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
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Medicare Program Integrity Lead — Medical Review in Annapolis, MD vacancy
$106.9k - $147k
...by the Centers for Medicare and Medicaid Services... ...Stars Team is seeking a Lead, Data Quality/Integrity for Clinical... ...driving excellence in medical record data management... ...oversees medical record review activities, and... ...or value‑based care programs. Scheduled Weekly Hours...MedicalTemporary work- Humana Inc is seeking a Lead, Data Quality/Integrity for Clinical Abstraction Vendor Operations in Annapolis... .... This role drives excellence in medical record data management and clinical... ...relationships, oversee medical record reviews, and implement process improvements....Medical
$115k - $135k
...patient’s request for their medical records to powering... ...Strategic Engagement Lead who thrives in a fast-... ...goals. Excel in program management and decision... ...companies, CROs, or systems integrators in the healthcare... ...requirements will be reviewed by Datavant Human Resources...MedicalImmediate start$160k - $180k
...patient’s request for their medical records to powering the... ...Strategic Engagement Lead who thrives in a fast-... .... Excel in advanced program management and decision... ...companies, CROs, or systems integrators in the healthcare... ...our commitment, please review our EEO Commitment Statement...MedicalWork at office$104k - $143k
...Management and Engineering Leads to shape product and... ...team is focused on integrating and developing best practices... ...accelerated learning program, or equivalent work... ..., Humana provides medical, dental and vision benefits... ...life for people with Medicare and Medicaid, families...MedicalBi-weekly payFull timeTemporary workWork experience placementWork at officeRemote workWork from homeHome officeFlexible hoursHumana
Annapolis, MD1 day ago- ...career opportunity for a Lead LNG Technician (Plant... ...computer and the associated programs, systems, and databases... ..., and computers. Review and analyze alarm history... ...on mutual respect and integrity. Support the Company's... ...those choices include medical plans for individuals and...MedicalTemporary workWork experience placementLocal areaRelocation packageFlexible hoursNight shiftRotating shift
- ...Design, implement, and maintain impactful programs for Federal Government clients Organize... ...federal contracts Experience with integrated project schedules and critical path management... ...technical requirements Ability to review and comprehend Service Level Agreements...Contract work
$99k - $225k
The Opportunity An effective program requires a manager who is passionate... ...242472 Responsibilities As a lead program manager you will... ..., strategic planning, reviewing contracts, and more. Qualifications... ...mobile communications, cloud integration, containerization, and...Full timePart timeWork at officeLocal areaRemote work- ## Lead Teacher Candidate PoolApplylocations: Generaltime... .... The Lead Teacher is integral in fostering equity,... ...a Master’s Degree Program in Education, Teaching,... ...Maryland Employment History Review, pursuant to Section 6-... ...service, family medical history or genetic information...MedicalPermanent employmentTemporary workLocal area
- ## Custodian, Day Lead IIApplylocations: Atholton High Schooltime... ...negotiated agreement, Integrated Pest Management Program (IPM) booklet and Energy... ...administered by a medical service selected by the Howard... ...Maryland Employment History Review, pursuant to Section 6-113...MedicalPermanent employmentFull timeTemporary workFor contractorsShift workNight shiftAfternoon shift
$18.5 - $38.82 per hour
...Omnicare, closed-door pharmacy as a Lead Pharmacy Technician in our... ...proper preparation of medications to be dispensed by the pharmacist... ...dispensing of medication, reviewing delivery orders and bins for... ...orientation, training, and education programs for all controlled substances...MedicalHourly payFull timeLocal areaCVS Health
Annapolis, MD19 days ago- ...Kluwer in Annapolis is seeking an experienced Event Manager to lead the strategy and execution of complex events in a fast-paced technology... ...compensation and benefits package offered, including medical, dental, vision plans, and more. #J-18808-Ljbffr Wolters KluwerMedical
$90k - $105k
Team Lead, Data Visualization Supports delivery of one of our most... ...from start to finish. Review client questionnaires and determine... ....IO. Familiarity with survey programming platforms such as Decipher,... ...full‑time employees including medical, dental, vision, STD, LTD,...MedicalFull timeFlexible hours- ...Merchandise discounts Performance-based incentives Annual merit review Employee Assistance Program with mental health counseling and legal/financial advice... ...-based incentives/bonuses. Benefits include 401k, medical/vision/dental/life/disability insurance options, PTO...MedicalFull timePart timeLocal areaAll shiftsFlexible hoursAfternoon shift
$115.2k - $158.4k
...Profile Summary The Marketing Lead will lead and implement direct... ...primarily support our suite of Medicare products, aimed at prospective... ...of marketing metrics and program measurement Work at Home Requirements... ...our benefits, Humana provides medical, dental and vision benefits, 4...MedicalFull timeTemporary workWork at officeRemote workWork from homeHome office$80k - $110k
...About this Role The Field Quality Lead I at Quanta Infrastructure... ...in systematic and independent reviews of QC documentation. Assist in... .../audits and quality programs. Basic experience in surveillance... ...Comprehensive Health Coverage - Multiple Medical, dental & vision plans with 10...MedicalTemporary workFor subcontractorLocal area$110k - $130k
...About this Role The Field Quality Lead II at Quanta Infrastructure... ...in systematic and independent reviews and audits as assigned.... ...inspections/audits and quality programs. Familiarity with safety requirements... ...Health Coverage - Multiple Medical, dental & vision plans with 10...MedicalContract workTemporary workLocal area$110k - $154k
...Order-to-Cash (OTC) Value Stream Lead, you will partner with... ...eligible for the variable pay program each fiscal year, based on defined... ..., skills, and abilities. Medical, Dental and Vision benefits effective... ...service, and commercial integrations. Provide leadership for SAP...MedicalWork experience placementVisa sponsorship- .... Army Project Manager Positioning, Navigation, and Timing (PM PNT). This role involves providing acquisition management and program integration support to ensure compliance with DoD regulations. Candidates must have extensive experience with acquisition documentation and...
- ...Bachelor degree. The ideal candidate will have at least 8 years of related experience in program protection and supply chain management. The responsibilities include leading technical reviews, conducting critical program analyses, and developing training curriculum for...
$67.9k - $199.14k
...Communications & Organizational Readiness Lead is accountable for designing, developing,... ...and materials related to the ONECM program, ensuring clarity, consistency, and alignment... ...stakeholders, including. Coordinate and integrate communications, training, and change activities...Local area- SMX seeks an experienced Project Manager to join the integrated PMO in a leadership role, supporting multiple contracts and task orders... ...will liaison with government points of contact and assist the program leadership with staffing, training, oversight, operations, and...
- ...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
$85k - $97k
...Workers Compensation Claims Team Lead | MD, VA, DC, WV, DE... ...claims adjudication. Compiles reviews and analyzes management reports... ...schedule. Referral incentive program. Career development and promotional... ...benefits offering including medical, dental, vision, 401K on day one...MedicalContract workWork at officeFlexible hours$115.1k - $165.45k
...you. Position Overview: The Lead Sales Enablement - Renewals Field... ...reduction) into enablement programs, plays, and execution... ...renewal forecast and account review calls to reinforce best practices... ...customer lifecycle, including integration of product roadmap and value...Contract workLocal area$100k - $150k
...design partners—while leading and growing a small team... ...pressure‑test ideas, review designs, and validate... ...importance of work‑life integration. Our hybrid work... ...benefits package includes medical, dental, vision, HSA and... ..., employee assistance program, employee stock...MedicalTemporary workWork at officeLocal areaRemote workAfternoon shift3 days per week$66k - $70k
ABOUT GREYSTAR Greystar is a leading, fully integrated global real estate platform... ...financial statements, reviewing current and projected marketing... ..., and database management programs in order to complete required... ...Offered Competitive Medical, Dental, Vision, and Disability...MedicalFull timeFor contractorsWork at officeLocal areaImmediate start$66k - $70k
...ABOUT GREYSTAR**Greystar is a leading, fully integrated global real estate platform... ...financial statements, reviewing current and projected marketing... ..., and database management programs in order to complete... ...Offered\*:*** Competitive Medical, Dental, Vision, and Disability...MedicalFor contractorsWork at officeLocal area$151k - $176k
Avian in Maryland is looking for a Senior Program Analyst to support the Next Generation Jammer (NGJ) In-Service Integrated Product Team (IPT). This role focuses on acquisition, program execution, financial management, and strategic planning. The ideal candidate will have...$144.08k - $274.44k
...just a job, it's a chance to lead change, drive progress, and... ...beyond including design reviews at each design milestone (3... ...OA delivery candidates and integrate them into OA program. Be the ambassador of HDR OA... ...and success, which includes medical, dental, vision, short and...MedicalFull timeTemporary workPart timeLocal areaHDR
Annapolis, MD3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medicare Program Integrity Lead — Medical Review. Be the first to apply!
Related searches
- emergency medical Annapolis, MD
- medical electronics Annapolis, MD
- medical solutions Annapolis, MD
- medical screener reception technician Annapolis, MD
- internships for medical students Annapolis, MD
- medical intern Annapolis, MD
- remote medical data entry Annapolis, MD
- director medical writing Annapolis, MD
- medical affairs Annapolis, MD
- medical communications Annapolis, MD