• Medicaid Certification Consultant

    Public Consulting Group (Richmond, VA)
    …looking for an experienced Medicaid Consultant to join our team and help lead our growth efforts. Deep Medicaid experience is critical, as well as experience ... Group** Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education,… more
    Public Consulting Group (03/21/24)
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  • Sr. Manager, Medicaid Contract…

    Sumitomo Pharma (Richmond, VA)
    …role with 2-3 days a week required in office. **Job Duties and Responsibilities** + Lead operations person for all Medicaid decisions as it relates to Model N ... **Title: Sr. Manager, Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma America… more
    Sumitomo Pharma (05/09/24)
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  • Senior Client Solution Architect / Client Solution…

    Mathematica (Richmond, VA)
    Position Description: Mathematica applies expertise at the intersection of technology , data, methods, policy, and practice to improve well-being around the world. We ... insights that improve programs, refine strategies, and enhance understanding using technology and advanced analytics. Our work yields actionable information to guide… more
    Mathematica (05/19/24)
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  • Decision Support Analyst - Medicaid

    Highmark Health (Richmond, VA)
    …technical knowledge to propose solutions to complex business problems. + Take the lead in driving the implementation of the recommended solutions . + Take the ... performance measurement or, in some cases, adaptation of existing solutions to new areas. + Perform modeling of data...+ Provide assistance and, depending on skill and experience, lead with interpretation of raw data, statistical results or… more
    Highmark Health (05/10/24)
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  • Senior Decision Support Analyst - Medicaid

    Highmark Health (Richmond, VA)
    …support and reporting tools. Use broad experience and technical knowledge to propose solutions to complex business problems. Take the lead in driving the ... of the recommended solutions . + Take the lead in defining issues and ideas to be studied...languages (such as SAS, R, SQL) and other database technology (DB2, Teradata, and Oracle). + Other duties as… more
    Highmark Health (05/10/24)
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  • Lead Technology Product Manager…

    Wolters Kluwer (Richmond, VA)
    …As part of the **Wolters Kluwer Health Clinical Effectiveness team** , the Lead ** Technology Product Manager** **- Commercial Drug Information** role for ... solutions that support Payers, PBMs, Life Sciences and Medicare/ Medicaid programs. **Wolters Kluwer Health** is an established, fast-growing, and… more
    Wolters Kluwer (03/24/24)
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  • Senior Technology Lead

    Humana (Richmond, VA)
    …for all aspects of software or hardware product delivery and performance. The Lead Technology Leadership Professional works on problems of diverse scope and ... for all aspects of software or hardware product delivery and performance. The Lead Technology Leadership Professional works on problems of diverse scope and… more
    Humana (06/01/24)
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  • Lead Solutions Architect

    Humana (Glen Allen, VA)
    …with available technology including hardware, software, databases, and peripherals. The Lead Solutions Architect works on problems of diverse scope and ... help us put health first** Humana is seeking a Lead Solutions Architect to join our Fortune...+ Proven track record of large-scale applications modernization / technology transformation program deliveries inclusive of on-prem, public cloud,… more
    Humana (05/05/24)
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  • Lead Product Manager - Provider Engagement

    Humana (Richmond, VA)
    …caring community and help us put health first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, ... with full accountability from strategy to execution. **Location:** remote The Lead Product Manager partners across various multi-disciplinary teams at Humana to… more
    Humana (06/01/24)
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  • Business Intelligence Valuation Lead

    Humana (Richmond, VA)
    …data and analytical skills to calculate Value or ROI for projects, investments in technology , changes to process, new solutions like AI,etc. + Learn or leverage ... and Analytics organization. This team is focused on analyzing technology , process or people changes for Valuation or ROI,...collect and analyze data, and derive practical recommendations and solutions . + Lead end to end process… more
    Humana (05/24/24)
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  • Lead Data Scientist

    Humana (Richmond, VA)
    …data infrastructure, analytic product development, and advanced data science capabilities. The Lead Data Scientist will enhance and mature the vision of People ... Analytics at Humana. The lead drives analytic value by working with business customers...Experience in using mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into… more
    Humana (05/30/24)
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  • MF Production Control & Turn Center Lead

    Humana (Richmond, VA)
    …a highly motivated and experienced Mainframe Production Control and Turn Center Lead to oversee a geographically dispersed team responsible for the smooth operation ... Monitor system performance, identify and troubleshoot production issues, and implement solutions . + Ensure adherence to established production control procedures and… more
    Humana (06/05/24)
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  • Principal Consultant/Senior Fellow - Public Health…

    Mathematica (Richmond, VA)
    …* About Mathematica:* Mathematica applies expertise at the intersection of technology , data, methods, policy, and practice to improve well-being around the ... insights that improve programs, refine strategies, and enhance understanding using technology and advanced analytics. Our work yields actionable information to guide… more
    Mathematica (05/04/24)
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  • Senior Enterprise Architect

    Humana (Richmond, VA)
    …community and help us put health first** Are you interested in leveraging technology and business strategy to deliver improved member & patient experiences and ... member/patient experience by bringing forth the alignment of business strategy to technology strategy, enabling the effective and efficient execution of the … more
    Humana (05/25/24)
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  • Compliance Counsel

    Public Consulting Group (Richmond, VA)
    …practical guidance and support to management and consultants in compliance areas including Medicaid regulations. + Take a lead role in compliance investigations ... Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education,… more
    Public Consulting Group (05/27/24)
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  • Senior Data Security Analyst (Remote eligible)

    Mathematica (Richmond, VA)
    Position Description: Mathematica applies expertise at the intersection of technology , data, methods, policy, and practice to improve well-being around the world. We ... insights that improve programs, refine strategies, and enhance understanding using technology and advanced analytics. Our work yields actionable information to guide… more
    Mathematica (05/01/24)
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  • Principal Researcher, Disability Policy (Remote…

    Mathematica (Richmond, VA)
    …efforts, and coordinate the work of multidisciplinary teams, including collaborations with technology teams building solutions in service to policy needs * ... * About Mathematica:* Mathematica applies expertise at the intersection of technology , data, methods, policy, and practice to improve well-being around the… more
    Mathematica (05/04/24)
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  • Principal IT Program Manager (Remote eligible)

    Mathematica (Richmond, VA)
    …We seek a dynamic individual to join our *Health Solutions Insights (HSI) Delivery Management Practice or our Human Services ... Systems & Technology practice* who is a strategic thinker, a tactical...leading large client projects and technical teams developing data-driven solutions . This client-facing leadership role involves owning the project… more
    Mathematica (05/16/24)
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  • Senior Enterprise Architect (remote virtual)

    Humana (Richmond, VA)
    …and other reference architecture as required + Experience architecting information management technology solutions inclusive of modern data / cloud technologies ... fit for our Enterprise Architecture team. Our mission is to align business strategy with technology strategy, and to harness the power of Data, AI, and ML to deliver… more
    Humana (05/31/24)
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  • Sr. Researcher, Disability Policy (Remote…

    Mathematica (Richmond, VA)
    …*About Mathematica: * Mathematica applies expertise at the intersection of technology , data, methods, policy, and practice to improve well-being around the ... insights that improve programs, refine strategies, and enhance understanding using technology and advanced analytics. Our work yields actionable information to guide… more
    Mathematica (05/18/24)
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