Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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 2 days ago
Similar jobs that could be interesting for youBased on the Medicare Program Integrity Lead — Medical Review in Annapolis, MD vacancy
  • $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,... 
    Medical
    Full time
    H1b
    Work at office
    Local area
    3 days per week

    Black & Decker

    Annapolis, MD
    3 days ago
  • $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... 
    Medical
    Local area

    Boston Medical Center

    Annapolis, MD
    4 days ago
  • 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

    Society for Maternal-Fetal Medicine

    Annapolis, MD
    2 days ago
  • 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

    State of Maryland

    Annapolis, MD
    13 hours ago
  • $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... 
    Medical
    Minimum wage
    Contract work
    Part time
    Local area
    Immediate start
    Shift work
    Night shift
    Weekend work
    Day shift
    Afternoon shift
    Early shift

    Lululemon Athletica

    Annapolis, MD
    1 day ago
  • $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... 
    Medical
    Full time

    Luminis Health, Inc.

    Annapolis, MD
    1 day ago
  • $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... 
    Medical
    Hourly pay
    Local area

    Talus Holdings

    Annapolis, MD
    4 days ago
  •  ...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... 
    Medical
    Temporary work
    For contractors
    Work experience placement
    Work at office
    Flexible hours

    LATICRETE International

    Annapolis, MD
    2 days ago
  •  ...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... 
    Medical
    Hourly pay
    Local area
    Remote work

    Eliassen Group

    Annapolis, MD
    13 hours ago
  • $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... 
    Medical
    Permanent employment
    For contractors
    Home office
    Flexible hours

    Mosaic

    Annapolis, MD
    2 days ago
  • 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.... 
    Medical
    Weekend work

    Pediatrix Medical Group

    Annapolis, MD
    4 days ago
  •  ...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

    American Red Cross

    Annapolis, MD
    4 days ago
  •  ...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... 
    Medical
    Full time
    Temporary work
    Flexible hours

    Interclypse

    Annapolis, MD
    3 days ago
  •  ...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 work
    Work at office

    Precise Systems, Inc.

    Annapolis, MD
    13 hours ago
  • 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... 

    Mosaic.tech

    Annapolis, MD
    4 days ago
  • 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... 

    EverWatch

    Annapolis, MD
    4 days ago
  • $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 time
    Contract work
    Work experience placement
    For subcontractor
    Flexible hours

    CACI International Inc

    Annapolis, MD
    13 hours ago
  • 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... 
    Medical
    Full time
    Work at office
    Shift work

    ZippyApp - Recruitment Marketing

    Annapolis, MD
    2 days ago
  • $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,... 
    Medical
    Hourly pay
    Full time
    Contract work
    Temporary work
    Work experience placement
    Work at office
    Local area

    CVS Health

    Annapolis, MD
    13 hours ago
  • 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,... 
    Medical
    Full time

    Luminis Health, Inc.

    Annapolis, MD
    1 day ago
  •  ...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... 
    Medical
    Temporary work
    Work experience placement
    Flexible hours

    Honeywell

    Annapolis, MD
    3 days ago
  • $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 pay
    Work experience placement

    Opportunity Builders

    Millersville, MD
    1 day ago
  • 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... 
    Medical
    Work at office

    Southern Arkansas University

    Annapolis, MD
    1 day ago
  • 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... 
    Medical
    Remote job

    Sarepta Therapeutics

    Annapolis, MD
    1 day ago
  • 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 Center
    Medical

    Boston Medical Center

    Annapolis, MD
    4 days ago
  • $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... 
    Medical
    Full time
    Relocation
    Afternoon shift

    *Floyds 99 Barbershop - Annapolis

    Annapolis, MD
    11 days ago
  • $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 pay
    Full time
    Temporary work
    Work experience placement
    Local area

    CVS Health

    Annapolis, MD
    4 days ago
  • $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,... 
    Medical
    Hourly pay
    Full time
    Temporary work
    Part time
    Monday to Friday
    Shift work

    Reworld Waste

    Annapolis, MD
    2 days ago
  • 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... 

    Red Arch Solutions

    Annapolis, MD
    4 days ago
  •  ...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)... 
    Medical
    Full time
    Work at office
    Remote work

    Atwell, LLC

    Annapolis, MD
    11 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!