- Humana (Annapolis, MD)
- …of providing frameworks to maximize available resources to achieve growth. The ** Director ,** ** Medicaid Insurance Product Management and Wellness Strategy** will ... Strategy -Participates in capture planning and proposal development process for Medicaid growth opportunities to create a differentiated value proposition… more
- Humana (Annapolis, MD)
- …community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... Health Medical Director work assignments involve moderately complex to complex issues...internal teaching conferences, and other reference sources * Learns Medicaid requirements and understands how to operationalize this knowledge… more
- Humana (Annapolis, MD)
- …a part of our caring community and help us put health first** The Associate Director , Security Architecture will play a key role in implementing security ... frameworks to ensure the enterprise can achieve the enterprise security strategy. The Associate Director , Security Architecture will play a key role in… more
- Humana (Annapolis, MD)
- …community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral ... Health Medical Director work assignments involve moderately complex to complex issues...Health Medical Directors will learn Medicare, Medicare Advantage and/or Medicaid requirements, and will understand how to operationalize this… more
- Humana (Annapolis, MD)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Annapolis, MD)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Humana (Annapolis, MD)
- …enjoy working in a team-based environment. Medical Directors support Humana value throughout all activities. **Responsibilities** The Medical Director provides ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Director , Pharmacy Government Programs is responsible for implementing the organization's pharmacy vision and strategic plan ... for government programs (Medicare and Medicaid ). This role has oversight of pharmacy staff and...stakeholders including external vendors to ensure effective operations and value realization of government pharmacy programs. This role serves… more
- CareFirst (Baltimore, MD)
- …efforts that enhance the quality-of-care delivery, improve outcomes, and improve value delivered to our members and accounts. **ESSENTIAL FUNCTIONS:** **Clinical ... a managed care setting. + Previous experience as medical director for a health care company. + At least...people and teams. **Preferred Qualifications:** + In-depth knowledge of Medicaid and Medicare related programs in a health plan/payor… more
- Conviva (Annapolis, MD)
- …Excellence team under the CenterWell Primary Care Organization. This role reports to Associate Director of coding education and has a dotted line reporting ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more