- Humana (Washington, DC)
- …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- Sedgwick (Washington, DC)
- …a plus, not required. **Experience:** Ten (10) years of relationship building in the claims management or risk management area or equivalent combination of ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Business Development Director - Casualty Claims (Northeast Region) As a Business Development… more
- Immigration and Customs Enforcement (Washington, DC)
- …two years of experience related to program management , administration, Healthcare management , finance or medical claims is preferred. Qualifying degree ... eOPF. Well-developed knowledge and skills in the areas of claims management and medical necessity....Director for Healthcare Compliance, Office of Health Plan Management Unit (HPMU). The incumbent reports directly to the… more
- Marriott (Bethesda, MD)
- …of international claims , document handling, mail routing and check processing. The Claims Support Specialist reports to the Sr. Director , Global Claims ... **Schedule** Full Time **Located Remotely?** N **Position Type** Management **Pay Range:** $19.95 - $33.12 per hour This… more
- Humana (Washington, DC)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
- Humana (Washington, DC)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Georgetown Univerisity (Washington, DC)
- …, warranty issues, and arbitration issues; and oversight on other project management -related duties and activities. The Director must have intimate knowledge ... solutions for potential problems discovered in the design and construction process. The Director helps ensures all aspects of project management are effectively… more
- Sumitomo Pharma (Washington, DC)
- …a dynamic, highly motivated, and experienced individual for the position of **Associate Director , Commercial Data Management ** . This high impact role requires a ... technically skilled person to support our growing Commercial Data Management (CDM) function, serving as a key liaison between...(Salesforce, Veeva), syndicated data (IQVIA & Symphony sales and claims data, MMIT) The base salary range for this… more
- Otsuka America Pharmaceutical Inc. (Washington, DC)
- …our focus to ultra-rare neurological conditions. **Job Summary** The Executive Director , Sales and Marketing, Neurology Rare Disease will be responsible for ... or exceeding Net Sales, Operating Income, and engagement targets. The Executive Director , Sales and Marketing, Neurology Rare Disease will also ensure successful… more
- Otsuka America Pharmaceutical Inc. (Washington, DC)
- …medicine and/or clinical pharmacology and associated disciplines (eg biostatistics, data management , medical writing). + An advanced understanding of clinical ... in support of domestic and international clinical development initiatives. The Senior Director , GCD works in a multidisciplinary matrix environment and supports the… more
- Otsuka America Pharmaceutical Inc. (Washington, DC)
- **_Associate Director , Established Brands Marketing_** **Position Summary** The Associate Director , Established Brands Marketing is responsible for driving ... CNS portfolio. The individual will work closely with market access, sales, medical affairs, and finance to implement commercial strategies that sustain product… more
- Otsuka America Pharmaceutical Inc. (Rockville, MD)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. As ... a Director of Biostatistics, you will be a champion of...such as clinical, clinical pharmacology, clinical operations, regulatory, data management and statistical programming. + Take responsibility for ensuring… more
- Otsuka America Pharmaceutical Inc. (Washington, DC)
- **Position Summary:** The Director GVE Operations oversee and coordinates projects within the department to ensure alignment with organizational goals. This role is ... other integrated data generation initiatives. This position reports to the Senior Director , Global Integrated Evidence & Innovation Operations and can be based in… more
- Otsuka America Pharmaceutical Inc. (Washington, DC)
- …HCPs. The Director will work cross-functionally with sales, market access, medical affairs, and commercial operations to align on strategic priorities and ensure ... **Position Summary** The Director , HCP Marketing Lead guides the healthcare provider...engagement. + **KOL Engagement & Speaker Programs:** Partner with medical and sales teams toidentifyand engage key opinion leaders… more
- Otsuka America Pharmaceutical Inc. (Washington, DC)
- **Associate Director , Field Strategy, Nephrology/Immunology** **Position overview:** The **Associate Director , Field Strategy** plays a critical role in enabling ... execution and provide feedback to optimize performance at all levels + **Compliance Management :** + Must comply with all state and federal laws, regulations and… more
- AmeriHealth Caritas (Washington, DC)
- …and associated service level agreements for all Operational Areas including: Claims , Configuration Information Management , Enrollment, Contact Center Operations, ... **Job Responsibilities** The Director Operations (Healthy DC Plan) reports to the...issues/risks to ensure established service levels are met (eg, claims accuracy, grievance & appeal timeliness. + Proactively develops,… more
- Otsuka America Pharmaceutical Inc. (Washington, DC)
- **Position Overview:** The Senior Director , MSAT Biologics provides strategic and technical leadership for all late-stage and commercial manufacturing processes for ... through effective technology transfer, validation, process monitoring, and lifecycle management . This individual will serve as the primary technical steward… more
- Wolters Kluwer (Washington, DC)
- . ** Director , IT Business Relationship Management ** **Position Summary** The Director of IT Business Relationship Management (BRM) is a strategic leader ... teams to implement AI-driven solutions that streamline processes such as claims processing and automate repetitive tasks, thereby improving efficiency and accuracy.… more
- NANA Regional Corporation (Herndon, VA)
- Akima is seeking a seasoned Director of HSE to lead and drive Akima's enterprise-wide health, safety, and environmental vision. This is a strategic role responsible ... professionals, apply today! **Responsibilities** Akima's Environmental Health and Safety Director is responsible for developing, implementing, and overseeing the… more
- Otsuka America Pharmaceutical Inc. (Washington, DC)
- **Job Summary** **** The Associate Director , MSAT - Downstream provides specialized technical leadership and oversight for all downstream manufacturing processes ... technology transfer, validation support, process monitoring, troubleshooting, and lifecycle management activities conducted by external partners. + **Key Responsibilities:**… more