- Humana (Washington, DC)
- …Degree or BSN degree. + Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Exceptional attention to detail. + ... help us put health first** We are seeking a Senior Accreditation Professional who will work in...on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health; MED-Deeming … more
- Amentum (Washington, DC)
- …at the logical level working with communication protocols. The Systems Engineer ( Senior ) will perform systems management and integration functions. You will ... are searching for a Top Secret cleared Systems Engineer ( Senior ) to join our team in Washington, DC. You...hardware and operating systems including the evaluation of system utilization , monitoring response time and primary support for detection… more
- Marriott (Bethesda, MD)
- …**Schedule** Full Time **Located Remotely?** Y **Position Type** Management This is a temporary position. The Senior ... 8+ years of experience in information security, focusing on Certification and Accreditation (C&A), Risk Management Framework (RMF), and security controls… more
- Battelle Memorial Institute (Crystal City, VA)
- …clients. The Cyber Architecture & Advisory Services is seeking a ** Senior Information Security Engineer** to support the Security Architecture and Security ... Authorization Process (Certification & Accreditation ) effort for a Department of Homeland Security Facility Monitoring System. This quick fill position is located at… more
- Bowman (Herndon, VA)
- **Short Description** Bowman has an opportunity for a Senior Commissioning Agent to join our team remotely in TX, PA, NJ or FL. At Bowman, we believe in creating ... construction. + Review project close-out documentation (O&M Manuals). + Maintain utilization targets. + Communicate effectively with client, internal project team,… more
- Architect of the Capitol (Washington, DC)
- …availability of adequate resources consistent with project objectives; Assisting with the management of the utilization of resources, justifies plans and ... the Capitol (AOC), Office of the Chief Engineer, Project Management Division is seeking an exceptional General Engineer or...engineering with at least one curriculum accredited by the Accreditation Board for Engineering and Technology (ABET) as a… more
- Evolent (Washington, DC)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... , you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Senior Utilization Management Behavioral Health Professional utilizes behavioral health ... and communication of medical services and/or benefit administration determinations. The Senior Utilization Management Behavioral Health Professional work… more
- Evolent (Washington, DC)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to… more
- BlueVoyant (Washington, DC)
- …engagement in senior leadership meetings, drafting and reviewing materials for senior management and other governance activities + Communicate findings and ... Analyst, Vendor Risk Management + Location: Hybrid In Washington, DC Metro...+ Mature standard operating procedures for customers to optimize utilization of BlueVoyant's offerings + Enable business development in… more
- HCA Healthcare (Reston, VA)
- …will assemble regional physician advisory panels to provide ongoing feedback to HCA senior management , and serves as a liaison between committees and ... review/ management + You will consult with facility-level staff regarding delegated utilization management and disease management operations under managed… more
- Evolent (Washington, DC)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... Director you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Evolent (Washington, DC)
- …Doing:** Job Description As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Immigration and Customs Enforcement (Washington, DC)
- …and processes affecting the healthcare system, eg (Process improvement, risk management , patient safety, utilization review, and credentialing and privileging). ... staffing matrix. Briefs and advises Unit Chief on agenda issues in preparation for senior leadership meetings and represents the office at in absence of the Chief of… more
- Evolent (Washington, DC)
- …members and providers + Appropriately identifies and refers quality issues to the Senior Director of Medical Management or Medical Director. + Appropriately ... policies + Creates adverse determination notifications that meet all accreditation , State, and Federal criteria + Uses Plain Language...identifies potential cases for Care Management programs + Communicates appropriate information to other staff… more