Manager Healthcare Payer Jobs in District Of Columbia

Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..

Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..

... Clinical Analytics and Trend Program Manager in Washington District Of Columbia ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... Minimum 2 years working in..

... and restore hope. The Program Manager will develop, manage and scale ... programs that increase participation in healthcare benefit programs, as part of ... most promising offerings. The program..

Job Information Humana Lead Product Manager - Healthcare API in Washington District Of ... Columbia Description The Lead Product Manager - Healthcare API (SME) as part of ... Individual will..

... Information Humana Behavorial Economics Program Manager - Test & Learn Portfolio ... acumen to solve for the healthcare challenges of today. The Clinical ... years or more working in..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..

Job Location Washington D.C.- 7000 - Washington, DC Position Type Full Time Salary Range $43,000.00 - $45,000.00 Salary/year Description There's a spot on our team waiting for you! Become a Team ..

Job Location Washington D.C.- 6900 - Washington, DC Position Type Full Time Salary Range $45,000.00 - $47,000.00 Salary/year There's a spot on our team waiting for you! Become a Fitness Center ..

Description The Manager, STARS Improvement develops, implements, and manages oversight of the company's Medicare Stars Program. This position will manage the Stars improvement team. Responsibilities The Manager, STARS Improvement develops the ..

... one of the nation's largest healthcare management companies. The GW School ... to provide the highest quality healthcare, advanced medical technology, and world-class ... thrive, and become the leading..

Description The Project Manager supports the operational, financial, and ... especially matrixed support to the Healthcare Finance Office. Education and Experience ... Google Scholar). Responsibilities The Project Manager supports the..

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Washington District Of Columbia Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation ..

Description All nursing practice is based on the legal scope of practice, national and specialty nursing standards, Children's National Policies and Procedures, and in accordance with all applicable laws and regulations. ..

Job Information Humana Manager, Utilization Management RN - Remote ... District Of Columbia Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... that our members receive quality..

... global law firm, seeks a Healthcare and Life Sciences Business Development ... and Life Sciences Business Development Manager with a focus on the ... a focus on the core..

Description The Case Manager Hybrid I/II will provide case management services to patients and their families or caregivers. Assist with assessment, participate in planning and implementation of intervention and ensure follow-up ..

HSCPC Case Manager (PRN) Day (8:30a to 5:00p ... HSC Pediatric Center (HSCPC) Case Manager oversees patients' progression through the ... referral/admission through discharge. The Case Manager actively coordinates the..

... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... years or more working in..

Job Information Humana Manager, Fraud and Waste-Remote US in ... District Of Columbia Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

Job Information Humana Product Manager Lead, Pharmacy Transformative Products Team, ... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With..