- CenterWell (Annapolis, MD)
- …a part of our caring community and help us put health first** The Project Management Lead manages all aspects of a project, from start to finish, so that it is ... completed on time and within budget. The Project Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Project… more
- Humana (Annapolis, MD)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. +… more
- Humana (Annapolis, MD)
- …rules, regulations and sub-regulatory guidance that apply to Insurance Products (ie, Medicare Advantage, Part D, Group Specialty, and Individual Specialty), ... your skills to make an impact** **Required Qualifications** + Experience with Medicare Advantage and/or Medicaid + Comprehensive knowledge of Microsoft Office… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid ... (RREG). As a Supervisory Social Science Research Analyst ( Group Deputy Director), GS-0101-15, you will provide direction on...obtain and further develop ideas and concepts that may lead to new and/or modified tests. Requirements Conditions of… more
- Huntington Ingalls Industries (Woodlawn, MD)
- …role supports the Division of Strategic Information (DSI) within the Centers for Medicare and Medicaid Services by identifying Foreign Intelligence Entity (FIE) ... days remote) and may require up to 10% travel. The Centers for Medicare and Medicaid Services effort encompasses technology development, threat analysis,… more
- Humana (Annapolis, MD)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicare Advantage, and Medicaid requirements and will ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other… more
- Humana (Annapolis, MD)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicaid , and Medicare Advantage requirements and will ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other… more
- CenterWell (Annapolis, MD)
- …records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program ... a part of our caring community and help us put health first** The Program Management Lead , Offshore Coding Operations conducts quality assurance audits of medical… more
- Humana (Annapolis, MD)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... part of our caring community and help us put health first** The Lead Solutions Architect provides architecture leadership for CenterWell Home Health programs and… more
- Cardinal Health (Annapolis, MD)
- …chargebacks and vendor invoices and developing and negotiating customer and group purchasing contracts. + Demonstrates knowledge of financial processes, systems, ... getting the right things done. The Accounts Receivable Team Lead performs day-to-day AR functions with the goal of...company when necessary. + Bills supplemental insurances including all Medicaid states on paper and online. + Oversees appeals… more
- Humana (Annapolis, MD)
- …project leadership and consulting. + Knowledge of healthcare business domains, including Medicare , Medicaid , Group , Specialty, etc. + Development level ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- Prime Therapeutics (Annapolis, MD)
- …account management experience + Knowledge of the applicable line of business (eg, Medicare , Medicaid , Exchange, Commercial, Employer Group ) Every employee ... all provider and member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …(HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM), Hospital & Ambulatory Policy Group (HAPG), Division of Outpatient Care ... clinical and technical expertise to resolve beneficiary complaints or inquiries. Lead national studies, reviews, evaluations, and/or projects that directly affect … more
- Amgen (Washington, DC)
- …+ Broad and deep experience in federal health policy issues - specifically Medicare , Medicaid , and national health programs/reform + Deep understanding of US ... this vital role the Health Policy & Reimbursement Executive Director will lead development and implementation of reimbursement strategies for federal (US) payer… more
- GetWellNetwork, Inc. (Bethesda, MD)
- …outcomes. + Additional knowledge around payer-side healthcare operations, particularly in Medicaid / Medicare , with expertise in provider enrollment and services ... define current (AS-IS) and future (TO-BE) business and system states. + Lead business transformation initiatives by aligning business capability models with value… more
- Gentiva (Beltsville, MD)
- …Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid , JCAHO, ACHC) + Knowledge and compassion for ... **Overview** **Advance Hospice Care. Lead Clinical Excellence. Inspire Compassionate Teams.** We are...and professional manner + L ead or facilitate Interdisciplinary Group (IDG) meetings, including presenting patient updates, reviewing charts,… more
- Johns Hopkins University (Baltimore, MD)
- …managing requests for Trustee information to support grants, as well as for Medicare / Medicaid enrollment and revalidation applications for all states. + Assist ... Committee meetings, dinners, retreats and other events with Events Lead . + Manage communication with Trustees on hotel needs,...Salary Range: $62,900 - $110,000 Annually (Commensurate w/exp.) Employee group : Full Time Schedule: M-F 8:30 am - 5:00… more
- Johns Hopkins University (Baltimore, MD)
- …described above_ + Clean, organize, and analyze large administrative datasets (eg, Medicaid , Medicare , commercial, and all-payer claims). + Develop and document ... ensure accuracy of data and preparation of tables. + Lead basic activities such as data collection and data...Salary Range: $17.20 - $30.30 HRLY (Commensurate w/exp.) Employee group : Full Time Schedule: Monday to Friday: 8:30am -… more
- Oracle (Annapolis, MD)
- …one visualization tool like BO or Tableau + Healthcare experience with Medicaid / Medicare Claims Reporting **Expectations** + Perform other responsibilities as ... needs. Applies Oracle methodology, company procedures, and leading practices. As a Lead Consultant you will consult on data and modelling impacts, guiding clients… more
- Johns Hopkins University (Baltimore, MD)
- …Health Initiative to manage, analyze, and interpret large healthcare datasets, including Medicaid , Medicare , commercial, and all-payer claims. We are seeking a ... annual assessment report to summarize findings across the school/division. + Lead the design of clean, impactful, user-friendly data visualizations supporting… more