- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The State Technology Lead understands departmental and IT organizational strategy and ... understanding the priorities of all delivery for their assigned state , supporting the business goals of the Medicaid...remain organized and aligned with delivery goals. + Guides Medicaid Technology Solutions teams in developing technical… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Medicaid Data and Reporting Analyst integrates data from multiple sources to produce requested or ... required data elements. This role will support our Medicaid Clinical operations in multiple markets. This role manages recurring reporting, state reporting, and… more
- Humana (Richmond, VA)
- …caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness ... data changes on actuarial models, reporting tools, and financial results. Lead and manage data-related projects from scoping through post-production validation,… more
- Humana (Richmond, VA)
- …companies and in the development and implementation of IT integration plans. The Lead , M&A IT Integration drives end-to-end technology integration activities for ... Planning & Execution** + Conduct baseline assessments of people, processes, and technology across acquired clinics. + Build integration plans, tasks, milestones, and… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Lead , Technical Product Owner requires someone known for creative problem solving. This role solves ... that support quality measurement, reporting, and compliance. **Key responsibilities:** + ** Technology strategy and roadmap of Business and Data Products:** Define… more
- Humana (Richmond, VA)
- …available technology including hardware, software, databases, and peripherals. The Lead Solutions Architect works on problems of diverse scope and complexity ... **Become a part of our caring community and help us put health first** The Lead Solutions Architect works with user groups to solve business problems with… more
- Humana (Richmond, VA)
- …community and help us put health first** As an Enterprise Transformation Lead within Humana's Shared Services organization supporting the Insurance Segment, you will ... influence accountability, foster continual improvement, and align people, processes, and technology with organizational objectives. As a subject matter expert, you… more
- Humana (Richmond, VA)
- …and help us put health first** We are seeking a dynamic and strategic Lead Anaplan Architect to own and evolve our enterprise-wide Anaplan platform across both ... and HR business processes, and the ability to architect and lead end-to-end solutions-from business requirements through configuration, integration, security, and… more
- Humana (Richmond, VA)
- …our caring community and help us put health first** The Anaplan Implementation Lead delivers new technological solutions to meet business needs within a specified ... scope while aligned to enterprise objectives. The Anaplan Implementation Lead works on problems of diverse scope and complexity ranging from moderate to substantial.… more
- Humana (Richmond, VA)
- …efforts involving provider network processes and governance to support state specific network adequacy requirements. The Senior Network Optimization Professional ... network contracting governance, process development, and data governance for Ohio Medicaid , including contracting requirements and data integrity as required in the… more
- Public Consulting Group (Richmond, VA)
- …strategic goals to serve the public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and ... sector. To learn more, visit www.publicconsultinggroup.com . Collaborating with our Technology Consulting team, you will help organizations streamline operations and… more
- Humana (Richmond, VA)
- …additional license, if required. + No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements. + Excellent ... of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/… more
- Humana (Richmond, VA)
- …in Virginia is seeking a Manager, Care Management (Maternal-Child Health) who will lead teams of nurses and health professionals responsible for maternal and child ... Understanding of the Cardinal Care Contract + Experience serving Medicaid , Medicaid /Medicare, TANF, and/or CHIP populations. +...Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more
- Humana (Richmond, VA)
- …Principal coordinates, implements, and manages oversight of the company's Medicare/ Medicaid Stars Program for aligned areas. The Stars Improvement Principal ... collaboration to maximize impact across all operational areas. + Lead and support the design, implementation, and optimization of...Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more
- Humana (Richmond, VA)
- …chance to help lead and grow as we transform the information technology of healthcare. **Primary responsibilities** + Create a clear strategy for IT, and ... activate strategies to address healthcare opportunities and challenges with technology -enabled solutions. As an Advisor in our team, you'll...Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more
- Public Consulting Group (Richmond, VA)
- …expected to become familiar with education leaders as well as the issues that state and local education agencies are grappling with. This candidate will be evaluated ... a consultative approach to understanding and solving complex problems faced by state and local education agencies. The successful candidate will be responsible for… more
- Elevance Health (Richmond, VA)
- …for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Cloud Solutions Engineer/Administrator ... business unit or corporate department and utilizing various customer technology platforms. **How You Will Make An Impact:** +...gender, race, or any other category protected by federal, state , and local pay equity laws. * The salary… more
- RCG Behavioral Health Network (Richmond, VA)
- …Behavior Analyst Certification Board + Ensure all documentation on assigned clients meets Medicaid and other federal, state , or BACB required regulations. + ... are being met. + Must have a valid Virginia State driver's license and be willing to provide transportation...Leave + 401K Matching + $10,000 Tuition Reimbursement for Lead RBT Positions or higher + Mileage Reimbursement +… more
- Sumitomo Pharma (Richmond, VA)
- …receive RETHYMIC in a timely manner. This person will deliver product, disease state and resource education to payers and policymakers to expand their understanding ... various payers (commercial and government payers to include FFS and Managed Medicaid ) and remove reimbursement barriers to treatment + Build and maintain strong… more
- Cardinal Health (Richmond, VA)
- …get life-changing therapies to patients who need them-faster** Are you ready to lead change at the forefront of healthcare innovation in patient access and support? ... and performance indicators to ensure long-term success. . Identify risks and lead proactive mitigation strategies to keep business and AI transformation momentum… more