- Elevance Health (Washington, DC)
- …degrees of medical complexity and acuity. Participates in case and/or utilization management execution/decision making for managed member populations. Primary ... II HCMS is responsible for managing a team of physical and/or behavioral health practitioners in the development, implementation, and coordination of a comprehensive… more
- Elevance Health (Washington, DC)
- …responsible for appeals reviews within our Medicaid and Medicare programs.** The ** Behavioral Health Medical Director** is responsible for the administration of ... behavioral health medical services, to ensure the appropriate and...Director Associates. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical… more
- The Arora Group (Bethesda, MD)
- …Managers: Care Manager Certified (CMC) + Experience: + Referral Management / Utilization Management (RM/UM) experience. + Clinical subspecialty experience ... certifications: + Commission for Case Manager Certification Certified Case Manager (CCM) + Certification of Disability Management Specialists Commission:… more
- CenterWell (Washington, DC)
- …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... ER visits, readmissions, total cost of care, and reducing acute care utilization ). * Familiarity in integrated care management programs with primary… more
- Elevance Health (Arlington, VA)
- …The **Case Manager (Managed Care Coordinator)** is responsible for overall management of member's individual service plan within the scope of position, as ... **Case Manager (Managed Care Coordinator)** **MUST LIVE WITHIN 50...member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical… more
- Elevance Health (Fairfax, VA)
- …and insightful analytics to improve the delivery of care. The **ARTS Case Manager ** is responsible for overall management of member's individual service plan ... **Addiction (ARTS) Case Manager ** **MUST LIVE WITHIN THE TIDEWATER REGION** **(Accomack...member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical… more
- Ford Motor Company (Washington, DC)
- …is best-in-class. **In this position ** The Accessories eCommerce Merchandising Manager is responsible for deeply understanding customer needs and optimizing the ... business value daily by pulling, analyzing, and translating web analytics and behavioral data into actionable insights to enhance sales, conversion, and customer… more
- Ford Motor Company (Washington, DC)
- …is best-in-class. **In this position ** The Non-Vehicle eCommerce Operations Senior Manager is responsible for deeply understanding B2C and B2B Parts and Accessories ... efficiency and customer satisfaction by pulling, analyzing, and translating analytics and behavioral data into actionable insights with forecasted values for each to… more
- Amentum (Arlington, VA)
- …are interested in personnel with technical managerial, and/or financial management experience supporting Government technology development projects, preferably in ... devices, diagnostics, and digital health domains + Software development and management + Electronic Health Record and Cybersecurity, redundant backup system,… more
- CenterWell (Washington, DC)
- …health and full-risk frameworks, including patient engagement, clinical professional skillsets, utilization management , care management , clinical information ... the complex needs of seniors and improve health outcomes and avoidable utilization (eg, palliative care, post-acute care, transitions of care) at a population… more
- Amentum (Arlington, VA)
- …are interested in personnel with technical managerial, and/or financial management experience supporting Government technology development projects, preferably in ... devices, diagnostics, and digital health domains + Software development and management + Electronic Health Record and Cybersecurity, redundant backup system,… more
- CenterWell (Washington, DC)
- …optimal patient care, high quality health outcomes, and improved cost and utilization in pharmacy-related care, and serve as a national clinical program leader ... This role reports to the National Director, High Risk Patient Management . Responsibilities will include: + Lead comprehensive clinical pharmacy service development,… more