- Serco (Washington, DC)
- …of the PERM eligibility reviews, including eligibility review policies, business process; operations and contract deliverables, for estimating Medicaid and CHIP ... legally protected characteristics. Click here to apply now (https://careers-sercous.icims.com/jobs/63797/ medicaid -chip-eligibility-assistant-program- director /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834477830) **New to Serco?** Join our… more
- Elevance Health (Columbus, OH)
- …ask you for payment as part of consideration for employment. **Managing Medical Director , UM Clinical Operations ** + Job Family: MED > Licensed ... NY, MIDDLETOWN + LA, METAIRIE + MN, GILBERT + DC , WASHINGTON + GA, COLUMBUS + NV, LAS VEGAS...for our Musculoskeletal (MSK) Solution. (internal title: Manager Clinical Operations Medical Director ) Responsible for providing day-to-day… more
- Serco (Washington, DC)
- …IT systems, staffing and financial management; + Strong working knowledge of state Medicaid and CHIP policies, programs and operations . + Extensive expertise in ... **Position Description** Serco is seekinga motivated Program Director to join our talented and fast-paced Public Sector Solutions team in supporting CMS'… more
- Serco (Washington, DC)
- …the PERM medical and claims reviews, including review policies, business process; operations and contract deliverables, for estimating Medicaid and CHIP ... **Position Description** Serco is seekinga motivated Assistant Program Director for Medical Claims Review to join our talented and fast-paced Public Sector Solutions… more
- Organon & Co. (Olympia, WA)
- **Job Description** **The Position** The Director , Government Public Policy will report to the Chief Government Affairs and Policy Officer, working directly with the ... General Counsel's office to accomplish meaningful priorities and goals. The Director will pursue solutions-oriented approaches to healthcare policy analysis and… more
- Howard University Hospital (Washington, DC)
- …hire a GME Director who will be r esponsible for the operations and administrative management of the Graduate Medical Education (GME) Program, to include program ... of caring for our community and each other in the Washington DC area, Howard University Hospital has a world-renowned reputation for high-quality, patient-centric… more
- Gilead Sciences, Inc. (Foster City, CA)
- …life-threatening diseases worldwide. Headquartered in Foster City, California, Gilead has operations in North, South and Central America, Europe, Africa, Asia, and ... regardless of where they live or their economic status. ** Director , US Therapeutic Area Policy, Virology** The Director...US Therapeutic Area Policy and can be based in DC or Foster City, CA. **Responsibilities:** + Serve as… more
- Humana (Louisville, KY)
- …industry, preferably payer or provider segments **Location:** + Louisville, KY or Washington, DC + The Strategy Operations team follows a hybrid model, working ... leaders to prioritize strategic investments and execute strategic transformation. 'Strategy Operations ' is one of three teams within the Strategy organization, which… more
- VHC Health (Arlington, VA)
- Environmental Services Operations Manager Job Description Purpose & Scope: Operations Manager leads the work activities of cleaning personnel on an assigned ... with those of other hospital departments. Assist the Assistant Director in maintaining high quality standards of housekeeping within...(TM) has provided exceptional medical services to the Washington, DC metropolitan area for more than 75 years. A… more
- VHC Health (Arlington, VA)
- Business and Operations Coordinator Coordinator - Business and Operations Job Description Purpose & Scope: Under the supervision of the Patient Care Director ... (TM) has provided exceptional medical services to the Washington, DC metropolitan area for more than 75 years. A...a 5-star rating from the Centers for Medicare and Medicaid Services (CMS) and once again named a Leapfrog… more
- Serco (Washington, DC)
- …of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's Health Insurance Program (CHIP) improper payment estimates as ... reviews, data processing reviews, and eligibility reviews of selected state Medicaid and CHIP fee-for-services (FFS) and managed care claims; supporting state… more
- Serco (Washington, DC)
- …of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's Health Insurance Program (CHIP) improper payment estimates as ... reviews, data processing reviews, and eligibility reviews of selected state Medicaid and CHIP fee-for-services (FFS) and managed care claims; supporting state… more
- Serco (Washington, DC)
- …of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's Health Insurance Program (CHIP) improper payment estimates as ... medical reviews, data processing reviews, and eligibility reviews of selected state Medicaid and CHIP fee-for-services (FFS) and managed care claims; and supporting… more
- Serco (Washington, DC)
- …of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's Health Insurance Program (CHIP) improper payment estimates as ... reviews, data processing reviews, and eligibility reviews of selected state Medicaid and CHIP fee-for-services (FFS) and managed care claims; supporting state… more
- Universal Health Services (Reno, NV)
- …in 1993 and have expanded across Nevada, Texas, Florida, California, and Washington DC to serve over 200,000 customers and members with highly competitive plans, ... Job Summary: Under the direction of the Manager of Operations , the Appeals Specialist is responsible for ensuring the...resolution in accordance with the Centers for Medicare and Medicaid Services (CMS) and the state of Nevada Division… more
- Elevance Health (Columbus, OH)
- …generating letters for services denied by the Utilization Management (UM) Medical Director within established Centers for Medicare and Medicaid Services (CMS) ... Correspondence Representative Senior** + Job Family: CUS > Service Operations + Type: Full time + Date Posted:Apr 24,...VA, RICHMOND + FL, MIAMI + CO, DENVER + DC , WASHINGTON + NV, LAS VEGAS + MN, MENDOTA… more
- VHC Health (Arlington, VA)
- …support the daily operations for Department under the direction of the Director or Manager. Has the ability to prioritize work and have good personal ... (TM) has provided exceptional medical services to the Washington, DC metropolitan area for more than 75 years. A...a 5-star rating from the Centers for Medicare and Medicaid Services (CMS) and once again named a Leapfrog… more
- Trinity Health (Silver Spring, MD)
- …two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD **Description:** + Location: Silver Spring + Shift - Days ... coordinate department workload and operational issues + Coordinates with the Associate Director for process improvement, and quality assurance + Documents and shares… more
- VHC Health (Alexandria, VA)
- …supervision of staff, facility management, and support to physicians. Works closely with Director of Operations and Lead Physician to plan, direct, and ... (TM) has provided exceptional medical services to the Washington, DC metropolitan area for more than 75 years. A...a 5-star rating from the Centers for Medicare and Medicaid Services (CMS) and once again named a Leapfrog… more
- VHC Health (Arlington, VA)
- …Improvement. In conjunction with the AVP of Quality Resource Management and the Director of Quality and Patient Safety, provides leadership and support for a variety ... These components along with knowledge and experience of frontline clinical operations will provide structure and oversight to improve quality and patient… more