- Abt Global Inc. (Rockville, MD)
- **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 (Washington, DC)
- **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 ... in KY** **Additional Information** Reports to the Lead Medical Director - North Central Medicaid Markets. The... market populations. May provide cross-coverage for other state Medicaid markets. May participate on project teams… more
- Humana (Washington, DC)
- **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
- Prime Therapeutics (Washington, DC)
- …at least 5 years in product development + Must be eligible to work in the United States without need for work visa or residency sponsorship Must be eligible to ... drives every decision we make. **Job Posting Title** Product Director - State Public Sector Business Development - Remote...work in the United States without the need for work… more
- Humana (Washington, DC)
- **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 (Washington, DC)
- **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
- Mathematica (Washington, DC)
- …strategic team focused on, but not limited to, the Centers for Medicare and Medicaid Services (CMS). The Sr. Director is responsible for responsible for ... Sr. Director , Client Partner Team **Job ID** 2295 **Position...and advisory services teams. + Stay connected to technical project delivery by serving in a high-level oversight role… more
- Prime Therapeutics (Washington, DC)
- …leadership / people management experience. + Must be eligible to work in the United States without need for work visa or residency sponsorship. **Additional ... our passion and drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr Director … more
- Abbott (Washington, DC)
- …Espanol: http://webstorage.abbott.com/common/External/EEO\_Spanish.pdf From < https://abbott.wd5.myworkdayjobs.com/abbottcareers/job/ United - States Illinois ... and technology assessment. + Prior experience establishing procedure codes in the United States + Experience with Coverage with Evidence Development studies… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** Humana is seeking a strategic and experienced Director of Business Performance Management, ... effectiveness, compliance, and the achievement of key business objectives. The Director will be responsible for establishing clear performance metrics, driving… more
- Abbott (Washington, DC)
- …and technology assessment. * Prior experience establishing procedure codes in the United States * Experience with Evidence Development studies * Successful ... DC location in the Government Affairs function. As the Government Affairs Director for Corporate Reimbursement, you will develop, lead and execute the strategy,… more
- Mathematica (Washington, DC)
- Executive Director of Client Management & Business Development **Job ID** 2294 **Position Description:** The Executive Director of Client Management & Business ... business development strategy for the Data Solutions division, the Executive Director of Client Management & Business Development maintains and expands relationships… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Director , Risk Adjustment Strategy Advancement will provide business intelligence and ... planning support for business segments and the company at large. The Director , Risk Adjustment Strategy Advancement requires an in-depth understanding of how… more
- Prime Therapeutics (Washington, DC)
- …benefits, implementations or related area) + Must be eligible to work in the United States without need for work visa or residency sponsorship **Additional ... in business requirements, system specifications, process flows, process change and/or project management in supporting Compliance with Medicaid requirements. +… more
- Prime Therapeutics (Washington, DC)
- …the Affordable Care Act (ACA) + Must be eligible to work in the United States without need for work visa or residency sponsorship **Additional Qualifications** ... are aligned with expectations of applicable regulatory guidance + Lead project management efforts for highly sensitive Compliance initiatives + Represents the… more
- Prime Therapeutics (Washington, DC)
- …Actuarial designation (ASA or FSA) + Must be eligible to work in the United States without need for work visa or residency sponsorship **Additional ... + Excellent quantitative, problem solving, and analytical skills + Strong project management and organizational skills + Excellent verbal and written communication… more
- Datavant (Washington, DC)
- …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
- Mathematica (Washington, DC)
- …presentations, write/lead proposals, and respond to RFPs + Collaborate with area director to negotiate client contracts + Drive deal and contract agreement ... across technology and advisory services teams + Stay connected to technical project delivery by serving in a high-level oversight role + Identify current… more
- Evolent (Washington, DC)
- …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 Managment. + Leadership responsibility for a team of 3-7… more