- 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
- CenterWell (Washington, DC)
- …financial data driven methods to develop and influence drug strategies for the Medicaid lines of business. + Utilizes broad understanding of pharmacy, managed care, ... PBM, market and regulatory insights to support the development of Medicaid formulary and medical drug strategies to mitigate Humana's costs and trend while improving… more
- Somatus (Mclean, VA)
- …coverage (medical, dental vision) + Flexible Paid Time Off (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting ... engagement opportunities + And more! The Senior Vice President of Finance will lead financial activities that support critical operational stakeholders. The… 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 (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
- 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
- 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)
- …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
- 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