- CareFirst (Washington, DC)
- …cross functional expertise in marketing/advertising, program management, business development , sales, health policy, and strategic operations . Expertise in ... strongly considered. **ESSENTIAL FUNCTIONS:** + Provide subject matter expertise in a Medicaid growth, marketing, business development , and market expansion… more
- Abt Global Inc. (Rockville, MD)
- …Capability team, you will lead work in the health care portfolio, including business development efforts. The successful candidate will have extensive experience ... in Medicaid program operations , data, and policies. You...subject matter expertise to support health care projects and business development efforts. + Lead the technical… more
- Serco (Washington, DC)
- …PERM eligibility reviews, including eligibility review policies, business process; operations and contract deliverables, for estimating Medicaid and CHIP ... of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's Health Insurance Program (CHIP) improper payment estimates as… more
- Humana (Washington, DC)
- …functions, including assessment, care planning, and care coordination. + Leads development of care management policies and procedures to ensure compliance with ... evaluations of direct reports and provide regular opportunities for professional development . + Influences and assists corporate leadership in strategic planning to… more
- Highmark Health (Washington, DC)
- …on cross-functional efforts, in this role the incumbent should also act as a business data subject matter expert hands on where possible, and guide, lead and educate ... to: involved in hiring and termination decisions, coaching and development , rewards and recognition, performance management and staff productivity.Plan, organize,… more
- Humana (Washington, DC)
- …value propositions, white papers and other advocacy materials which support state business development opportunities and operations . + Under direction ... to analyze public policy, develop positions, and draft deliverables supporting Humana business strategy. + Monitor and analyze state Medicaid trends. Contribute… more
- Serco (Washington, DC)
- …+ Oversee performance of the eligibility, medical and claims reviews for estimating Medicaid and CHIP improper payments - including business processes, staffing, ... IT systems, staffing and financial management; + Strong working knowledge of state Medicaid and CHIP policies, programs and operations . + Extensive expertise in… more
- Serco (Washington, DC)
- …of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's Health Insurance Program (CHIP) improper payment estimates as ... medical reviews, data processing reviews, and eligibility reviews of selected state Medicaid and CHIP fee-for-services (FFS) and managed care claims; and supporting… more
- Serco (Washington, DC)
- …medical and claims reviews, including review policies, business process; operations and contract deliverables, for estimating Medicaid and CHIP eligibility ... of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's Health Insurance Program (CHIP) improper payment estimates as… more
- Humana (Washington, DC)
- …will be responsible for leading the beginning-to-end operational support of specialty Medicaid value based payment (VBP) models in alignment with segment strategy ... will be responsible for leading the beginning-to-end operational support of specialty Medicaid value based payment (VBP) models in alignment with segment strategy… more
- Humana (Washington, DC)
- …Healthcare Quality Reporting and Improvement business area, part of the Medicare and Medicaid business . With over 9 million medical members and $67B in '20 ... manages data to support and influence decisions on day-to-day operations , strategic planning and specific business performance...revenue, Medicare and Medicaid are Humana's largest business segments, comprising… more
- Prime Therapeutics (Washington, DC)
- …overall administration of the programs. Activities address impact on customers, operations , program integrity, pricing, quality and satisfaction. Develops and tracks ... expertise with data management and overall healthcare trends specific to the Medicaid population. **Job Description** + Partners with appropriate staff in the… more
- Somatus (Mclean, VA)
- …(medical, dental vision) + Flexible Paid Time Off (PTO) + Professional Development , CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates ... this mission. The CCO is responsible for the ongoing development and periodic assessment of the Company's Compliance Program...US Department of Justice (DOJ); Centers for Medicare and Medicaid Services (CMS); and applicable state Medicaid … more
- Somatus (Mclean, VA)
- Overview As the Vice President of Payer Contracting Strategy within the Business Development team, you will lead and execute the Company's payer contracting ... including, but not limited to, Commercial, Medicare Advantage, and Medicaid plans, and oversee the development of...on growth opportunities across payers and markets and adapt business development and contracting approaches, as needed.… more
- Pearson (Washington, DC)
- … outcomes. The OT Supervisor supports a variety of tasks to enable business operations across service lines. Projects and responsibilities are determined by ... And as a result, our category has seen explosive growth, and our business has experienced enormous increases in awareness and enrollments. This presents an… more
- General Dynamics Information Technology (Fairfax, VA)
- …Data Analytics and Reporting Manger** supporting Centers for Medicare and Medicaid Services (CMS) activities for the Marketplace Assister Technical Support (MATS) ... and skills so that they can facilitate enrollment in insurance coverage, Medicaid , and the Children's Health Insurance Program (CHIP) through the Affordable Care… more
- Trinity Health (Gaithersburg, MD)
- …achieves growth and operating targets. Responsible for maintaining & developing new business & sales while continuing to build awareness & relationships in the ... with the Sales Team to build more effective communication, to understand training & development needs, and to provide insight for the improvement of team sales &… more
- Abt Global Inc. (Rockville, MD)
- …Capability team, you will lead work in the health care portfolio, including business development efforts. The successful candidate will have extensive experience ... requirements. + Contribute subject matter expertise to support health care projects and business development efforts. + Lead the technical writing for project… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- …an exciting opportunity for hands on management, clinical experience, professional development and potential advancement in a progressive Fairfax County agency. This ... position is primarily Monday through Friday during business hours as well as on call duties as needed. Some flexibility for coverage needs may be required as needed.… more
- Public Consulting Group (Washington, DC)
- …manager, subject matter expert, and/or lead analyst on several projects and business development initiatives. The ideal candidate excels in the collection ... Group, Inc. (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services… more