- 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)
- …Qualifications** + Exposure to Lean Six Sigma or Agile methodology. + Experience with Medicaid and Duals process and data . + Experience with QNXT. **Education** ... it all with heart, each and every day. **Position Summary** The Senior Manager Data Consultant plays a crucial role in the overall planning and execution of… more
- Sumitomo Pharma (Washington, DC)
- …Manager, Medicaid Contract Administration. This position is responsible for managing the Medicaid rebate team in receiving, processing, validating, ... trouble-shooting Medicaid claims and dispute resolution with state agencies. This position requires a detailed understanding of the life science industry… 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)
- …the data exchange between Humana and its trading partners, Medicare and Medicaid . The Senior Encounter Data Management Professional will work with department ... caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and… more
- Public Consulting Group (Washington, DC)
- …the public sector. To learn more, visit www.publicconsultinggroup.com . The Education Data Analyst works as part of a deadline-oriented, fast-paced team consisting ... consulting and operations staff that works together to provide superior service to state education agencies and school districts in the areas of special education… more
- Mathematica (Washington, DC)
- …required with at least 15+ years of relevant experience working with Medicare and Medicaid data in a products or service delivery industry + Proven experience ... but not limited to, the Centers for Medicare and Medicaid Services (CMS). The Sr. Director is responsible for...accounts + Lead growth and expansion of the CMS, State , and Commercial health practices in data … more
- CVS Health (Annapolis, MD)
- …meets State requirements + Coordinates provider information with Provider Data Services including Member Services and other internal departments as requested as ... to 5 years' experience in Provider Relations; experience in Medicaid servicing or managing non-standard relationships with...communication skills + Candidates are to reside within applicable state with ability to travel as needed to provider… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- …this video you consent to Google/YouTube processing your data and using cookies -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . ... Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) Next Generation Desktop platform initiative. The Modernization Lead… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- …this video you consent to Google/YouTube processing your data and using cookies -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . ... Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) Next Generation Desktop platform initiative. The Business Analyst… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- …this video you consent to Google/YouTube processing your data and using cookies -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . ... Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) Next Generation Desktop platform initiative. The Program Manager will… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- …this video you consent to Google/YouTube processing your data and using cookies -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . ... Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) Next Generation Desktop platform initiative. This role requires… more
- Humana (Annapolis, MD)
- …of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid , and other health plans to millions. By integrating insurance with care ... plays a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of the company's total revenue and earnings.… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- …this video you consent to Google/YouTube processing your data and using cookies -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . ... Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) Next Generation Desktop platform initiative. The Centers for Medicare… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- …scheduling, and managing workloads to meet established deadlines. + Expertise in managing and analyzing data . + Clear and concise oral and written ... is completed correctly and in a timely manner. Analyzes comprehensive data reports and spreadsheets to monitor compliance. Performs advanced level professional… more
- Datavant (Washington, DC)
- …Medicare, ACA, and/or Medicaid risk adjustment models + 5+ years of data analytics and technical experience + Strong communication skills and ability to manage ... Datavant is a data platform company and the world's leader in...core business functions + Successful track record leading and managing in a remote environment (2+ years) + 3+… more
- Humana (Washington, DC)
- …with print vendors, ensuring that materials are delivered on time, and managing budgets to achieve cost-effective solutions. Other areas of focus include production ... Management, and Analytics. + Participates in gathering and interpreting relevant data and assist with Budget planning and forecasting. + Follows established… more
- Mathematica (Washington, DC)
- …working experience + Deep understanding of healthcare data across healthcare data ecosystem including state Medicaid , all-payer claims databases, health ... international development. The **Senior Client Partner / Client Partner** will collaborate with state and local division leadership to sell data assets and… more
- Humana (Washington, DC)
- …moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The **Senior Vendor Management ... moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. **Position Responsibilities** +… more
- Somatus (Mclean, VA)
- …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 Director, Quality will work closely with Sr. Manager,… more