- Abt Global Inc. (Sacramento, CA)
- **The Opportunity** As a Project Director , you will lead large project teams through complex health analytic engagements, serving both State and Federal ... strategy, and visualization. You will help to operationalize and execute Medicaid policy and IT transformation projects. You will oversee interdisciplinary teams… more
- Humana (Sacramento, CA)
- … us put health first** Humana Healthy Horizons is a seeking a Senior Project Manager ( Medicaid Network Implementation) who is accountable for working with the ... Director , Network Implementations, Provider Strategy & Operations, to assist...driving efficient management of end-to-end provider-related functions in new Medicaid market implementations. The Senior Project Manager… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical ... Director work assignments involve moderately complex to complex issues...of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations,… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid , and Medicare Advantage requirements and will understand how to… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Strategy Advancement Advisor provides data-based strategic direction to identify and ... organizational alignment to enhance clinical operations within the Humana Medicaid landscape. **Key Responsibilities:** **Stakeholder Engagement & Communication** +… more
- Datavant (Sacramento, CA)
- …platform is powered by the largest, most diverse health data network in the US , enabling data to be secure, accessible and usable to inform better health decisions. ... manager will collaborate with other managers and the department director to set strategy and mobilize the team to...3+ years of experience working with Medicare, ACA, and/or Medicaid risk adjustment models + 5+ years of data… more
- Evolent (Sacramento, CA)
- …services and/or configuration, preferably in a leadership role + General understanding of US health care, Managed Care Organizations, and/or Medicaid + Lives the ... issue resolution, process improvement, and more. This position reports to the Director . Provider Data Management. + Leadership responsibility for a team of 3-7… more