- CenterWell (Washington, DC)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... claims. The Medical Director , Primary Care work assignments involve moderately complex to...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Washington, DC)
- **Become 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 work assignments involve moderately complex to complex issues...group practice management. + Utilization management experience in a medical management review organization, such as Medicare … more
- Abbott (Washington, DC)
- …Payment Systems, o Ambulatory Surgery Center payment systems, o Physician payments, o Pharmacy payments/processes o Medicare quality systems, o the Center for ... spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues… more
- Grifols Shared Services North America, Inc (Washington, DC)
- …and services in more than 110 countries and regions. The Associate Director , Value Access Marketing & Reimbursement is responsible for developing and executing ... access customer segment . Support reimbursement, coding, and coverage-related responsibilities for Medicare Part B, Centers for Medicare and Medicaid (CMS)… more
- Sunrise Senior Living (Fort Belvoir, VA)
- …of.** **COMMUNITY NAME** The Fairfax **Job ID** 2025-233876 **JOB OVERVIEW** The Director of Nursing Services is responsible for providing leadership and management ... and implements plans of correction for concerns and issues identified by pharmacy consultants. + Reviews and develops plans of correction with interdisciplinary team… more
- Bristol Myers Squibb (Washington, DC)
- …and conditions of the applicable plans then in effect and may include the following: Medical , pharmacy , dental and vision care. Wellbeing support such as the BMS ... personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Senior Director , Policy Research will lead BMS's US policy research initiatives… more
- AmeriHealth Caritas (Washington, DC)
- … management leadership is required. Managed care organization leadership experience as a Medical Director or CMO is preferred. + Demonstrated ability to lead ... **Role Overview:** The Market Chief Medical Officer (CMO) reports directly to the Market...Experience working with multiple business product lines, ie, Medicaid, Medicare , ACA/Exchange. + Experience and/or knowledge of the health… more
- Sunrise Senior Living (Fort Belvoir, VA)
- …follows Resident Centered Care model. + Assists with case management of both Medicare and non- Medicare guests/residents as needed. + Participates in the Care ... guests/residents charts. + Completes Incident Reports and reports to Director of Nursing Services (DNS). + Reviews, updates and...initials, date and time 'noted' and date faxed to pharmacy . + Demonstrates and knowledgeable of the Six (6)… more
- Immigration and Customs Enforcement (Washington, DC)
- …of understanding with IHSC. HPMU also works jointly with IHSC stakeholders: pharmacy ; dental; Behavioral Health Unit; Field Medical Coordination Unit; and ... Border Patrol, third party administrator and off-site community providers) regarding medical claims processes, trainings, and principles. Provides guidance to the… more