- Molina Healthcare (Alexandria, VA)
- …gerontology, public health or social work or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or ... **JOB DESCRIPTION** For this position we are seeking a Case Manager who lives in VIRGINIA and...year of professional experience. **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care… more
- Molina Healthcare (Reston, VA)
- …of Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or ... candidates who live in the Northern region of Virginia. Case Manager will work in remote and...Bachelor's Degree in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care… more
- Elevance Health (Washington, DC)
- …**Schedule:** 8:30 AM - 5:00 PM. Monday through Friday. The **Nurse Case Manager I** is responsible for performing care management within the scope of ... **Nurse Case Manager I** **Location:** 609 H...management experience is strongly preferred. + 1-2 years of managed care and/or case management… more
- Elevance Health (Hanover, MD)
- …in multiple states. + AS or BS in nursing preferred. + Certification as a Case Manager is preferred. Participation in the American Association of Managed ... Care Nurses preferred. + Prior managed care experience preferred. + Knowledge of medical management process...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Arlington, VA)
- …programs for autism and depression, and insightful analytics to improve the delivery of care .** **BH Case Manager II** Responsible for performing case ... broad range of complex psychiatric/substance abuse and/or medical disorders. + Managed care experience required. **Preferred Skills, Capabilities and… more
- Capital One (Mclean, VA)
- Locations: VA - McLean, United States of America, McLean, Virginia Manager , Product Management - Case Automation Platform (US Card) **Product Management at ... You'll obsess over risks to iterate faster in a well- managed way for the immediate team + **Technology Driven**...prioritize your work. + **Passionate & Customer Focused.** You care about growing others and bringing them together around… more
- Elevance Health (Arlington, VA)
- …Skills, Capabilities, and Experiences:** + Understanding of the basic principles of managed care and the concepts of publicly financed health insurance ... **Community Health Care Caser Worker** **Location: Field based in Prince...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- AmeriHealth Caritas (Washington, DC)
- …Minimum of years of case management experience supporting Medicaid members within a managed care organization preferred. + Must be willing to meet face to ... **Bilingual (Spanish/English) Care Manager II, BSN/LICSW (Metro DC...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more
- Humana (Washington, DC)
- …2 years of leadership experience + Knowledge of Milliman or InterQual + Managed care experience + Certified Case Manager (CCM) **Work at Home Guidance** ... a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse Assistant 3, performs in a telephonic environment providing… more
- Takeda Pharmaceuticals (Washington, DC)
- …true to the best of my knowledge. **Job Description** Join Takeda as a Manager of Payer Contracting. Where you will lead the development and implementation of ... will also act as the key business partner with Managed Markets, Legal and Finance to guide the evaluation...evaluation of new commercial opportunities; Participate in the business case process to review the opportunities and assist in… more
- AmeriHealth Caritas (Washington, DC)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... supervision of the Market Clinical Director, Population Health, the Manager of Integrated Case Management (ICM) is...teams. + Minimum of 2 years of experience in managed health care preferred. + Minimum of… more
- CDM Smith (Rockville, MD)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- Lumen (Washington, DC)
- …digitally connect the world and shape the future. **The Role** The Lead Project Manager will be responsible to lead cross functional teams in the planning and ... of all public sector (primarily SLED) telecom projects. The Lead Project Manager must successfully implement and support projects, such as proposal support, project… more
- Merck (Washington, DC)
- **Job Description** The Account Executive (Strategic Account Manager ) is responsible for driving revenue through strategic sales execution and key account planning. ... The Strategic Account Manager (SAM) will provide an understanding of customer goals,...management experience at the national and/or global level + Managed a customer generating $10M of annual revenue +… more
- Microsoft Corporation (Springfield, VA)
- We are looking to hire a Consulting Project Manager to join Microsoft Federal. Microsoft is on a mission to empower every person and every organization on the planet ... track and major issues are being anticipated, identified, and managed . Supports new customer opportunities in partnership with Sales...kick-off meetings) and may act as a lead project manager . Proactively engages broad set of internal and external… more
- Deloitte (Mclean, VA)
- …experience + Bachelor's Degree Required + 3 years' + experience with Medicaid managed care capitation rate development and/or fee-for-service rate development + ... Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance...be a part of the transformation of the health care sector. Deloitte's health actuaries are participating in the… more
- IBM (Washington, DC)
- …Refugee Admissions Program (USRAP), which is primarily implemented via PRMs refugee case processing system called START. PRM also engages with other USRAP partners ... the Immigration and Nationality Act (INA) are processed through the USRAP, which is managed by the Department of State in cooperation with the Department of Homeland… more
- Exelon (Washington, DC)
- …scope, schedule, budget projects and programs. Leads project teams through business case / funding approval process, initiation, execution and project closeout in ... organizational initiatives. (25%) + Ensures project costs, schedule and scope are managed , including the development of recovery plans, to stay within approved… more
- Highmark Health (Washington, DC)
- …degree Preferred + None **EXPERIENCE** Required + 5 years of clinical or managed care experience Preferred + Health insurance experience **LICENSES OR ... Support the clinical management team to assure that there are clear expectations for Case Managers & Disease Managers as it relates to specific models and client… more
- Prime Therapeutics (Washington, DC)
- …Registered Nurse (RN). + 5 years of post-degree clinical experience. + Experience in managed care , specialty drugs, care management and utilization review. + ... financial and clinical considerations with members who are considering care at a higher cost treatment site, researches available...for drug services. + Will actively maintain a required case load and the activities to reach overall goals… more