• Medicaid /CHIP Eligibility Assistant…

    Serco (Washington, DC)
    …apply now (https://careers-sercous.icims.com/jobs/63797/ medicaid -chip-eligibility-assistant-program- director ... **Position Description** Serco is seekinga motivated Assistant Program Director for Eligibility Review to join our talented and fast-paced Public Sector Solutions… more
    Serco (04/17/24)
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  • Medicaid /CHIP Data Processing Review SME

    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 ... PERM review contract which includes collection of state eligibility policies and medical records; eligibility reviews, medical reviews, and data processing… more
    Serco (04/17/24)
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  • Medicaid /CHIP Data Processing Review…

    Serco (Washington, DC)
    …**In this role, you will:** + Be in direct communication with the Program Director , Assistant Program Director for Medical Claims Review, Data Processing ... of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's Health Insurance Program (CHIP) improper payment estimates as… more
    Serco (04/17/24)
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  • Broker Relationship Manager (MD/ DC )

    Humana (Baltimore, MD)
    …external market engagement and sales strategy in coordination with the Director , local markets, tele-sales executives and account executives, including all sales ... limits + **Must reside or be willing to relocate to the Baltimore/Washington DC area** **Preferred Qualifications** + Bilingual with the ability to speak, read and… more
    Humana (04/18/24)
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  • Health Policy Medical Claims Assistant…

    Serco (Washington, DC)
    **Position Description** Serco is seekinga motivated Assistant Program Director for Medical Claims Review to join our talented and fast-paced Public Sector ... of corrective actions based on findings. The Assistant Program Director for Medical Claims Review would be...medical records; + Preferably three years working in Medicaid and/or CHIP at a state or national level… more
    Serco (04/17/24)
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  • Program Director

    Serco (Washington, DC)
    …and aspect of the PERM contract. + Oversee performance of the eligibility, medical and claims reviews for estimating Medicaid and CHIP improper payments ... **Position Description** Serco is seekinga motivated Program Director to join our talented and fast-paced Public...medical record + Preferably five years working in Medicaid and/or CHIP at a state or national level… more
    Serco (04/17/24)
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  • Managing Medical Director , UM…

    Elevance Health (Columbus, OH)
    …check, or 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...Clinical Operations team is looking to hire a **Managing Medical Director ** to manage a team of… more
    Elevance Health (04/24/24)
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  • Senior Director , Reimbursement Policy

    Gilead Sciences, Inc. (Washington, DC)
    …Join Gilead and help create possible, together. **Job Description** **Senior Director , Reimbursement Policy** **Overview** **The Senior Director , Reimbursement ... on both federal and state-level** **public programs like Medicare and Medicaid ** **.** **The scope of responsibilities will include identifying reimbursement policy… more
    Gilead Sciences, Inc. (04/05/24)
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  • Director , Product Development

    Universal Health Services (Reno, NV)
    …Learn more at: https://prominence-health.com/ Job Summary: The Prominence Product Development Director plays a pivotal role in the development, organization, and ... Reporting directly to the Chief Development Officer, the Product Development Director will provide essential support to the organizational business teams in… more
    Universal Health Services (04/13/24)
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  • Director , US Therapeutic Area Policy,…

    Gilead Sciences, Inc. (Foster City, CA)
    …company that discovers, develops, and commercializes innovative therapeutics in areas of unmet medical need. The company's mission is to advance the care of patients ... 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
    Gilead Sciences, Inc. (04/13/24)
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  • Director , Graduate Medicine Education

    Howard University Hospital (Washington, DC)
    …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 ... and positive patient outcomes. Howard University Hospital seeks to hire a GME Director who will be r esponsible for the operations and administrative management of… more
    Howard University Hospital (04/02/24)
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  • Director of Clinical Services

    Universal Health Services (Champaign, IL)
    …also offer activity and recreational therapy, psychoeducational groups and medical intervention services. www.pavilionhospital.com Position Summary: The Director ... Assistance! The Pavilion is seeking a talented and dynamic Director of Clinical Services to join our team of...by professional bodies, the Joint Commission and the Certified Medicaid Services (CMS). Provides direct clinical services to patients… more
    Universal Health Services (03/29/24)
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  • Director of Residential Treatment Center

    Universal Health Services (Champaign, IL)
    …Behavioral Health is seeking a talented and dynamic Residental Treatment Center Director to join our team of dedicated healthcare professionals! The Pavilion ... and family therapy. Activity and recreational therapy, psychoeducational groups and medical intervention are also provided. Interested candidates can complete an… more
    Universal Health Services (04/12/24)
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  • Director , Corporate Strategy

    Humana (Louisville, KY)
    …and operationalize their strategies and solve complex business problems. As Director , Corporate Strategy, you will provide strategic guidance and thought leadership ... or provider segments **Location:** + Louisville, KY or Washington, DC + The Strategy Operations team follows a hybrid...and smart healthcare decisions for you and your family: Medical , dental, and vision benefits, Health plan incentives, Paternity… more
    Humana (04/24/24)
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  • Director , Strategy Advancement

    Humana (Columbus, OH)
    …to address healthcare opportunities and challenges with technology-enabled solutions. As a Director in our team you'll enable Humana leaders as they leverage modern ... Work Style - Preferred location would be based in Arlington, VA; Washington, DC - East Coast working hours. **Primary responsibilities** + Create a clear strategy… more
    Humana (03/09/24)
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  • Policy Specialist - Medical Review

    Serco (Washington, DC)
    …The candidate in this position ideally brings strong subject matter expertise in medical review policies, particularly for the Medicaid and Children's Health ... in direct communication and support of the Assistant Project Director for Medical Review and Medical...Review Manager to support key aspects of the PERM Medical Claims Review. + Track federal Medicaid more
    Serco (04/17/24)
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  • Market Chief Medical Officer (CMO),…

    AmeriHealth Caritas (Washington, DC)
    …efficient care. Direct reports of the Market CMO currently include: + Behavioral Health Medical Director The Market CMO role is an in-office role with ... Medical Officer (CMO), District of Columbia** Location: Washington, DC Primary Job Function: Medical Management ID**:...is required. Managed care organization leadership experience as a Medical Director or CMO role preferred. +… more
    AmeriHealth Caritas (02/13/24)
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  • Eligibility Review Manager

    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 ... PERM review contract which includes collection of state eligibility policies and medical records; medical reviews, data processing reviews, and eligibility… more
    Serco (04/17/24)
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  • Eligibility Policy Analyst

    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 ... PERM review contract which includes collection of state eligibility policies and medical records; medical reviews, data processing reviews, and eligibility… more
    Serco (04/17/24)
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  • Health Policy Senior Project Consultant/Advisor

    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 ... PERM review contract which includes collection of state eligibility policies and medical records; medical reviews, data processing reviews, and eligibility… more
    Serco (04/17/24)
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