- Humana (Washington, DC)
- …interpretation and independent determination of the appropriate courses of action. The Finance Professional 2 will support Medicaid /Duals and continue ... caring community and help us put health first** The Finance Professional 2 analyzes and forecasts financial,...membership, and premium related data to provide reports to Medicaid Finance CFOs as well as assist… more
- Humana (Washington, DC)
- …from the data exchange between Humana and its trading partners, Medicare and Medicaid . The Senior Encounter Data Management Professional will work with ... and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation of… more
- Prime Therapeutics (Washington, DC)
- …flows, process change and/or project management in supporting Compliance with Medicaid requirements. + Provide direct, or indirect leadership to other compliance ... + Advise internal clients regarding compliance with State and Federal Medicaid regulatory and contractual requirements + Provides leadership to the business… more
- Humana (Washington, DC)
- …as Dual Eligibles, Veterans, and other needs-based segments. The Medicare and Medicaid organization, Humana's largest, comprises over 80% of the company's total ... in interviews and working sessions with leaders within Medicare and Medicaid and across the broader organization + Conducting industry, market, competitor,… more
- Humana (Annapolis, MD)
- …users other than those directly employed by the organization. The Senior Finance Reporting Professional / Analyst + Analyzes and forecasts financial, economic, ... our caring community and help us put health first** The Senior Financial Reporting Professional / Analyst prepares and distributes periodic financial statements for… more
- Elevance Health (Woodlawn, MD)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement II** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services).… more
- Humana (Washington, DC)
- …& Clinical Innovation + Corporate Strategy & Transformation Office + Medicare & Medicaid Market Operations + Provider Relations & Network Performance + Marketing & ... Customer Engagement (including MarketPoint) + Finance , Accounting & Risk Management + Human Resources &...in a Master of Business (MBA) or other advanced professional degree (eg MPH, MD, JD, Ph.D.), with a… more
- Trinity Health (Silver Spring, MD)
- …(ie clinically integrated network, medical group, advocacy, mission, marketing/communications, finance , supply chain, etc.) to integrate and advance CHWB strategy ... to ensure adherence in a manner that reflects honest, ethical and professional behavior. + Accountable executive for CHWB. Interviews, hires, orients, oversees… more
- Humana (Washington, DC)
- …to detail and organizational skills. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions ... Work is managed and often guided by precedent and/or documented procedures/regulations/ professional standards with some interpretation. **Use your skills to make an… more
- Genesis Healthcare (Silver Spring, MD)
- …services from short-term to long-term and a wide variety of living options and professional clinical services, Genesis focuses on the vitality of the person. How and ... revenue operations** including census management, billing, collections, adjustments, and Medicaid tracking. + C **ollaborate across departments** including Admissions,… more
- Trinity Health (Aspen Hill, MD)
- …issues by assisting the patients in finding the best way to finance their healthcare. Steward the hospitals limited community benefit resources by implementing ... in-person + Investigate problems and complaints, and initiate resolution in a professional and efficient manner. + Process credit card payments for various hospital… more
- Humana (Washington, DC)
- …directly collaborate with various business partners including initiative owners and finance stakeholders. Candidates pursuing this role should be passionate about ... of Actuaries (ASA) designation + Meets eligibility requirements for Humana's Actuarial Professional Development Program (APDP) + MAAA + Strong communication skills +… more