At GDIT, people are our differentiator! We are in search of a Dynamic Medical Director and a equally Dynamic Claims Lead!! You be supporting a program within the Centers for Disease Control (CDC). This is a Prevention Project within the U.S. Department of Health and Human Services.
Dedicated Medical Director assigned to the Program account who:
Possesses the necessary education and experience as a physician, MD or DO, preferably specializing in occupational health
Understand standards of care and industry best practices to provide clinical guidance and counsel to enhance medical benefit administration
Has a minimum of five years of relevant clinical experience working in a health plan advising client that enables them to make independent clinical recommendations to the Program regarding the member population benefits
Roles & Responsibilities:
Attends all weekly, monthly, and semi-annual scheduled client meetings in which clinical based updates or decisions are required.
Delivers clinical expertise to guide Contractor medical benefit administration
Dedicated Claims Lead assigned to the Program account who:
Knowledge of State/Federal regulations regarding claims and bill requirements
Ability to analyze and interpret problems in data collection
At least 5 years of experience in insurance claims
In-depth understanding of legal regulations
Roles and Responsibilities:
Plan, organize and direct claim department
Excellent analytical and problem-solving skills
Customer service background
This position requires being fully vaccinated against COVID-19 by January 18, 2022 or the start date, if after January 18. Individuals who work in or reside in Texas or Montana or work outside of the United States may be excluded from this requirement.
The likely salary range for this position is $196,468 - $343,819, this is not, however, a guarantee of compensation or salary; rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.
We are GDIT. The people supporting some of the most complex government, defense, and intelligence projects across the country. We deliver. Bringing the expertise needed to understand and advance critical missions. We transform. Shifting the ways clients invest in, integrate, and innovate technology solutions. We ensure today is safe and tomorrow is smarter. We are there. On the ground, beside our clients, in the lab, and everywhere in between. Offering the technology transformations, strategy, and mission services needed to get the job done.
GDIT is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other protected class.