- Home Care Evolution (Vienna, VA)
- …progress and promptly report clinical changes to the RN Case Manager or Director of Nursing. Support and participate in Quality Assurance (QA) activities, including ... staff to resolve them in a timely manner. Ensure adherence to Medicare , Medicaid, and agency-specific policies and procedures. Maintain accurate, timely records… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
- Humana (Washington, DC)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Washington, DC)
- …the Medicare Line of Business. **Additional Information** Typically reports to Lead or Corporate Medical Director , depending on size of region or line of ... caring community and help us put health first** The Medical Director actively uses their medical...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
- Humana (Washington, DC)
- …adapt and the courage to innovate **Additional Information** Typically reports to a Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...group practice management. + Utilization management experience in a medical management review organization, such as Medicare … more
- Abbott (Washington, DC)
- …Washington, DC location in the Government Affairs function. As the Government Affairs Director for Corporate Reimbursement, you will develop, lead and execute ... 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
- Public Citizen (Washington, DC)
- …making medicine more affordable, including by defending and working to expand Medicare price negotiation. GENERAL DESCRIPTION OF POSITION: The Research Director ... developments, and produces reports, analysis and expert testimony. The Research Director identifies lines of research that support advocacy goals. RESPONSIBILITIES:… more
- American Medical Association (Washington, DC)
- Sr. Dir Federal Affairs Washington, DC (Hybrid) The American Medical Association (AMA) is the nation's largest professional Association of physicians and a ... to know you. We have an opportunity at our corporate offices in Washington DC for a Sr. Dir...to advance AMA priority issues and develops strategies for Medicare physician payment reform, relieving regulatory burdens, digital health,… more
- Humana (Washington, DC)
- …caring community and help us put health first** The Associate Director ; Software Renewals establishes and implements hardware and software acquisition, protection, ... procedures that are aligned with IT standards and strategy. The Associate Director ; Software Renewals requires a solid understanding of how organization capabilities… more
- Lilly (Washington, DC)
- …analysis on state legislation, and provide reports to management and other Corporate Affairs leaders; contribute to managing legislative tracking systems. + Actively ... + Master's Degree in Public Policy, Health Policy, or related field + Understanding of Medicare drug payment systems within Medicare Part B and Medicare Part… more
- Public Citizen (Washington, DC)
- …(FDA), the Centers for Disease Control and Prevention (CDC), the Centers for Medicare & Medicaid Services (CMS), and other HHS agencies and government health ... required duties, and the impact on real people; (b) corporate influence at HHS and subagencies; (c) the undermining...influence at HHS and subagencies; (c) the undermining of Medicare and Medicaid, including through the expansion of … more
- Humana (Washington, DC)
- …clinical strategy, performance monitoring, and continuous quality improvement within the Medicare Advantage program to support improving the health of members. The ... the Regional Vice President of Health Services (RVP) and Health Services Director (HSD) . This position focuses on enabling connections with providers, supporting… more
- CareFirst (Washington, DC)
- …government relationships, operations, health services and compliance, the Director will drive membership growth, financial performance, contractual compliance, ... to improve performance and develop plans to drive growth, manage medical cost, improve operational costs, and improve quality. **SUPERVISORY RESPONSIBILITY:** Leads… more
