- Abt Global Inc. (Rockville, MD)
- …teams and drive project success in a government contracting environment. + CMS contract and data experience required + Strong analytical and problem-solving ... meaningful work? Now's your chance. **The Opportunity** As a Project Director you will lead and manage...data from the Provider Enrollment Chain and Ownership System (PECOS) + Other CMS administrative … more
- Abt Global Inc. (Rockville, MD)
- …research projects, ensuring alignment with CMS objectives. + Keep the Project Director informed of progress, challenges, and accomplishments. + Anticipate ... using Medicare claims data (FISS, MCS, VMS, CWF), provider enrollment data (PECOS), and other CMS administrative datasets. + Interpret Medicare A/B/C/D… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …through multiple related IT projects. Direct project teams to ensure that project management , quality management , performance, risk/issue management ... Human Services (HHS), Centers for Medicare & Medicaid Services ( CMS ), Center for Program Integrity (CPI), Data ...Supervisory IT Program Manager referred to here as Deputy Director , Data Analytics & Systems Group, GS-2210-15,… more
- CenterWell (Annapolis, MD)
- …toadaptand the courage to innovate. **Additional Information** Will report to the Director of Physician Strategy at Utilization Management . The Medical ... community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The… more
- Humana (Annapolis, MD)
- …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The… more
- Humana (Annapolis, MD)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an ... community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The… more
- Humana (Annapolis, MD)
- …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...to complex issues where the analysis of situations or data requires a case by case consideration of the… more
- Under Armour, Inc. (Baltimore, MD)
- Director , User Experience ** Director , User Experience** **Values & Innovation** At Under Armour, we are committed to empowering those who strive for more, and ... Career Site Here. (https://performancemanager8.successfactors.com/sf/careers/jobsearch?bplte\_company=ua&\_s.crb=aNMP8gWoYkBDFn%252bz2BldysgcgQHZpVs6tHzE9smSuXE%253d) **Purpose of Role** The Director , User Experience will lead the design strategy… more
- Highmark Health (Annapolis, MD)
- …SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current ... be required. The incumbent ensures compliance to NCQA, URAC, CMS , DOH, and DOL regulations at all times. In...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- Highmark Health (Annapolis, MD)
- …timelines + Proficient in MS Office suite, including Word, Excel, PowerPoint and project management software + High level of autonomy and self-direction, to ... Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved… more