annapolis, MD)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. . ... Oncology, you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National … more
- Maryland Department of Transportation (Baltimore City County, MD)
- Deputy Director Bus Transportation Salary $89,913.00 - $145,151.00 Annually Location Baltimore City Job Type Full Time Job Number 0939-MTA-0125- Dep Dir Bus ... Date 01/28/2025 + Description + Benefits Description Maryland Transit Administration Deputy Director Bus Transportation (DOT Administrator VII - 0939) Office of Bus… more