- Guidehouse (Arlington, VA)
- …seeking Consultants with experience and knowledge of validating, loading, processing and analyzing Medicaid data and detailed member data across various ... analyses will be leveraged to help inform work with state Medicaid , public health or state...stay abreast of states' healthcare transformation efforts + Perform data and qualitative research activities to address state… more
- CVS Health (Washington, DC)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Manager Data Consultant plays a crucial role in the overall planning and ... Lean Six Sigma or Agile methodology. + Experience with Medicaid and Duals process and data . +...be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity… more
- Humana (Washington, DC)
- …an impact** **Required Qualifications** + 3+ years of experience researching state Medicaid hospital reimbursement methodologies that utilize MS-DRG, APR-DRG, ... and other business teams involved in the administration of Medicaid business at Humana. The Senior Business...WebStrat or PSI applications + Experience interacting with a State Medicaid or Federal government agency +… more
- Highmark Health (Washington, DC)
- …leadership role ensures the organization's robust compliance with all applicable federal and state Medicaid and CHIP regulations, including the growing number of ... laws and regulations governing managed care organizations. The Manager, Medicaid Compliance & Operations acts as a trusted business partner, providing expert advice… more
- Humana (Washington, DC)
- …from the data exchange between Humana and its trading partners, Medicare and Medicaid . The Senior Encounter Data Management Professional will work with ... a part of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful… more
- Humana (Washington, DC)
- …and Humana's services using technology and analytics. We are looking for a Senior Data Scientist who will utilize cutting-edge AI, NLP, GenAI techniques, ... Data Scientists with broad skills and applications, the Senior Data Scientist will work cross-functionally and...Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Senior Data Manager supports all aspects of configuration control, data ... management, and deficiency reporting. The Senior Data Manager work assignments involve moderately complex to complex...Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Senior Data Engineer Designs, builds, and maintains data processing architectures ... data to insights at enterprise scale. The Senior Data Engineer work assignments involve moderately...Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Senior Data Visualization Engineer builds user interfaces, visualizations, and data ... enable them to make the better business decisions. The Senior Data Visualization Engineer work assignments involve...business intelligence into a more scalable and efficient future state . **Use your skills to make an impact** **Required… more
- IQVIA (Falls Church, VA)
- …of public health, population health and high-quality research studies across Federal, State and Local government clients. A Senior Consultant supports ... ** Senior Consultant, Epidemiology, Government Solutions** **About IQVIA Government...public health leaders and practitioners by delivering health care data and by providing in-depth insights that can be… more
- Prime Therapeutics (Washington, DC)
- … data and concepts + Collaborate with Underwriters, other areas of Prime, and senior leaders on pricing initiatives, data analyses, and the RFP process + ... and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The ...for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial support in… more
- Mathematica (Washington, DC)
- …working experience + Deep understanding of healthcare data across healthcare data ecosystem including state Medicaid , all-payer claims databases, health ... Senior Client Partner / Client Partner (Remote eligible)... Client Partner / Client Partner** will collaborate with state and local division leadership to sell data… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Senior Vendor Management Professional works as liaison between vendors and organization. The ... Senior Vendor Management Professional work assignments involve moderately complex...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The… more
- Humana (Washington, DC)
- …help us put health first** Humana Healthy Horizons is seeking a Senior Compliance Professional to support audit preparation, internal controls evaluation, and ... compliance efforts across the organization. The Senior Compliance Professional work assignments involve moderately complex to...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. This… more
- Humana (Washington, DC)
- …and help us put health first** Humana Healthy Horizons is seeking a Senior Program Delivery Professional to support quality program work in multiple states. They ... Services and Supports (LTSS) and Home and Community-Based Services (HCBS). The Senior Program Delivery Professional (LTSS - Quality) works on problems of diverse… more
- Humana (Washington, DC)
- …part of our caring community and help us put health first** The Senior Contract Management Professional evaluates, drafts, and negotiates contracts and other related ... of goods and services for Humana, its subsidiaries and affiliates. The Senior Contract Management Professional work assignments involve moderately complex to complex… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Senior Business Intelligence Engineer solves complex business problems and issues using data ... internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Engineer work assignments involve moderately complex to complex… more
- Humana (Washington, DC)
- …part of our caring community and help us put health first** The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The focus of this role… more
- Humana (Washington, DC)
- …help us put health first** We are seeking a talented and motivated Senior Cognitive/Machine Learning Engineer to join our dynamic team. The traditional candidate ... in both traditional machine learning and emerging generative AI technologies. As a Senior Cognitive/Machine Learning Engineer, you will play a key role in developing… more
- Somatus (Mclean, VA)
- …of an effective quality improvement program essential to meet NCQA requirements, state specific requirements, and CMS guidelines. This role provides guidance and ... oversight to all lines of business including Commercial, Medicaid , Medicare, and Special Need Plans (SNPs). The Sr....and Abilities:** + Intermediate level of knowledge of local, state , federal laws and regulations pertaining to guidelines from… more