- 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
- 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
- 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
- ERP International (Laurel, MD)
- …including the creation of data flow diagrams, data dictionaries, and data models. + Experience in designing and managing enterprise-level data ... ( www.erpinternational.com ) is currently seeking Full-Time a Mid-Level ** Data Modeler & Architect** to support the development and... architecture products within the Centers for Medicare & Medicaid Services (CMS). This role will help define and… more
- Humana (Washington, DC)
- …is a better quality of life-not only for people with Medicare and Medicaid but also for families, military service personnel, and communities at large. Business ... The facts: * Over 35% of HUM's Medicare and Medicaid members have a BH diagnosis, including mild to...Leader will lead a transformative effort to define our future- state operating model for Behavioral Health to improve health… 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
- 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
- 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
- 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
- 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
- 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
- Humana (Washington, DC)
- …health first** The Senior Full Stack Engineer will be a part of our Data Platform Development team and will perform software engineering activities in all layers of ... a range of issues varying in degree of complexity where analysis of situations or data requires an in-depth evaluation of variable factors. This role is part of a… more
- Datavant (Washington, DC)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data ... platform is powered by the largest, most diverse health data network in the US, enabling data ...8 years of coding experience. + Minimum 5 years managing coders in an outpatient or inpatient setting. +… more
- Mathematica (Washington, DC)
- …of Client Management & Business Development assumes full oversight of the Data Solutions division's business identification, growth, and management. In addition to ... developing and leading the complete business development strategy for the Data Solutions division, the Executive Director of Client Management & Business Development… more
- Humana (Washington, DC)
- …existing live product features. Proactively work to mitigate risk + Inform data requirements with business rationale. Work with relevant partners to develop plans ... for data ingestion and optimization + Identify the highest...Ability to drive significant transformation + Solid track record managing products that achieved sucessful financial outcomes + Competence… more
- Somatus (Mclean, VA)
- …+ Support capital raising by anticipating due diligence requests, gathering and synthesizing data from brand and platform groups, and presenting data in an ... to structure our contracts to be profitable. + Drive improvements in data alignment and reconciliations to improve contract and member performance. + Leverage… more