- Guidehouse (Mclean, 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
- CVS Health (Annapolis, MD)
- …**Required Qualifications** + 3+ years of experience in data analytics or data science in healthcare, health insurance, or Medicaid programs + Ability to ... Summary** We are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within...to support fraud, waste, and abuse (FWA) detection and Medicaid regulatory & compliance reporting. This is an individual… more
- CareFirst (Baltimore, MD)
- …quality management of the clinical appeal process to reduce the risk of State and Federal Regulatory fines and sanctions, avoid adverse exposure, reiterate the ... benefit contract and CareFirst Medical Policy and are compliant with State , Federal and accreditation requirements. Ensures appropriate and complete resolution of… more