- Humana (Washington, DC)
- …Medical Director responsible for behavioral health care strategy and/or operations . The Behavioral Health Medical Director work assignments involve ... and able to pass credentialing requirements. Preferred: * Experience working with Medicaid Enrollees, providers, and stakeholders in a clinical or administrative… more
- Humana (Washington, DC)
- …and present educational seminars on various behavioral health topics to the clinical operations team and healthcare organization. The Behavioral Health Medical ... is responsible for behavioral health care strategy and/or operations . The Behavioral Health Medical Director work...is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Prime Therapeutics (Washington, DC)
- …+ Builds successful relationships with internal customers (ex. Finance, Accounting, Rebate Operations , Clinical and Account Management Staff). + Serves as ... our passion and drives every decision we make. **Job Posting Title** Sr Director , Value Based Pricing - Preferably on the West Coast **Job Description Summary**… more
- Cardinal Health (Washington, DC)
- …team is passionate about helping oncology practices navigate the future. The Director , Managed Care is responsible for strategy and management of managed care ... responsible to implement strategic initiatives related to payer contracts. The Director , Managed Care contributes to practice growth and profitability by providing… more
- HealthEdge Software Inc (Washington, DC)
- …report to the Chief Medical Officer of Healthedge (HE) and ensure that our clinical suite of products (GuidingCare & Wellframe) support our health plan customers in ... (National Committee for Quality Assurance), CMS (Centers for Medicare & Medicaid Services), URAC (Utilization Review Accreditation Commission) and other State… more
- Somatus (Mclean, VA)
- …mental well-being + Community engagement opportunities + And more! The Sr. Director , Medicare Risk Adjustment (MRA) will lead the execution strategy and ... of the organization's Risk Adjustment Programs to optimize the programs' clinical benefit, financial accuracy and ensure program compliance with governing bodies'… more
- Gentiva (Woodbridge, VA)
- …the day to day operations of your assigned hospice site, administering the clinical aspects of the hospice program and for ensuring the provision or quality of ... GROWING!!** **This is a brand new Gentiva location/office!** **RN Clinical Manager - RN Nurse Manager - Hospice -...of VA** You will report directly to the Executive Director , Administrator, or Senior Patient Care Manager. You will… more
- Conviva (Washington, DC)
- …the clinical education team and will work also closely with Coding operations team and Clinical Excellence team under the CenterWell Primary Care ... Organization. This role reports to Associate Director of coding education and has a dotted line...will be done in close collaboration with the divisional clinical educator and insights from coding operations … more
- AmeriHealth Caritas (Washington, DC)
- …us at www.amerihealthcaritas.com. **Responsibilities:** Under the supervision of the Market Clinical Director , Population Health, the Manager of Integrated Case ... and provided with regular professional development. Identifies opportunities for improvement, both clinical and administrative, and assists the Director in the… more