- Humana (Washington, DC)
- …community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new delivery models. ... Maintains efficient operations while ensuring attainment of quality of care and...work is performed without direction. The Behavioral Health Medical Director actively uses their medical background, experience, and judgement… more
- Prime Therapeutics (Washington, DC)
- …+ 5+ years of experience in Pharmacy Benefits Management (PBM), Health plan or Medicaid clinical customer service. + Working knowledge of MS Office Suite and ... fuels our passion and drives every decision we make. **Job Posting Title** Director , Clinical Account Services - Remote Nevada **Job Description Summary** Plays… more
- Elevance Health (Washington, DC)
- …and determination reviews for our Musculoskeletal (MSK) Solution. (internal title: Manager Clinical Operations Medical Director ) Responsible for providing ... including radiology, cardiology and oncology. Carelon Medical Benefits Management Clinical Operations team is looking to hire... team is looking to hire a **Senior Medical Director ** to manage a team of physicians performing … more
- Elevance Health (Washington, DC)
- …quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor to enhance clinical operations . May identify cost ... our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral health medical services, to… more
- Organon & Co. (Washington, DC)
- **Job Description** **The Position** The Director , Government Public Policy will report to the Chief Government Affairs and Policy Officer, working directly with the ... General Counsel's office to accomplish meaningful priorities and goals. The Director will pursue solutions-oriented approaches to healthcare policy analysis and… more
- Prime Therapeutics (Washington, DC)
- …+ Builds successful relationships with internal customers (ex. Finance, Accounting, Rebate Operations , Clinical and Account Management Staff). + Serves as ... our passion and drives every decision we make. **Job Posting Title** Sr Director , Value Based Pricing - Preferably on the West Coast **Job Description Summary**… more
- Howard University Hospital (Washington, DC)
- …hire a GME Director who will be r esponsible for the operations and administrative management of the Graduate Medical Education (GME) Program, to include program ... design, development, implementation and compliance. The GME Director : Provides direction and oversight for the development, implementation and evaluation of GME… more
- Somatus (Mclean, VA)
- Overview The Director , Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of the organization's Risk Adjustment Programs to optimize ... the programs' clinical benefit, financial accuracy and ensure program compliance with...governing bodies' regulations, including the Center for Medicare and Medicaid Services. This role will partner with leadership to… more
- Merck (Washington, DC)
- **Job Description** **Associate Director , Pulmonary Arterial Hypertension (PAH) Payer Marketing & Access Strategy** As Associate Director , PAH & Rare Disease ... initiatives for US Payer & PBM (Health Plan, PBM, Medicaid , Medicare, Federal, Employer) to achieve market access goals....+ Assess and consider the impact of potential new clinical data and competitor developments on US access environment… more
- Gentiva (Beltsville, MD)
- …the day to day operations of your assigned hospice site, administering the clinical aspects of the hospice program and for ensuring the provision or quality of ... Care Manager** to join our team. You will report directly to the Executive Director , Administrator, or Senior Patient Care Manager. You will be responsible for… more
- Trinity Health (Gaithersburg, MD)
- …collaborating with the TH PACE VP of Sales and Enrollment and the TH PACE Director of Marketing as they build and implement annual marketing plans which align with ... including but not limited to, Center for Medicare and Medicaid Services and the State Administering Agency. Prepare reports...all marketing materials as directed by the TH PACE Director of Marketing and as required by various regulatory… more
- Trinity Health (Silver Spring, MD)
- …interpretation of results, quality assurance, and regulatory standards applicable to clinical laboratory operations (eg College of American Pathologists, The ... Joint Commission for the Accreditation of Hospitals, Centers for Medicare & Medicaid Services, federal Clinical Laboratory Improvement Acts, state regulations);… more
- VHC Health (Arlington, VA)
- …sustainable improvements. These components along with knowledge and experience of frontline clinical operations will provide structure and oversight to improve ... organization in four essential domains which include Patient Safety, Clinical Quality Management, Regulatory Compliance, and Performance Improvement. In conjunction… more