- 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
- Humana (Annapolis, MD)
- …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 (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 an ... community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The… more
- Humana (Annapolis, MD)
- …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
- Under Armour, Inc. (Baltimore, MD)
- Director , User Experience ** Director , User Experience** **Values & Innovation** At Under Armour, we are committed to empowering those who strive for more, and ... Career Site Here. (https://performancemanager8.successfactors.com/sf/careers/jobsearch?bplte\_company=ua&\_s.crb=aNMP8gWoYkBDFn%252bz2BldysgcgQHZpVs6tHzE9smSuXE%253d) **Purpose of Role** The Director , User Experience will lead the design strategy… more
- Highmark Health (Annapolis, MD)
- …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 (Annapolis, MD)
- …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
- NTT America, Inc. (Baltimore, MD)
- …review deliverables and processes for quality and completeness + PMI Certified Associate in Project Management (CAPM) or Project Management Professional ... **Req ID:** 343399 NTT DATA strives to hire exceptional, innovative and passionate...of business requirements + Minimum of 5 years Medicaid Management Information System (MMIS) APD development and… more
- Johns Hopkins University (Baltimore, MD)
- …Advanced + Oral and Written Communications: Advanced + Process Improvement: Advanced + Project Management : Advanced + Risk Analysis: Advanced + Risk Control: ... on assigned management committees and speak for department when Executive Director Internal Audits, Associate Directors and Chief Audit Officer are not present.… more
- Cardinal Health (Annapolis, MD)
- …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
- Northrop Grumman (Linthicum Heights, MD)
- …a modern automated or semi-automated new semiconductor manufacturing line. + Strong project management and organizational skills. + Excellent communication and ... oversee implementation of approved changes within a structured change management team. **What You'll get to Do:** + Evaluate...in operating process and metrology tools, gathering, and analyzing data . + Must be able to work independently, providing… more
