• Medicaid Payment & Financing…

    Mathematica (Columbus, OH)
    …in multidisciplinary teams, drawing on your knowledge and past experience with Medicaid programs * Help conduct research and technical assistance projects ... expertise, and institutional knowledge of staff working in the Medicaid area Position Requirements: * Researcher candidates...years of experience working in health policy or health research , with a substantial portion of that time related… more
    Mathematica (09/14/24)
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  • Capture Lead, Medicaid Clinical…

    Humana (Columbus, OH)
    …This role will work horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts to synthesize, ... growth partners to design and optimize clinical operating model blueprints for viable Medicaid health plans that meet the needs of state clients and populations… more
    Humana (08/15/24)
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  • Director, Medicaid Product Management…

    Humana (Columbus, OH)
    …a part of our caring community and help us put health first** Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy ... to support the strategic direction and growth of the Medicaid and Duals lines of business. This is a...with the following attributes: * Creative - Adept at research to determine the opportunity and a structured yet… more
    Humana (09/11/24)
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  • Supervisor Operations, Claims Research

    Prime Therapeutics (Columbus, OH)
    …drives every decision we make. **Job Posting Title** Supervisor Operations, Claims Research - Remote **Job Description** The Supervisor Operations is responsible ... Matter Expertise knowledge to internal and external stakeholders via research support, project leadership, implementation support, and internal/external audits +… more
    Prime Therapeutics (09/17/24)
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  • Principal Client Solution Architect…

    Mathematica (Columbus, OH)
    …warehouses, interactive dashboards, data analytics, and visualization products; and research and advisory. * Accountability for all project deliverables alongside ... large primary and secondary data sources to effectively answer research questions and guide decision-making about health care policy....salary range of $145,000 - $185,000. This position is eligible for a discretionary bonus based on company and… more
    Mathematica (08/11/24)
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  • Clinical Program Manager Remote

    Prime Therapeutics (Columbus, OH)
    …drives every decision we make. **Job Posting Title** Clinical Program Manager Remote **Job Description** **This Clinical Program Manager opening is presenting a ... member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to the client regarding… more
    Prime Therapeutics (09/15/24)
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  • Clinical Research Scientist 2

    Humana (Columbus, OH)
    …and help us put health first** Humana's Clinical Analytics Team is seeking a Research Scientist 2 ( Remote ). Healthcare is rapidly changing, and our members are ... to shape Humana's future enterprise clinical strategies and initiatives. The Research Scientist 2 applies mathematical, statistical, epidemiologic and data science… more
    Humana (09/14/24)
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  • Actuary Principal - Remote

    Prime Therapeutics (Columbus, OH)
    …drives every decision we make. **Job Posting Title** Actuary Principal - Remote **Job Description** The Principal Actuary is responsible for supporting the ... strategic pricing advice on structures and methodology using market research , financial projections, and complex actuarial modeling + Present...+ Actuarial designation (ASA or FSA) + Must be eligible to work in the United States without need… more
    Prime Therapeutics (09/15/24)
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  • Strategy Advancement, Principal (Fide-SNP/PACE)

    Humana (Columbus, OH)
    …our goals, we seek talent with the following attributes: Creative - Adept at research to determine the opportunity and a structured yet flexible approach to problem ... to maximize available resources to achieve growth. + Leads National Medicaid Strategic Priorities, effectively develops LTSS-based strategic goals and turns them… more
    Humana (07/25/24)
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  • Senior Medicare Strategy Consultant

    Humana (Columbus, OH)
    …is one of the largest health benefits organizations in the country. **Location:** remote The Healthcare Strategy team supports Humana's Medicare and Medicaid ... prior management consulting experience to support delivering some of Medicare and Medicaid 's highest priority projects and initiatives, with an emphasis on Medicare… more
    Humana (09/12/24)
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  • Medicare Strategy Lead

    Humana (Columbus, OH)
    …is one of the largest health benefits organizations in the country. Location: remote The Healthcare Strategy team supports Humana's Medicare and Medicaid ... management consulting experience to support delivering some of Medicare and Medicaid 's highest priority projects and initiatives, with an emphasis on Medicare… more
    Humana (09/06/24)
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  • Senior Product Marketer

    Humana (Columbus, OH)
    …for a Senior Product Marketer that has prior experience focused on Medicare, Medicaid and/or DSNP Members around Health and Well-being initiatives to join the ... development in alignment with program and campaign strategy. This is a nationwide remote role, however, you will be required to work Eastern Standard Time business… more
    Humana (09/10/24)
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  • Reimbursement Coordinator

    Cardinal Health (Columbus, OH)
    …specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers. Individualized ... agreed upon by the client + As needed conduct research associated with issues regarding the payer, physician's office,...+ Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage,… more
    Cardinal Health (08/23/24)
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  • Consumer Service Operations Professional

    Humana (Dublin, OH)
    …+ Member support, customer service, enrollment, and eligibility, claims review and research , and call center operations + Investigates and settles claims and ... guidance where needed + Follows established guidelines/procedures This is a remote position. **Use your skills to make an impact** **Required Qualifications**… more
    Humana (09/04/24)
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