- 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...compliance timelines. **CANDIADATES MAY LIVE ANYWHERE THE IN THE US AND MUST WILLING TO WORK CENTRAL TIME ZONE… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to ... reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements and will understand how to operationalize this knowledge in… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid , and Medicare Advantage requirements and will understand how to… more
- Humana (Washington, DC)
- …us put health first** Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ... (Part D & B). The Medical director work assignments involve moderately complex to complex issues...medical management review organization such as Medicare Advantage, managed Medicaid , or Commercial health insurance + Current and ongoing… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Director , FP&A, Long-Term Financial Planning oversees the organization's strategic and ... support the development of long-term growth plans and profitability goals. The Director , FP&A, Long-Term Financial Planning coordinates input from all major business… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Associate Director of Cloud Infrastructure Operations is responsible for leading ... at the intersection of operations, technology, and AI innovation. The Associate Director of Cloud Infrastructure Operations will drive the evolution of Humana's… more
- Humana (Arlington, VA)
- **Become a part of our caring community and help us put health first** The Associate Director , IT Talent Management serves as the strategic leader who will ... area - Ft. Lauderdale, FL metropolitan area The Associate Director , IT Talent Management must be a strategic leader...and / or Insurance setting + Preferred certification either project management (PMP or CAPM) or Certified Professional in… more
- Cognizant (Washington, DC)
- …role's business requirements, this is a remote position open to qualified applicants in United States . Regardless of your working arrangement, we are here to ... submit the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in...position who are legally authorized to work in the United States without requiring company sponsorship now… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Strategy Advancement Advisor provides data-based strategic direction to identify and ... one of the largest health benefits providers in the US . At the core of this evolution is Humana's...evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid , and other health plans to millions. By integrating… more
- Public Consulting Group (Washington, DC)
- …and posted timely. (20%) **Organizational Relationships** **Reports directly to the ASO Project Manager / Sr. Director of Operations** **Key Qualifications and ... in 1986, PCG employs approximately 2,000 professionals throughout the US -all committed to delivering solutions that change lives for...a family of companies with experience in all 50 states , and clients in three Canadian provinces and Europe.… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Senior Learning Design Professional partners with IT leaders and associates to identify ... on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The AI Learning Design Lead plays a critical role in designing, developing, and delivering ... including executives, HR, and external partners + Partners with the Associate Director to represent the program in executive forums, to define and provide… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Senior Technology Solutions Professional devises an effective strategy for executing and ... Louisville, KY / Remote **Department:** Technology Solutions **Reports To:** Director , Technology Solutions **Position Overview:** Humana is seeking an accomplished… more
- Cardinal Health (Washington, DC)
- …of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're ... of Cardinal Health. This is a high-impact role reporting to the Director of Business Transformation and Change Management. This consultant will be responsible… more