Associate Director - Field Reimbursement Manager, Oncology - Mid-Atlantic Bayer AGAssociate Director - Field Reimbursement Manager, Oncology - Mid-AtlanticWashington, DCLocation:United States: District of Columbia: Residence Based || United States: District of Columbia: Washington || United States: North Carolina: Asheville || United States: North Carolina: Cary || United States: North Carolina: Chapel Hill || United States: North Carolina: Charlotte || United States: North Carolina: Clayton || United States: North Carolina: DURHAM || United States: North Carolina: DURHAM || United States: North Carolina: Durham || United States: North Carolina: Fayetteville || United States: North Carolina: Gastonia || United States: North Carolina: Greensboro || United States: North Carolina: Greenville || United States: North Carolina: Hickory || United States: North Carolina: Kannapolis || United States: North Carolina: Matthews || United States: North Carolina: Morrisville || United States: North Carolina: Mount Olive || United States: North Carolina: Mt Olive || United States: North Carolina: Pikeville || United States: North Carolina: Raleigh || United States: North Carolina: Research Triangle Park || United States: North Carolina: Residence Based || United States: North Carolina: Rocky Mount || United States: North Carolina: Statesville || United States: North Carolina: Wilmington || United States: North Carolina: Wilson || United States: North Carolina: Winston-Salem || United States: South Carolina: CHARLESTON NORTH || United States: South Carolina: COLUMBIA WEST || United States: South Carolina: Charleston || United States: South Carolina: Columbia || United States: South Carolina: FLORENCE || United States: South Carolina: Greenville || United States: South Carolina: Greenwood || United States: South Carolina: Hartsville || United States: South Carolina: Myrtle Beach || United States: South Carolina: Residence Based || United States: South Carolina: Spartanburg || United States: South Carolina: Summerville || United States: Virginia: Arlington || United States: Virginia: CHARLOTTESVILLE || United States: Virginia: Chantilly || United States: Virginia: Charlottesville || United States: Virginia: Chesterfield || United States: Virginia: Fairfax || United States: Virginia: Fredericksburg || United States: Virginia: Hampton || United States: Virginia: Lynchburg || United States: Virginia: Norfolk || United States: Virginia: Residence Based || United States: Virginia: Richmond || United States: Virginia: Roanoke || United States: Virginia: Virginia Beach || United States: Virginia: WOODBRIDGE Division:Pharmaceuticals Reference Code:879452 Contact Us Email:hrop_usa@bayer.com. Bachelor's Degree or minimum of 5 years' healthcare related reimbursement experience; 2 + years Field Reimbursement experience; In depth understanding of Payer/PBM therapy approval requirements (Prior Authorization, Medical Necessity, Denial Appeals, Formulary coverage and payment for oncology therapies across all sites of care (hospital, clinic, integrated delivery network) and ability to apply this knowledge to address individual customer concerns; Broad knowledge of Medicare, managed care, third party payers and Medicaid; Demonstrated excellence in meeting and exceeding customer expectations especially in demanding situations; Ability to effectively address customer concerns in a timely fashion and by working collaboratively with external and internal stakeholders; An elevated level of sophistication/people skills needed to interact with practice clinical decision makers, office support staff, clinical pharmacists, and office managers; Must demonstrate a comprehensive knowledge of customer relations, therapy formulary coverage, utilization management, and able to interpret complex information; Must possess the leadership ability to effectively organize, communicate and collaborate with HCPs, Key Practice Staff and Bayer external and internal team members; Exceptional knowledge of Healthcare Management; Pharmaceutical Manufacturer federal, state, and local compliance requirements; Area Reimbursement Managers will cover multiple regions, thus significant overnight travel, up to 50%; Must have a valid driver''s license with a safe driving record/ MVR.
Social Work Case Manager MedStar HealthSocial Work Case ManagerWashington, DC$74,214–$134,596 / yearFull timeConsistently demonstrates support for compliance in the performance of job duties and responsibilities by a) developing and maintaining knowledge of, and performing job functions in compliance with, rules, regulations, policies, and statutes that affect his/her job; b) maintaining knowledge of and performing job functions in compliance with MedStar Health and MedStar Health Research Institute policies and procedures; and c) reporting compliance concerns in an appropriate and timely manner. Includes coordination of services with a navigator/advocate, community outreach specialists, home health visiting services, behavioral health care providers and other specific department staff/teams.
NewManager Pharmacy Specialty Elevance HealthManager Pharmacy SpecialtyWashingtonWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Trains and manager performance of pharmacist and pharmacy technician staff in the provision of specialty pharmacy services as it relates to patient services, physician account management and clinical expertise.
Payer Healthcare Data Scientist, Manager PwCPayer Healthcare Data Scientist, ManagerWashington, DC$99,000–$232,000 / yearAs part of the Operations Consulting team, you will apply advanced data science and machine learning techniques to large-scale claims, clinical, and member data to surface actionable insights that reduce cost of care and improve population health outcomes for our payer clients. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy .
Program Manager, LGSW Collaborative Solutions for CommunitiesProgram Manager, LGSWWashington, DCNew Staff – Provide leadership and actively engage new staff in developing knowledge of CSC, the strengths-based approach, and the framework in which community based social work practices are implemented. Participate in internal and external meetings in spirit of mutual support of families advocate for needed resources and services and to ensure families are provided with all possible resources available.
Clinical Operations Assistant - Ophthalmology Washington University in St LouisClinical Operations Assistant - OphthalmologyWashingtonSupports Clinical Operations Manager in day-to-day technical activities, including Metavision Headhunter work (North/South), paper-chart logging, CRNA billable hours prep work, back-up code pager daily logging, urgent/emergent form logging and follow-up; provides back-up support to administrative team, as needed (including scheduling). Manages all scheduling processes for Blue, Green and SIMS conference rooms; establishes process to ensure minimal disruptions with effective communication and resource allocation to department administration; handles and resolves any issues that arise and needs to be addressed.
Clinical Nurse, Medicine Specialties GWMFA-Medical Faculty Associates, IncClinical Nurse, Medicine SpecialtiesWashington, DCPart timeIn addition to maintaining a closely integrated alliance with The George Washington University and The George Washington University Hospital (GWUH), which is separately owned and operated by Universal Health Services (UHS), the GW MFA has active referring relationships with 12 area hospitals. As members of the GW School of Medicine and Health Sciences faculty, MFA providers are teachers and mentors for medical students, residents, fellows, and researchers, preserving the rich tradition of academics, research, and healing.
Manager Physician Encounter Strategy Engagement MAPMG CareersManager Physician Encounter Strategy EngagementWashington, District of ColumbiaReporting to the Director, Physician Encounter Strategy & Engagement, the Manager, Physician Encounter Strategy & Engagement provides leadership, oversight, and strategic direction for programs supporting clinician documentation and coding activities across Primary Care, Medical and Surgical Specialties, and Acute and Core Service Lines. Mid-Atlantic Permanente Medical Group is comprised of more than 1,700 Permanente physicians and nearly 300 staff professionals who come together to make a positive impact on the health and lives of more than 800,000 members in Virginia, Maryland, and the District of Columbia.
Oncology Clinical Nurse Coordinator, Cancer Center GW Medical Faculty AssociatesOncology Clinical Nurse Coordinator, Cancer CenterWashington, DCWork in collaboration with an inter-disciplinary team; with physicians, APPs (Advanced Practicing Providers), medical assistants, infusion nurses, pharmacy, social workers, dietitians, and cancer navigators to assure timely progression towards best clinical outcomes. In addition to maintaining a closely integrated alliance with The George Washington University and The George Washington University Hospital (GWUH) which is separately owned and operated by Universal Health Services (UHS), the GW MFA has active referring relationships with 12 area hospitals.
Licensed Clinical Supervisor (LICSW) - Washington, DC The DormLicensed Clinical Supervisor (LICSW) - Washington, DCWashington, DC$90,000–$100,000 / yearLimitless opportunities to expand your therapeutic impact: work with our research team; support our groundbreaking student scholarship program; be featured in the media on topics that matter; or pilot a new treatment group — At The Dorm, it's all possible! We blend individualized therapy and skills coaching, hands-on family work, group-based clinical support and a bustling community and social Clubhouse experience unseen elsewhere in our industry.
NewManager, Editorial and Publishing Services Association of Women's Health, Obstetric & Neonatal NursesManager, Editorial and Publishing ServicesWashington, DCRemote$75,000–$83,000The Manager oversees the complete editorial lifecycle for print and digital publications while collaborating with nursing subject matter experts, instructional designers, learning management system (LMS) staff, project managers, marketing, and external publishing partners. The Manager of Editorial and Publication Services leads the editorial development, production, and quality assurance of the organization's educational, clinical, research, and professional practice resources.
Specialty Business Manager, Derm - Spokane, WA 3312 Takeda Pharmaceuticals AmericaSpecialty Business Manager, Derm - Spokane, WAWashingtonEstablish professional working relationships with Health Care Providers decision makers, support staff, and other stakeholders within assigned customers, to support the safe and effective use of the company's products - through developing and applying clinical and business expertise, and effective selling skills. Develop and deliver a targeted sales message to HCPs to support patients’ safe and effective use of assigned product based on accurate clinical information, utilizing approved marketing materials and medical reprints, and discuss therapeutic strategies to inform and educate decision makers.
Float Pool Manager DON (RN) Critical Care ICU Services MedStar Health Research InstituteFloat Pool Manager DON (RN) Critical Care ICU ServicesWashington, DC$102,606–$196,996 / yearThe Nurse Manager will oversee a versatile team that supports specialized critical care areas, partnering closely with unit leadership to ensure seamless staffing, consistent clinical excellence, and outstanding patient outcomes. This is an exciting leadership opportunity for an operationally focused manager who excels at building high-performing teams, advancing nursing practice, and supporting excellence across multiple intensive care units.
Clinical Research Coordinator III - Pediatrics Gastroenterology Washington University in St LouisClinical Research Coordinator III - Pediatrics GastroenterologyWashingtonYou will work closely with other team members and healthcare professionals to recruit and enroll study participants, explain the purpose of study and obtain informed consent from participants, conduct study visits in the hospital and the participant’s home, ensure compliance with protocol guidelines and requirements of the IRB and IACUC, enter data, assist with lab procedures, and perform data analyses. Serves as responsible for the development of forms, questionnaires and the application of research techniques; assists in writing instructional procedure manuals for study progress, data collection and coding; reviews journals, abstracts and scientific literature to keep abreast of new developments and to obtain information regarding previous studies to aid in the planning of new studies.
Case Manager II Children's National HospitalCase Manager IIWashington, DC$87,172.80–$145,267.20 / yearPlease note that it is the policy of Children's National Hospital to ensure a "drug-free" work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances, by all staff (management, employees and contractors). Case Managers are the experts at finding resources and care to meet our patients' needs across the healthcare continuum while ensuring optimal reimbursement so we can all thrive on giving children the best chance at a bright future.
Supervisory Audiologist U.S. Department of Veterans AffairsSupervisory AudiologistWashington, DC$131,009–$170,317 / yearArranges for and participates in annual goal-setting/strategic planning sessions, coordinates the development of the final operating plan, and conducts continuing evaluations at the Service level as well as the Medical Center, VISN, and national levels as it relates to the activities of the Service addressing patient care delivery systems, facilities management, system reorganizations or the other issues and initiatives. Functions as a Service leader with overall project responsibility as the primary Service representative for the Medical Center to redistribute the workforce, positions, and sections of the Service to comply with legislative or regulatory changes impacting the mission and goals of the Medical Center, VISN 10, National PM&R Program Office and Veterans Health Administration (VHA).
RN Case Manager Johns Hopkins HospitalRN Case ManagerWashington, DCThe Case Manager manages clinical resources and transition planning for patients within an assigned caseload from pre-admission through post-discharge, actively working to identify/ eliminate barriers to the delivery of clinical services with the patient, family and care team. What you will do: In collaboration with patients/families, social workers, physicians and the interdisciplinary team, the Case Manager provides leadership and advocacy in the coordination of patient-centered care across the continuum to facilitate optimal transitions and progression in care.
Manager, Infusion Pharmacy GW Medical Faculty AssociatesManager, Infusion PharmacyWashington, DCThe highly motivated individual will meet regularly with the Executive Director of Pharmacy to determine solutions to pharmacy workflow and the infusion teams needs; oversee strategic planning and innovation to meet institutional, departmental, patient care, and regulatory needs including capital and operating budgets for individual cost centers; ensure compliance with Federal and State Laws and Regulations pertaining to OSHA, Joint Commission, USP 797, USP 800, and policies and procedures set forth by the Department and the Board of Pharmacy. Apply problem identification/resolution skill and solid therapeutic knowledge to pathophysiology, drug information, drug interactions, untreated indications, improper drug selection, subtherapeutic dosage, overdose, failure to receive medication, adverse drug reactions, medication without indication and other areas for defined patient population.
EPIC Manager Gamen GroupEPIC ManagerWashington, DCStrong Candidates will have significant Technical Experience in at least one of the following areas:Team member on a clinical systems implementation project for medium size to large health care delivery systems and hospitals. Qualifications for Manager Position:Managers will lead and deliver large, complex client engagements that identify, design, and implement creative business and technology solutions for large companies.
RN Case Manager (Discharge Planner) MedStar HealthRN Case Manager (Discharge Planner)Washington, DC$89,065–$162,801 / yearFull timeDemonstrates the ability to develop a plan of care that addresses needs across the continuum; have an intervention for problems identified; develop long- and short-term goals with specific time frames for resolution; identify specific services to be provided in the care plan; include the family/care-giver in the plan of care; and show life planning contingencies such as power of attorney and/or advance directives. Monitors the care and services delivered to selected patient populations during the acute hospital stay promotes effective case management and utilization of resources and works to achieve optimal clinical and resource outcomes for the acute and post-hospital phases of care.