- Prime Therapeutics (Washington, DC)
- … Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management Professional (PMP) ... and drives every decision we make. **Job Posting Title** Sr . Compliance Analyst - Remote **Job Description**...or other highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Senior Technology Leadership Professional is responsible for all aspects of software or ... hardware product delivery and performance. The Senior Technology Leadership Professional work assignments involve moderately complex to complex issues where the… more
- Evolent (Washington, DC)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Scope Analyst, Scope Management** The Specialty Scope Management team is made up ... to own the opportunity to make healthcare better. **Collaboration Opportunities:** The Senior Scope Analyst, Scope Management plays a crucial role in supporting the… more
- Humana (Washington, DC)
- …put health first** We are seeking a highly skilled and innovative Senior Automation Engineer to lead and drive quality assurance initiatives across enterprise-scale ... experience in lieu of degree. + 7+ years of professional experience in software QA and test automation. +...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Washington, DC)
- …providing frameworks to maximize available resources to achieve growth. The ** Senior Professional Business Intelligence Engineer** is an experienced individual ... meet compliance requirements and define and drive business value. The Senior Professional will partner across various multi-disciplinary teams at Humana to… more
- CenterWell (Washington, DC)
- …part of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to identify and ... for business segments or the company at large. The Senior Strategy Advancement Professional work assignments involve...payment model programs via the Center for Medicare and Medicaid Services (CMS), such as ACO REACH, MSSP, and… more
- Humana (Washington, DC)
- …of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ancillary, ... hospital, and/or other provider contracts and agreements. The Senior Provider Contracting 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 Inpatient Medical Coding Professional extracts clinical information from a variety of ... data requires an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis… more
- Humana (Washington, DC)
- …help us put health first** We are seeking an accomplished and experienced Senior Strategy Advancement Professional to join the Conversational Experience Platform ... business issues and opportunities, including OKR creation and evaluation. The Senior Strategy Advancement Professional will exercise considerable latitude in… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Senior TRICARE Community Liaison (TCL) is a customer-facing Humana Military associate who is ... knowledgeable, professional , and courteous. This role interacts in person and...Medical Treatment Facility (MTF) and other Government staff, including senior military leaders, and civilian healthcare providers and facilities.… more
- ICF (Reston, VA)
- Description ** Senior CMS Data/Policy SME** **- (Part Time)** **The Company:** ICF is a mission-driven company filled with people who care deeply about improving the ... for the customer. We are looking for a seasoned Senior Backend Engineer who will be a key driver...and guide cross-functional teams through complex policy, regulatory, and compliance landscapes. Leveraging deep expertise in CMS data and… 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 ... machine learning and emerging generative AI technologies. As a Senior Cognitive/Machine Learning Engineer, you will play a key...related field) with a minimum of 5 years of professional experience; OR + Master's Degree in a similar… more
- ICF (Reston, VA)
- …that will be assigned to one of our projects for the Centers for Medicare and Medicaid Services. You will work to align user needs to business goals and to drive UX ... of WCAG 2.0 Level AA / Section 508 and Plain Language Act compliance preferred. + Experience in federal contracting or healthcare IT preferred. + Experience… more
- Somatus (Mclean, VA)
- …coverage (medical, dental vision) + Flexible Paid Time Off (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting ... and oversight to all lines of business including Commercial, Medicaid , Medicare, and Special Need Plans (SNPs). The Director,...Plans (SNPs). The Director, Quality will work closely with Sr . Manager, Audit Risk and the Regulatory and Accreditation… more
- Service Source (Lorton, VA)
- …services being provided by assigned personnel. + Maintain participant files in compliance with Medicaid , Licensing, and CARF standards, etc. Coordinate with ... Established promotion opportunities and clear career pathways ({Program Manager >> Sr . Program Manager/ Division Manager >> Director)) + Tuition reimbursement and… more
- CenterWell (Washington, DC)
- …CenterWell Medical Group, a new virtual care delivery group within CenterWell Senior Primary Care, Humana's Primary Care Organization. This group will provide ... our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associates… more
- Humana (Washington, DC)
- …Candidates should have a minimum of eight or more years of professional experience in Senate, House, Administration, government affairs, campaign, health policy ... and/or advocacy roles. Positions within committee, leadership offices, or other senior government roles within the executive branch are highly preferred.… more
- Humana (Washington, DC)
- …or a related field, or equivalent experience. + Progressive experience as a senior application and/or solution architect or technical lead in large company spanning ... native architectures and agile delivery **Preferred Qualifications** + Associate or Professional level solution architecture certification in Azure, GCP and/or AWS.… more
- Gentiva (Fairfax, VA)
- …join our team.You will report directly to the Executive Director, Administrator, or Senior Patient Care Manager. You will be responsible for maintaining a high ... developing associates and ensuring adherence to company policies and procedures and compliance with local, state, and federal regulations and regulatory agencies. +… more
- Goodwin Living (Washington, DC)
- …values every voice. + Growth and Opportunities: We bolster personal and professional development, offering a myriad of opportunities, from on-the-job training to ... a fulfilling work environment with competitive benefits, work-life balance, and recognition programs, ensuring our team feels appreciated and valued. Schedule:… more