- Highmark Health (Washington, DC)
- …Inc. **Job Description :** **JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and ... **ESSENTIAL RESPONSIBILITIES** + Full-cycle ownership of commercial and Medicare Advantage medical policy creation process including writing clinical criteria… more
- Elevance Health (Washington, DC)
- …decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation. + Determine ... **Clinical Operations Medical Director ** **Carelon MBM** **Virtual:** This...which may include AIM Appropriateness Guidelines, client-specific health plan medical policy , well established evidenced based guidelines,… more
- AbbVie (Washington, DC)
- …X, Facebook, Instagram, YouTube, LinkedIn and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description The Director , US Policy will support the US Policy & ... that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a...could impact AbbVie and the patients we serve. The Director will be lead within the US Policy… more
- Meta (Washington, DC)
- **Summary:** Meta is looking for a Director of AI Policy to develop and drive the vision and policy strategies that enable Meta's mission to build the future ... of human connection and the technology that makes it possible. The Director will work closely with public policy teams, as well as cross-functional partners… 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...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Georgetown Univerisity (Washington, DC)
- …on students for McCourt, such as commencement exercises and the Georgetown Public Policy Challenge. Work Interactions The Director of Student Engagement reports ... to making a difference in the world. Requirements Job Overview The Director of Student Engagement coordinates all co-curricular and extracurricular experiences and… more
- Amgen (Washington, DC)
- …Let's do this. Let's change the world. In this vital role the Health Policy & Reimbursement Executive Director will lead development and implementation of ... market and payer data to inform engagement on reimbursement objectives. The Health Policy Executive Director will regularly update via written and oral… 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 operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… 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 operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… 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...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Amgen (Washington, DC)
- …million patients worldwide. It's time for a career you can be proud of. Regulatory Policy and Intelligence - US Director **Live** **What you will do** Let's do ... this. Let's change the world. Global Regulatory Policy team engages regulators, industry and professional associations, and patient advocates externally and subject… 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...value based care in accordance with Medicare and Humana policy . All work occurs within a context of regulatory… more
- Elevance Health (Washington, DC)
- …+ Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation. **Mimimum Requirements:** + ... **Clinical Operations Medical Director ** **Carelon Medical ...onboarding and skill development. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable… more
- Elevance Health (Hanover, MD)
- ** Medical Director Associate- Psychiatrist- Maryland Medicaid (Part-time)** **Location:** This role enables associates to work virtually full-time, with the ... required by law. Alternate locations may be considered. The ** Medical Director Associate** is responsible for providing...other areas of the company. + May interpret existing medical policy . + May be required to… more
- Philips (Washington, DC)
- The Regulatory Science & Policy Director is responsible for guiding the analysis of global regulatory requirements, policies and industry standards to identify ... with regulatory bodies, industry organizations, and key stakeholders to influence policy development and advocate for Philips' interests. + Monitors changes in… more
- GRAIL (Washington, DC)
- …and healthcare companies. For more information, please visit grail.com . As the Policy and Reimbursement Lead reporting to the Vice President of Government Affairs, ... Policy & Alliance Development and working closely with highly...coverage. + Coordinate with internal stakeholders across Commercial, HEOR, Medical Affairs, Regulatory Affairs, and Marketing to enhance support… more
- Elevance Health (Hanover, MD)
- **Appeals Medical Director - Medicare** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...by law. Alternate locations may be considered. The **Appeals Medical Director ** is responsible for the appeal… more
- Sumitomo Pharma (Washington, DC)
- …a dynamic, highly motivated, and experienced individual for the position of **Associate** ** Medical Director , Clinical Development - Oncology** . The associate ... medical director is responsible for the leadership, development, and management...in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays… more