155 Kaiser Permanente jobs in Annandale

A leading providerof drug, alcohol, addiction, trauma, depression, anxiety therapies is looking for a Business Development Rep. You will havethe opportunity to personally interact with physicians, hospitaladministrators, social workers, case managers and other clinical personnel tostrengthen business relationships and gain referrals .Qualifications*Minimum 3+ years ofproven, successful experience in account management, client relations, clientretention, business development or sales. *Plus to haverelationships in territory with the following types of contacts BehavioralHealth, Mental Health, Social Workers, Psychiatry, Addiction*Bachelor'sdegree

Become a part of our caring community and help us put health first The Clinical Director is a key member of the regional clinical leadership team responsible for executing market-level clinical strategy, supporting provider performance, and coordinating with cross-functional teams to drive quality, utilization, and cost-of-care outcomes. At the core, this is a role focused on building relationships with providers and then leveraging those relationships to collaborate on how to overcome operational barriers, reduce administrative burden, and optimize clinical strategies for the benefit of our members. Primary Responsibilities: Intermountain Region (WA, OR, MT, UT, WY, ID) Clinical Strategy Execution & Provider Engagement The Clinical Director will partner with provider leadership by: • Developing and maintaining strong relationships with provider group leaders, ensuring timely communication, education, and collaboration. • Strengthening relationships, enhancing clinical performance, and driving improvements in patient experience and operational excellence • Aligning on strategic goals, sharing best practices, and collaborating on initiatives that support quality care delivery and system-wide performance The Clinical Director will contribute to the design and operationalization of the region’s clinical strategy by: • Driving clinical initiatives across the provider network • Supporting facility and provider population health programs focused on Stars, HEDIS, MRA, chronic condition management, and other efforts to reduce avoidable utilization • Supporting Joint Operating Committees (JOCs) and facilitating implementation with pilots around reducing cost of care and improving chronic health care outcomes. Data-Driven Performance Management Working closely with analytics and finance teams, the Clinical Director will: • Monitor key performance indicators, identify trends in quality and utilization, and support the development of targeted action plans. • Prepare performance dashboards, conduct root cause analyses, and facilitate provider education and remediation efforts. • Collaborate with hospital partners to align on shared performance goals, support data transparency, and drive improvements in clinical outcomes, patient experience, and operational efficiency. • Partner with the Regional VP of Health Services to align clinical programs with payer-specific needs and market dynamics. Innovation & Program Implementation The Clinical Director will implement regional pilots and vendor-supported programs, ensuring operational readiness and provider adoption. This includes: • Advancing the rollout of remote monitoring tools, clinical pathway platforms, and other tech-enabled care solutions • Working with hospital teams to integrate innovative solutions into inpatient and transitional care workflows, tracking program performance, escalating barriers to adoption, and contributing to continuous improvement efforts that enhance both provider and patient experience. Governance & Delegation Oversight The Clinical Director will participate in governance committees and support vendor and delegation oversight activities, including: • Ensuring compliance with clinical policies, quality standards, and regulatory requirements • Collaborating with hospital leadership to align governance practices • Promoting operational excellence across delegated entities and facility-based care settings. Use your skills to make an impact Additional Job Description Qualifications: Clinical degree with active unrestricted license (e.g. RN, NP,) 5+ years of experience in clinical operations, care management, or provider performance improvement. 5+ years experience in managed care industry, either provider or payer. Strong understanding of value-based care, population health, and quality metrics (e.g., Stars, HEDIS, MRA). Proficiency in quickly monitoring clinical and financial data and communicating it to drive decision-making and action across teams. Demonstrate ability to manage cross-functional projects and collaborate with clinical and non-clinical stakeholders. Excellent written and verbal communication skills; comfortable engaging executive and clinical audiences. Must be able to travel up to 30-35% in the Intermountain Region (WA, OR, MT, UT, WY, ID) Preferred: Experience in both provider and payer roles. Prior executive level role with successful track record of building external relationships and driving quality and financial results in a collaborative team/matrixed environment. Advanced degree in business, management and/or population health. To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including: Health benefits effective day 1 Paid time off, holidays, volunteer time and jury duty pay Recognition pay 401(k) retirement savings plan with employer match Tuition assistance Scholarships for eligible dependents Parental and caregiver leave Employee charity matching program Network Resource Groups (NRGs) Career development opportunities Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc$138,900 - $191,000 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. #J-18808-Ljbffr

Become a part of our caring community and help us put health first

The Regional VP, Health Services relies on medical background to create and oversee clinical strategy for the region. The Regional VP, Health Services requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide.

Regional VP of Health Services, Humana Medicare Advantage

As the Regional VP of Health Services, you will serve as the senior clinical executive responsible for shaping and executing the region's clinical engagement strategy. This role drives quality improvement, cost efficiency, and population health outcomes through strategic provider partnerships, data-informed decision-making, and cross-functional collaboration. The RVP acts as a key advisor, innovator, and relationship builder, ensuring alignment with Humana's mission and Medicare Advantage goals.

Primary Responsibilities:

Clinical Engagement & Provider Strategy:

• Cultivate and maintain trusted relationships with CMOs and senior executive/clinical leaders at provider and care delivery partner organizations. First and foremost, this is a role focused on building relationships with providers, and then leveraging those relationships to collaborate on how to positively drive provider performance, overcome operational barriers and reduce administrative burden.

• Serve as lead clinical executive for provider groups, translating clinical and quality priorities into actionable strategies. This includes promoting growth strategies and innovation with all provider groups, particularly our CenterWell partners.

• Enhance innovation with hospital systems while fostering collaboration and reducing operational barriers.

• Drive population health initiatives to improve the health and well-being of our members including:

• A strong understanding of clinical metrics and data (e.g. Quality measures, Risk Adjustment ratings, chronic condition management, PCP visit rates and effectiveness, and member engagement strategies).

• Identifying and implementing initiatives to address total cost of care drivers.

• Championing condition-based interventions.

• Leading clinical strategies to manage unique populations, such as unattributed membership, low income, disabled, or special needs members.

Clinical Strategy & Market Performance:

• Serve as the clinical steward for regional medical expense trends, leveraging data to guide interventions, and ensure fiscal accountability.

• Collaborate with finance, analytics, and market leadership to identify cost and quality outliers and implement targeted action plans.

• Customize strategies to align clinical programs with payer-specific needs (MA, D-SNP).

• Provide clinical input into network development, contract negotiations, and delegation oversight.

• Serve as clinical subject matter for potential plan design and clinical programs to support continued health plan growth.

• Represent the organization in regional health coalitions and community health initiatives.

• Collaborate with various operational functions in the centralized utilization management team and other shared services.

• Participate in quality governance, peer review, and grievance resolution processes.

Innovation & Transformation:

• Partner with national innovation teams to pilot and scale emerging technologies and care models (e.g., remote monitoring, clinical pathways, tech-enabled care).

• Lead regional implementation of clinical focused strategic programs.

• Collaborate with vendor partnerships and evaluate performance against clinical and financial KPIs.

• May also be involved in governance committees and delegation oversight.

Use your skills to make an impact

Qualifications:

• Active MD or DO licensure with appropriate training and certification

• 5+ years clinical practice

• 5 + years in managed care industry, either provider or payer

• Thorough knowledge of health care utilization and quality metrics and the impact value-based contracting has on provider behavior and performance

• The ability to quickly monitor clinical metrics and convey the impact verbally and in writing

• Proficient communication skills, including interpersonal, written and presentation, and the ability to promote complex material in a way that can be understood and acted upon by others

• Strategic thinker with the ability to balance long-term vision and short-term execution

• Established track record of building successful teams and cross departmental relationships

• Travel required 30-35%

• Reside within the region's geographic boundaries

Preferred:

• Experience in both provider and payer roles

• Prior executive level role with successful track record of building external relationships and driving quality and financial results in a collaborative team/matrixed environment

• Advanced degree in business, management and/or population health

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$298,000 - $409,800 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our

Description ORGANIZATION OVERVIEW: At Catholic Charities of the Archdiocese of Washington, your knowledge and service in areas such as immigrants and refugees, mental health, social work, employment and adult education, legal and financial services, health care, food assistance, shelter and housing, developmental disabilities and prison outreach can make a profound difference in the lives of many. Through more than 50 programs across the district and five surrounding counties, Catholic Charities is opening doors to help and hope. At CCADW, we continue to build an inclusive culture that celebrates a diverse workforce. We offer so much more than just a job. We offer careers. We take pride in our "promote from within" culture. We offer professional development, a comprehensive benefits package, a hybrid work model with both remote and in-office work, and a passion for building and motivating world class, high performing teams. Explore your career opportunity with Catholic Charities. Join us in Inspiring Hope and Building Futures. Compensation Package: Medical, prescriptions, dental and vision insurance Retirement savings plan with company match Company-paid and supplemental life insurance Flexible spending accounts Paid vacation, sick and personal leave 11 paid holidays Professional development and training Tuition reimbursement Employee referral bonus program JOB SUMMARY: The Manager of Quality Assurance provides leadership and guidance to Behavioral Health Services (BHS) programs in the areas of Regulatory/Procedural Compliance, Quality Assurance (QA)/Quality Improvement (QI) in all phases of service delivery and coordinates all Compliance and Quality Assurance activities. This position works to increase positive outcomes and client satisfaction by examining efficiency, workflow, and the overall environment of the BHS programs to ensure that all consumers receiving services through ACCS BHS programs are receiving the highest quality care. ESSENTIAL DUTIES and RESPONSIBILITIES: Oversee quality improvement efforts for BHS programs, through the Agency's Continuous Quality Improvement Process. Provide coaching and technical assistance to program managers, relevant to Compliance and Quality Improvement, including risk management activities, certification, credentialing and privileging, HIPAA, and OSHA. Provide leadership to develop improvement methodology and innovative approaches to Quality Improvement/Compliance management challenges. Adhere to all internal and external policy and procedure Collaborate on development of procedures for program manuals Perform QA/QI activities including audits, implementation of ongoing Federal and State laws and regulations, peer reviews, process improvement projects, and documentation training. Monitor incident report submission and conduct analysis on trends or high-risk incidents, conducting investigations as directed. Conduct chart reviews. Oversee program/client outcomes measures and data tracking for quality improvement and supporting BHS Mangers with quality assurance initiatives. Supervise the development, distribution, and assessment of stakeholder satisfaction surveys Interface with funders/contractors on Audit and Quality Improvement (QI) issues i.e., DC government, DC Primary Care Association (DCPCA), Primary Care Coalition (PCC), Medicaid/ Medicare, insurance carriers, and other stakeholders as needed. Oversee the administration of the Complaint & Grievance policy within Behavioral Health Services. Design, evaluate and adjust a data collection strategy to develop, collect, analyze, report and measure Quality Improvement Initiatives across the BHS programs and create action plans, as necessary. Assist the QA Director with achieving and maintaining certification and Accreditation, which includes the DC Department of Behavioral Health certification and the Council on Accreditation. Provide coverage and support to the QA Dept. for all programs within ACCS, as needed. Perform other job-related duties as assigned. EDUCATION and EXPERIENCE: Bachelor's degree in social work, human services or other closely related field. Advanced degree or certification in quality management is preferred. Three (3) years' experience managing or coordination quality assurance/regulatory compliance duties in a clinical or social service setting. Two (2) years' experience in a leadership capacity Working knowledge of laws and regulations pertaining to mental health in general and be able to apply them in everyday practice. Experience developing programmatic responses to stakeholder feedback and outcomes. SKILLS and COMPETENCIES: Knowledge of mental health, treatment, and case management practices. Skill in the use of computers, preferably in a Windows-based and office 365 operating environment including knowledge of electronic health record databases/system. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr

• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries!

• Registered Nurse, BSN required, MSN preferred
• Current licensure in the District of Columbia required
• Two to three years of recent clinical acute care experience required.
• Previous Case Management experience preferred.
• Case Management Certification preferred

• Effective communication skills, both verbal and written
• Effective interpersonal skills
• Ability to maintain confidentiality
• Ability to adapt to multiple changing priorities
• Ability to provide care that is respectful of and responsive to the patient values in clinical decision making

Lourie Center - Riverdale

If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account.

The Lourie Center Head Start, Adventist HealthCare seeks to hire an experienced Head Start Health Services Manager, who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing.

The Lourie Center Head Start (LCHS) program is a federally funded, community-based program for low-income families as well as pregnant women with children from birth to five years old. The program serves children with disabilities, children in foster care and families that are homeless.

As a Head Start Health Services Manager you will:
•Collaborate with all members of the Head Start leadership team to assure that Head Start Performance Standards, Maryland State Department of Education (MSDE) regulations, program policies and procedures and recommended best practices are implemented consistently across the entire program.
•Oversee all aspects of the health, safety, nutrition, mental health and disabilities service areas to include developmental screenings, monitoring of health documents, organization and facilitation of Mental Health Advisory Committee and support of classroom nutritional activities.
•Provide direct supervision for the Head Start Health Aide and Safety Officer.
•Develop and support implementation of written health, nutrition, environmental safety, sanitation, food service and emergency policies and procedures ensuring compliance with local and state regulations.
•Provide support to the Mental Health team to properly implement Head Start Performance Standards.
•Establish and maintain relationships with community organizations with the purpose of providing comprehensive support to families, including establishing and maintaining written Memorandums of Understanding
•Provide health, nutrition and safety related technical assistance and training to staff and families.
•Responsible for monitoring compliance of the Child and Adult Care Food Program.
•Responsible for all Adventist initiatives as it relates to the program, and health service areas.

Qualifications include:
•A minimum, a baccalaureate degree, preferably related to health, safety or nutrition.
•A minimum of three years working young children and families.
•At least one year experience in providing direct supervision for staff members.
•Experience working in Head Start preferred
•Active American Heart Association Basic Life Support (BLS) certification required

Work Schedule:

Will support childcare partners in various locations. Position will require travel between locations; personal vehicle is necessary.

8:00 am- 4:30 pm

M-F; occasional weekends and evenings

Pay Range:
$57,606.24 - $3,532.80
If the salary range is listed as 0 or if the position is Per Diem (with a fixed rate), salary discussions will take place during the screening process.

Under the Fair Labor Standards Act (FLSA), this position is classified as:
United States of America (Exempt)

At Adventist HealthCare our job is to care for you.

We do this by offering:

• Work life balance through nonrotating shifts
• Recognition and rewards for professional expertise
• Free Employee parking
• Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire
• Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)
• Paid Time Off
• Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period
• Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance
• Subsidized childcare at participating childcare centers
• Tuition Reimbursement
• Employee Assistance Program (EAP) support