- Humana (Richmond, VA)
- …our organization's standing within the Medicaid markets. **Complex Ad-Hoc Requests:** The Data and Reporting Professional 2 will address complex ad-hoc ... caring community and help us put health first** The Medicaid Data and Reporting Analyst...operating objectives, including their linkages to related areas. The Data and Reporting Professional 2… more
- Humana (Richmond, VA)
- …etc. Partner with actuarial, financial, and clinical teams to align on data definitions, methodologies, and reporting . Identify cost drivers, utilization ... patterns, and anomalies in Medicaid medical claims data . Maintain dashboards to...degree, recent and relevant work experience, and/or other relevant professional designations. + MAAA + Strong communication skills +… more
- Humana (Richmond, VA)
- …of our caring community and help us put health first** The Senior Agency Professional ; Finance & Accounting supports data analysis related to compliance and ... determine the best course of action. The Senior Agency Professional ; Finance & Accounting provides support for handling and...Finance & Accounting provides support for handling and analyzing data that pertains to the compliance and commissions of… more
- ICF (Reston, VA)
- …by hospital providers across the country, by collecting, computing, and publicly reporting outcomes-based hospital quality measure data . This contract will serve ... to develop a human-centric reporting system that allows refinement, filtering, and ...on projects that support the Centers for Medicare and Medicaid Services (CMS) as we develop a next-generation analytics… more
- Humana (Richmond, VA)
- …our caring community and help us put health first** The Supply Chain Budget Professional reports to the Director of Enterprise Print Management (EPM) and plays a key ... Print and Postage operations through effective budget development, management, financial reporting , and cost tracking. This position ensures accuracy and efficiency… more
- CVS Health (VA)
- …abuse + Knowledge of Medicaid healthcare claims adjudication (QNXT) & regulatory reporting + Experience with data visualization tools (eg, Tableau, Power BI ... a full time role and is ideal for a data professional with strong coding skills in...to support fraud, waste, and abuse (FWA) detection and Medicaid regulatory & compliance reporting . This is… more
- Humana (Richmond, VA)
- …and overall market sales support. The ideal candidate will be able to summarize reporting data and present ideas and results. If you are detail oriented ... and help us put health first** The Sales Support Professional 1 will provide sales support to the Large...high level of accountability + Synthesizing and analyzing financial data (ex. budgets and income statement forecasts) with consideration… more
- Elevance Health (Richmond, VA)
- …requirements from internal and external requestors to ensure that the team is meeting reporting needs and facilitates seamless data transfer. + Develops ad hoc ... studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You... and Medicare Advantage risk adjustment initiatives. + Performs data mining and data -driven analyses to evaluate… more
- ICF (Reston, VA)
- …by hospital providers across the country, by collecting, computing, and publicly reporting outcomes-based hospital quality measure data . This contract will serve ... to develop a human-centric reporting system that allows refinement, filtering, and ...on projects that support the Centers for Medicare and Medicaid Services (CMS) as we develop a next-generation analytics… more
- CVS Health (VA)
- …systems and data warehouses. **Education** + Bachelor's Degree or equivalent professional work experience required. + Advanced degree in a relevant field, such ... and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid , Medicare Part D, and Public Exchange lines of business. + Conduct… more
- ICF (Reston, VA)
- …by hospital providers across the country, by collecting, computing, and publicly reporting outcomes-based hospital quality measure data . This contract will serve ... to develop a human-centric reporting system that allows refinement, filtering, and ...scalable applications that support the Centers for Medicare and Medicaid Services (CMS) Hospital Quality Reporting (HQR)… more
- ICF (Reston, VA)
- …by hospital providers across the country, by collecting, computing, and publicly reporting outcomes-based hospital quality measure data . This contract will serve ... to develop a human-centric reporting system that allows refinement, filtering, and ...scalable applications that support the Centers for Medicare and Medicaid Services (CMS) Hospital Quality Reporting (HQR)… more
- ICF (Reston, VA)
- …by hospital providers across the country, by collecting, computing, and publicly reporting outcomes-based hospital quality measure data . This contract will serve ... to develop a human-centric reporting system that allows refinement, filtering, and ...scalable applications that support the Centers for Medicare and Medicaid Services (CMS) Hospital Quality Reporting (HQR)… more
- General Dynamics Information Technology (Fairfax, VA)
- …Analyst/Tester) joining our team remotely to support the Centers for Medicare & Medicaid Services (CMS) activities. HOW A SYSTEMS ANALYST SENIOR WILL MAKE AN IMPACT ... technical support to customers + Documenting business, system, and reporting requirements specifications which includes assumptions, risks, system workflows, error… more
- Somatus (Mclean, VA)
- …coverage (medical, dental vision) + Flexible Paid Time Off (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting ... engagement opportunities + And more! The Director of Quality, reporting to the AVP of Quality, is responsible for...and oversight to all lines of business including Commercial, Medicaid , Medicare, and Special Need Plans (SNPs). The Director,… more
- ICF (Reston, VA)
- …by hospital providers across the country, by collecting, computing, and publicly reporting outcomes-based hospital quality measure data . This contract will serve ... to develop a human-centric reporting system that allows refinement, filtering, and ...scalable applications that support the Centers for Medicare and Medicaid Services (CMS). Your responsibilities will also include leveraging… more
- General Dynamics Information Technology (Fairfax, VA)
- …Program Delivery and Execution **Skills:** Accountability,Analytics,Financial Operations,Leadership,Management Reporting **Experience:** 5 + years of related ... personal impact as a **Cloud FinOps Manager** supporting the _Center for Medicare and Medicaid (CMS) Cloud Products Tools (CPT) Program._ GDIT is your place to make… more
- Cardinal Health (Richmond, VA)
- …leaders and employees and proactively provides guidance and trainings on policies. Reporting to the Director, Ethics & Compliance, this position supervises and ... manages audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: detection and… more
- Humana (Arlington, VA)
- …Intern program roadmap, guiding principles, and plan for supporting program growth + ** Data Analysis & Reporting ** + Responsible for development and delivery of ... + Preferred certification either project management (PMP or CAPM) or Certified Professional in Talent Development (CPTD)/ Associate Professional in Talent… more
- Elevance Health (Richmond, VA)
- …Access Specialist** , you will be responsible for the interpretation and data entry of basic prescriptions, handling medication access issues, and troubleshooting ... members through the appeals process when necessary. + **Documentation and Reporting ** : Accurately document member interactions and generate reports relating to… more