Medicare Program Integrity Lead — Medical Review
DOMA Technologies
Commence is seeking a Medical Review Manager to lead the Program Integrity medical reviews nationwide. You will supervise a clinical review team of RNs, LPNs, coders and support staff, ensuring accuracy, thorough documentation, and timely CMS reporting. Ideal candidates possess deep Medicare knowledge, fraud-focused review experience and a master’s or bachelor’s in nursing. This fully remote/office role collaborates with CMS and law enforcement partners under strict confidentiality. #J-18808-Ljbffr DOMA Technologies
$95.6k - $153.9k
...Lead Program Manager – Hybrid This is a hybrid position that requires... ...with a sense of purpose and integrity. People with a relentless pursuit... ...project objectives by reviewing project proposals and plans... ...great benefits plan, including: Medical, dental, life, vision,...MedicalFull timeH1bWork at officeLocal area3 days per week$47.77k - $71.65k
## Lead AP SpecialistApplylocations: Gilchrist... ...operations by reviewing monthly expenses,... ...with honesty and integrity. I will protect the... ...provide comprehensive medical care - we build... ...is covered under Medicare, Medicaid, most private... ..., and degree programs* Comprehensive health...MedicalLocal area- Pediatrix Medical Group is seeking an on-site Site Supervisor to oversee newborn hearing screening programs in a hospital setting. You will coordinate scheduling, ensure protocol adherence, and act as liaison with parents and hospital leadership. The role requires supervising...Medical
- State of Maryland is seeking a Program Coordinator for the Kent County Health Department to lead community outreach, inter-agency collaboration, and program development... ...health, substance use disorder treatment, medical adult day and developmental disabilities programs...Medical
$24 - $27.61 per hour
...Contract) Guest Experience Lead | Gaithersburg... ...and closing procedures. Review and interpret daily business... ...differences Integrity: Behaves in an honest,... ...our competitive bonus program, subject to program eligibility... ...religion, marital status, medical condition, physical or...MedicalMinimum wageContract workPart timeLocal areaImmediate startShift workNight shiftWeekend workDay shiftAfternoon shiftEarly shift$81.97k - $122.95k
Luminis Health Title: Utilization Review/Case Manager-Partial Hospitalization Program Department: Lanham Partial... ...Objective: Performs and monitors integrated, concurrent utilization review and... ...Utilization Review Plans. Works with medical and professional staff to obtain...MedicalFull time$90k - $150k
...class local operators and integrating them into a shared... ...Director is responsible for leading all aspects of the... ...diligence, including review of compensation,... ...and incentive and bonus programs. Maintain appropriate... ...experience Performance bonus Medical, dental, and vision...MedicalHourly payLocal area- ...global company that values integrity, teamwork, and loyalty... ..., we aim to be the leading construction brand... ...the world. Benefits Medical Dental Vision 401k Tuition... ...Services training programs, as directed. Create... ...technical advisories. Review and approve technical...MedicalTemporary workFor contractorsWork experience placementWork at officeFlexible hours
- ...Team Lead Anywhere Type: Consulting Category: Regulatory... ...package that includes Medical, Dental, and Vision benefits,... ...not limited to, assistance in reviewing application materials to help... ...Don’t miss out on our referral program! If we hire a candidate that...MedicalHourly payLocal areaRemote work
$174k - $210k
...Strategic Partnerships Lead The Strategic Partnerships Lead is... ...solutions for complex government programs. Successful candidates bring... ..., and long‑term platform integration. Define metrics for joint‑GTM... ...technology ecosystems. Benefits Medical/Dental/Vision (Employee...MedicalPermanent employmentFor contractorsHome officeFlexible hours- Pediatrix Medical Group is seeking a Site Supervisor to oversee newborn hearing screenings across multiple sites. You will serve as the on-site technical lead, ensuring high-quality screening practices and timely follow‑ups while coordinating with hospital leadership....MedicalWeekend work
- ...Manager for Pediatric Healthcare Programs to oversee SME level content... ...education efforts. You will review and edit technical materials,... ...initiatives across programs. You will lead content quality, coordinate... ..., and act as a liaison for medical expertise while #J-18808-Ljbffr...Medical
- ...Conducts annual performance reviews for direct reports. Project... ...Salesforce configurations, MuleSoft integration, and APIs. Knowledge of... ...and support. Employee Impact Program Every employee has the... ...planning support Health Insurance (Medical, Dental, Vision) Health...MedicalFull timeTemporary workFlexible hours
- ...Intelligence at Annapolis Junction, Maryland. This in-person role drives program documentation, acquisition planning, and strategy development to enable timely milestone decisions. You will prepare and review contract documents, develop statements of work, coordinate with POs...Contract workWork at office
- Istari Digital hires Deployment Strategists who own program outcomes end to end, embedding with government and industry teams to drive... ...federal programs, coordinating reports, technical interchanges, and reviews. The role emphasizes ownership, judgment, and the ability to...
- EverWatch is seeking a Portfolio Lead to oversee a portfolio of technical programs, coordinating with government stakeholders, the PMO, and leadership. The... ...strong staffing practices. The candidate will lead status reviews, manage competing priorities in a fast-paced...
$94.5k - $208k
Job Title: Senior Program Procurement Lead Job Category: Contracts Time Type: Full time Minimum Clearance Required to Start: TS/SCI Employee... ...the team. Drive absolute FAR/DFARS compliance and integrate technical requirements with defense contracting standards...Full timeContract workWork experience placementFor subcontractorFlexible hours- Are you a Medical Assistant with strong IV & Phlebotomy skills looking for a challenge and... ...candidate for this opportunity!Busy Integrative Medicine office in Annapolis in search of... ...supplies-Assist patients in Weight Loss Program with exercise form and technique-Maintain...MedicalFull timeWork at officeShift work
$100k - $231.54k
.... Position Summary The Lead Director, Healthcare Affordability... ..., Affordability Program Management and be... ...business, Commercial, Medicare and Medicaid. This role... ...also partners with the Medical Economics Unit to identify... ...to guarantee accuracy, integrity, validity, reliability,...MedicalHourly payFull timeContract workTemporary workWork experience placementWork at officeLocal area- Luminis Health in Lanham, MD is seeking a Utilization Review/Case Manager for the Partial Hospitalization Program to perform integrated utilization reviews and coordinate patient placement. You will collaborate with medical staff to obtain and review clinical documentation,...MedicalFull time
- ...portals, and preferred-product programs, positioning Honeywell Fire as... ...; conduct quarterly business reviews and monthly performance reviews... ...sustained share growth. Lead the introduction, qualification... ...includes employer subsidized Medical, Dental, Vision, and Life Insurance...MedicalTemporary workWork experience placementFlexible hours
$20.5 - $21.5 per hour
...particular position ensures program compliance by working directly... ..., community access and integration, and quality care. Help to... ...participant, which includes reviewing and signing off on the... ...participants. Be a Certified Medication Technician or can become a Certified...Hourly payWork experience placement- A leading educational institution is seeking an Accreditation Administrator to support their Office of Graduate Medical Education. This role includes coordinating accreditation activities... ...for medical residency and fellowship programs and managing GMEC operations. Key...MedicalWork at office
- Sarepta Therapeutics is seeking an Associate Director, Global Medical Affairs Lead (GMAL) to shape medical strategy for Duchenne gene therapy... ...lifecycle initiatives. You will develop medical materials, review content for accuracy, build thought-leader relationships, monitor...MedicalRemote job
- GBMC Gilchrist in Towson, MD seeks a Lead AP Specialist to support hospice financial operations, reviewing monthly expenses, processing invoices, and coordinating with... ...is an on-site role in a respected nonprofit healthcare system. #J-18808-Ljbffr Boston Medical CenterMedical
$44k - $126k
...is on the hunt for a full-time Barbershop Lead who's ready to take charge, inspire... ...$1,000-$1,500/month)Employee assistance program offering discounted or free counseling, financial... ...for full-time employees, including medical, dental, and visionFun and relaxed environment...MedicalFull timeRelocationAfternoon shift$144.2k - $288.4k
...community at a time. POSITION SUMMARY As Lead Director, Technology Strategy and Program Governance, you will play a... ...team governance, operating reviews, workforce planning, executive forums... ...benefits for this position include medical, dental, and vision coverage, paid...Hourly payFull timeTemporary workWork experience placementLocal area$45.77 - $60.91 per hour
...outcomes. Our Vision Reworld is leading the charge to a carbon-... ...day of employment. Wellness Program Incentives & Rewards 401k.... ...applicable). Pay ranges are reviewed from time to time and may be... ...have access to comprehensive medical, prescription drugs, dental,...MedicalHourly payFull timeTemporary workPart timeMonday to FridayShift work- Red Arch Solutions is seeking an experienced Systems Engineer for a priority program in Annapolis Junction, MD. The role emphasizes requirements engineering, integration planning, lifecycle management, and risk mitigation across complex mission systems, with strong Linux...
- ...industrial and commercial facilities. ~ Reviews the work of your team members (engineers,... ...environment and a progressive benefits program designed to support your personal and... ...Dependent Care Match 'Atwell'ness: Medical (BC/BS), Dental (Delta), and Vision (VSP)...MedicalFull timeWork at officeRemote work
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