- Abt Global Inc. (Rockville, MD)
- **The Opportunity** As a Project Director , you will lead large project teams through complex health analytic engagements, serving both State and Federal ... strategy, and visualization. You will help to operationalize and execute Medicaid policy and IT transformation projects. You will oversee interdisciplinary teams… more
- Humana (Washington, DC)
- …to innovate + **Resides in KY** **Additional Information** Reports to the Lead Medical Director - North Central Medicaid Markets. The Medical Director ... community and help us put health first** The Medical Director relies on medical background and reviews health claims.... market populations. May provide cross-coverage for other state Medicaid markets. May participate on project teams… more
- Cognizant (Annapolis, MD)
- …among patients, hospitals, and government agencies to ensure eligibility for Medicaid , social security, county indigent, or other types of healthcare funding. ... process, standards, and documentation by client. + Evaluates and reports project status, schedules, issues, resolutions, and completions. + Guide underperforming… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Mathematica (Woodlawn, MD)
- …strategic team focused on, but not limited to, the Centers for Medicare and Medicaid Services (CMS). The Sr. Director is responsible for responsible for ... Sr. Director , Client Partner Team **Job ID** 2295 **Position...and advisory services teams. + Stay connected to technical project delivery by serving in a high-level oversight role… more
- Humana (Washington, DC)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
- Humana (Washington, DC)
- …us put health first** Humana is seeking a strategic and experienced Director of Business Performance Management, to lead the development, implementation, and ... effectiveness, compliance, and the achievement of key business objectives. The Director will be responsible for establishing clear performance metrics, driving… more
- Mathematica (Washington, DC)
- Executive Director of Client Management & Business Development **Job ID** 2294 **Position Description:** The Executive Director of Client Management & Business ... business development strategy for the Data Solutions division, the Executive Director of Client Management & Business Development maintains and expands relationships… more
- Prime Therapeutics (Washington, DC)
- …our passion and drives every decision we make. **Job Posting Title** Product Director - State Public Sector Business Development - Remote **Job Description** This ... Business Development Product Director is accountable for developing and executing initiatives on...commercial products to shape it for state public sector, Medicaid FFS business. + Pulls in account team "Product… more
- Prime Therapeutics (Washington, DC)
- …our passion and drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr Director ... with clients; participates in request for proposals; account leadership during project implementations. + Review and assign account executive's book of business… more
- Abbott (Washington, DC)
- …colleagues serve people in more than 160 countries. **Job Title** Director , Corporate Reimbursement, Government Affairs **The Opportunity** This position works out ... DC location in the Government Affairs division. As the Government Affairs Director for Corporate Reimbursement, you will develop, lead and execute the strategy,… more
- Mathematica (Washington, DC)
- Director of Data Science (Remote Eligible) **Job ID** 2255 **Position Description:** Mathematica applies expertise at the intersection of data, methods, policy, and ... our benefits here: https://www.mathematica.org/career-opportunities/benefits-at-a-glance We are seeking a motivated ** Director of Data Science** to lead a practice of… more
- Humana (Washington, DC)
- …of our caring community and help us put health first** The Director , Risk Adjustment Strategy Advancement will provide business intelligence and strategic planning ... support for business segments and the company at large. The Director , Risk Adjustment Strategy Advancement requires an in-depth understanding of how organization… more
- IQVIA (Baltimore, MD)
- …deliver medical breakthroughs in the real world. PURPOSE The National Account Director is responsible for managing all aspects of national and regional accounts, ... under the direction of the project 's Client Lead. This includes developing contracts to optimize...launch of new drugs in Managed Care accounts, PBMs, Medicaid PBMs, and State Government Accounts by introducing product… more
- Abbott (Washington, DC)
- …DC location in the Government Affairs function. As the Government Affairs Director for Corporate Reimbursement, you will develop, lead and execute the strategy, ... regulatory, marketing, sales, legal, clinical and medical affairs and project management, eg, a strong team player. * Ability...Qualifications** * Experience in the Centers for Medicare and Medicaid Services (CMS) or Health and Human Services *… more
- Johns Hopkins University (Baltimore, MD)
- …requirements for project staff, as well as prioritization and allocation of project resources. + Advise the Executive Director on Advisory Board structure ... **_Program Manager_** who will work closely with the Executive Director and Directors and will be responsible for the...objectives. Serve as a contributor at every level of project execution, from creative concept to final deliverables. +… more
- Prime Therapeutics (Washington, DC)
- …in business requirements, system specifications, process flows, process change and/or project management in supporting Compliance with Medicaid requirements. + ... + Advise internal clients regarding compliance with State and Federal Medicaid regulatory and contractual requirements + Provides leadership to the business… more
- Humana (Annapolis, MD)
- …of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid , and other health plans to millions. By integrating insurance with care ... plays a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of the company's total revenue and earnings.… more
- Mathematica (Washington, DC)
- …presentations, write/lead proposals, and respond to RFPs + Collaborate with area director to negotiate client contracts + Drive deal and contract agreement ... across technology and advisory services teams + Stay connected to technical project delivery by serving in a high-level oversight role + Identify current… more