- Highmark Health (Washington, DC)
- …including the growing number of laws and regulations governing managed care organizations. The Manager , Medicaid Compliance & Operations acts as a trusted ... contracts. The position actively manages the day-to-day operations of the Medicaid Compliance Program, and contributes to the operational workflow for … more
- Sumitomo Pharma (Washington, DC)
- …dynamic, highly motivated, and experienced individual for the position of Sr. Manager , Medicaid Contract Administration. This position is responsible for ... managing the Medicaid rebate team in receiving, processing, validating, trouble-shooting ...with internal departments (Internal Audit, Commercial Insights, Contracting, SOX Compliance , and Legal) to clarify policy compliance … more
- Humana (Washington, DC)
- …development; and + Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root ... a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence… more
- Prime Therapeutics (Washington, DC)
- … with federal laws, state laws and standards of practice which govern the Medicaid Drug Rebate Program. + Ensures compliance with each State Medicaid ... passion and drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position provides administrative… more
- Humana (Alexandria, VA)
- …our caring community and help us put health first** The Field Care Manager , Behavioral Health performs primarily face to face and telephonic assessments with ... members. The Field Care Manager serves as the primary point of contact. providing...behavioral health outcomes, reducing care gaps, and supporting Virginia's Medicaid population with comprehensive, integrated behavioral health care management..… 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 ... and serve humanity. Join Our Team! ServiceSource is proudly hiring a Program Manager to oversee the daily services of one department within the Lorton Community… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- **Next Generation Desktop Program Manager ** **Category:** Project Management **Main location:** United States, Virginia, Fairfax **Position ID:** J0425-0109 ... . **Position Description:** CGI Federal is seeking an experienced Program Manager to lead the Department of Health and Human Services (HHS),… more
- Somatus (Mclean, VA)
- …and mental well-being + Community engagement opportunities + And more! The Sr. Manager , Quality, reporting to the AVP, Quality, is responsible for supporting the ... and oversight to all lines of business including Commercial, Medicaid , Medicare, and Special Need Plans (SNPs). The Sr...., Medicare, and Special Need Plans (SNPs). The Sr. Manager , Quality will work closely with Sr. Manager… more
- Humana (Arlington, VA)
- …of our caring community and help us put health first** The Field Care Manager , ARTS assesses and evaluates member's needs and requirements to achieve and/or maintain ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and...needs. + Will follow processes, and procedures to ensure compliance with regulatory requirements by the Virginia Department of… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- Human Service Worker V Intake Manager Print (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/4975230) Apply Human Service Worker V Intake ... Manager Salary $77,640.16 - $129,399.50 Annually Location ANNANDALE VA...manner. Analyzes comprehensive data reports and spreadsheets to monitor compliance . Performs advanced level professional duties including development, implementation,… more
- Prime Therapeutics (Washington, DC)
- …and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the Compliance department Potential pay ... our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The Senior … more
- Service Source (Chantilly, VA)
- …ongoing compliance with organizational polices, and other regulatory bodies ( Medicaid , Licensing, CARF, etc.) as it pertains to individual's records, plans and ... Team! ServiceSource is proudly hiring a compassionate and skilled Assistant Program Manager for our Manassas Day Support Program for adults with developmental… more
- Humana (Washington, DC)
- …of our caring community and help us put health first** The Print Project Manager will be involved in the procurement and production of printed materials and ... in job focus. + Understanding of Centers for Medicare & Medicaid Services (CMS) guidelines **Additional Information** Location: Remote Nationwide **_Hirevue… more
- CVS Health (Washington, DC)
- …team with Aetna, a CVS Health company. As a Senior Program Manager for Interoperability, you will be responsible for product post-production support of ... Interoperability team, you will work collaboratively with Business, Clinical, Architecture, Compliance , IT, and Legal to deliver technologies and processes that… more
- Gentiva (Woodbridge, VA)
- …lasting difference in people's lives every day. **Overview** We're looking for a **Patient Care Manager / Clinical Manager ** **RN** to join our team. This is a ... report directly to the Executive Director, Administrator, or Senior Patient Care Manager . You will be responsible for maintaining a high performing hospice program… more
- Humana (Washington, DC)
- …of our caring community and help us put health first** The Lead Product Manager conceives of, develops, delivers, and manages products for customer use. The Lead ... Product Manager works on problems of diverse scope and complexity...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Genesis Healthcare (Silver Spring, MD)
- …this sound like you? If so, apply to join our team as a **Business Office Manager ** and take the lead in driving financial excellence at the center level! This is ... mission of delivering exceptional care. **What You'll Do:** As a Business Office Manager , you'll oversee the full spectrum of revenue cycle management functions -… more
- Datavant (Washington, DC)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... and support value-based client delivery across Medicare Advantage, ACA, and Medicaid programs. The ideal candidate combines deep healthcare analytics expertise with… more
- Humana (Washington, DC)
- …us put health first** We're seeking a strategic, results-driven Lead Product Manager to design and deliver innovative clinical solutions that improve health outcomes ... the future of care delivery at scale. **Location:** remote The Lead Product Manager partners across various multi-disciplinary teams at Humana to design, define and… more
- System One (Baltimore, MD)
- Job Title: Pharmacy Benefits Manager Consultant Client: Health Insurance Organization Location: Remote Contract Type: Contract-to-Hire Rate: $120/HR Job Summary ALTA ... IT Services is seeking an experienced Pharmacy Benefits Manager Consultant for a contract-to-hire engagement with a leading health insurance company. This role… more