- Evolent (Washington, DC)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… 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 ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… 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 ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- 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...of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical … 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 ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical … more
- Humana (Washington, DC)
- …our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. ... The Behavioral Health Medical Director work assignments involve moderately complex...internal teaching conferences, and other reference sources + Learns Medicaid requirements and understands how to operationalize this knowledge… more
- Humana (Washington, DC)
- …of our caring community and help us put health first** The Director , Corporate Communications develops and coordinates lines of communication outside the ... organization. The Director , Corporate Communications requires an in-depth understanding of how...MUST have experience in Media relations **Preferred Qualifications** + Medicaid or Medicare experience **Additional Information** To ensure Home… more
- CenterWell (Washington, DC)
- …a part of our caring community and help us put health first** A ** Director of Authorizations & Eligibility** is a senior revenue cycle leader responsible for the ... payer approvals to protect revenue integrity and patient access. The Director partners closely with clinical leadership, operations, finance, compliance, and IT,… more
- Humana (Washington, DC)
- …our caring community and help us put health first** The Associate Director , Finance Data Management supports all aspects of configuration control, data management, ... and deficiency reporting. The Associate Director , Finance Data Management requires a solid understanding of...PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Humana (Washington, DC)
- …our caring community and help us put health first** The Associate Director , Technology Solution Implementation delivers new technological solutions to meet business ... a specified scope while aligned to enterprise objectives. The Associate Director , Technology Solution Implementation requires a solid understanding of how… more
- Humana (Washington, DC)
- …of our caring community and help us put health first** The Director , FP&A, Long-Term Financial Planning oversees the organization's strategic and long-range goal ... 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)
- …part of our caring community and help us put health first** The Director , Business Systems Analysis leads the strategic advancement, optimization, and integration of ... initiatives that enhance provider experiences and streamline workflows. The Director requires deep expertise in business systems analysis, systems lifecycle… more
- Humana (Washington, DC)
- …of our caring community and help us put health first** The Associate Director of Cloud Infrastructure Operations is responsible for leading Humana's enterprise cloud ... at the intersection of operations, technology, and AI innovation. The Associate Director of Cloud Infrastructure Operations will drive the evolution of Humana's… more
- Amgen (Washington, DC)
- …world. In this vital role the Health Policy & Reimbursement Executive Director will lead development and implementation of reimbursement strategies for federal (US) ... data to inform engagement on reimbursement objectives. The Health Policy Executive Director will regularly update via written and oral communications to senior… more
- Humana (Washington, DC)
- …deliver care and coverage for patients and members. About the role As a director , you will convey the AI strategy harmonized with enterprise and business strategy, ... Commitment to inclusion, ethics, and **responsible AI** practices **Additional Information** Remote /WAH requirements: + WAH requirements: Must have the ability to… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Director , Next Best Action (NBA) Platform, is accountable for architecting and expanding an ... to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Director of Finance Portfolio Management, Strategy, & Special Projects is a key leadership role ... focused on continuously improving consumer experiences Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may… more
- Humana (Washington, DC)
- …part of our caring community and help us put health first** The Associate Director of IT Disaster Recovery will lead DR operations and governance for all application ... PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Humana (Washington, DC)
- …caring community and help us put health first** The role of Director , Federal Government Affairs involves direct engagement with Senate, House, and/or Administration ... offices for training or meetings may be required. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
- Danaher Corporation (Washington, DC)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE ) position is a provider / customer facing role responsible for ... to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of the...Value and Access team. This position will be a remote position ideally located in the Eastern part of… more