- Highmark Health (Washington, DC)
- …subject matter expert, providing insights and guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and ... to healthcare (payer and provider) business processes. + Knowledge of relevant regulatory guidelines, vendor management , sourcing and procurement, and completing… more
- CenterWell (Washington, DC)
- …and Medicare payment model programs via the Center for Medicare and Medicaid Services ( CMS ), such as ACO REACH, MSSP, and future models. Under general direction and ... Senior Strategy Advancement Professional will bring a combination of operational support, analyst skills, and strategy oversight to the role. This individual will… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …Tracking and Optimization System , DMLSS, Medical Expense and Performance Reporting System , CMS , Defense Pharmacy System , Radiology and PACS, Automated ... provide consultation to the customer on the Call Center and Referral Management care coordination strategies and resolve complex and unusual health care… more