- Humana (Richmond, VA)
- …our organization's standing within the Medicaid markets. **Complex Ad-Hoc Requests:** The Data and Reporting Professional 2 will address complex ad-hoc ... caring community and help us put health first** The Medicaid Data and Reporting Analyst...operating objectives, including their linkages to related areas. The Data and Reporting Professional 2… more
- Humana (Richmond, VA)
- …of our caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and ... Requires strong project management skills to evaluate the downstream impacts of data changes on actuarial models, reporting tools, and financial results.… more
- Humana (Richmond, VA)
- …and Medicaid program requirements to drive accurate and timely submissions. The Senior Data and Reporting Professional integrates data from multiple ... operations across multiple states. This role ensures compliance with state-specific Medicaid reporting implementations and requirements, will collaborate with… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Senior Data & Reporting Professional tests the overall network in each county of ... requires an in-depth evaluation of variable factors. The Senior Data & Reporting Professional begins...Adequacy requirements and process optimization, primarily focusing on the Medicaid line of business, with a deep understanding of… more
- Humana (Richmond, VA)
- …contracting requirements and data integrity as required in the Ohio Medicaid Provider Agreement and internal reporting compliance. This role will support ... contracting governance, process development, and data governance Ohio Medicaid , including developing contracting requirements, internal reporting compliance… more
- Humana (Richmond, VA)
- … requires an in-depth evaluation of variable factors. The Senior Workforce Management Professional plays a pivotal role in supporting Medicaid Inpatient and ... community and help us put health first** The Senior Workforce Management Professional applies and integrates advanced and predictive analysis, people metrics and … more
- Humana (Richmond, VA)
- …model designs including analyzing provider performance, reporting , and scorecard/reconciliation reporting . + Understanding of Medicaid and/or Medicaid ... first** Humana Healthy Horizons is seeking a Senior Value-Based Programs professional who will support successful value-based provider relationships with a focus… more
- Humana (Richmond, VA)
- …our caring community and help us put health first** The Senior Agency Management Professional provides support for handling and analyzing data that pertains to ... determination of the appropriate courses of action. The Senior Agency Management Professional provides support for handling and analyzing data that pertains… more
- Humana (Richmond, VA)
- …caring community and help us put health first** The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and ... reporting to develop strategic and operational insights for workforce...management, diversity and human resource compliance). The Workforce Management Professional 2 work assignments are varied and frequently require… more
- Humana (Arlington, VA)
- …stakeholders involved in the Intern Program. Assists the program lead with reporting and communications and manages inquiries through the Intern Program mailbox. ... + Respond to inquiries from the Intern Program mailbox, providing timely and professional support. + Support the program lead in managing reporting and… more
- Humana (Richmond, VA)
- …and help us put health first** The IHWA Follow-up Senior Program Delivery Professional provides daily operational support to programs that impact members' lives by ... promoting preventive health activities. The IHWA Follow-up Senior Program Delivery Professional works on problems of diverse scope and complexity ranging from… more
- General Dynamics Information Technology (Fairfax, VA)
- …Required:** Other **Job Family:** Science and Research **Skills:** CMS Reporting , Data Management,Health Program Management, Medicaid ,Medicare **Experience:** ... , including data analysis, technical assistance, and assistance with Medicare/ Medicaid data study protocols. + Manage all functional teams, delivery,… more
- Sunrise Senior Living (Fort Belvoir, VA)
- …Controller with the accuracy of monthly Profit and Loss (P&L) Summary reporting , balance sheet account reconciliations, Medicare/ Medicaid billing and adherence ... of Medicare/ Medicaid requirements to properly process billing and regulatory reporting (if applicable at community). + Reconcile and control cash accounts for… more
- ICF (Reston, VA)
- …by hospital providers across the country, by collecting, computing, and publicly reporting outcomes-based hospital quality measure data . This contract will serve ... to develop a human-centric reporting system that allows refinement, filtering, and ...on projects that support the Centers for Medicare and Medicaid Services (CMS) as we develop a next-generation analytics… more
- General Dynamics Information Technology (Fairfax, VA)
- …on our ability to add a business analyst/product owner that will support a data and reporting team for interactive and dynamic user-interface solutions that ... support; JIRA/Confluence; Ability to analyze technical processes; Ability to document complex data and/or reporting projects + **Security Clearance Level:** No… more
- ICF (Reston, VA)
- …by hospital providers across the country, by collecting, computing, and publicly reporting outcomes-based hospital quality measure data . This contract will serve ... to develop a human-centric reporting system that allows refinement, filtering, and ...scalable applications that support the Centers for Medicare and Medicaid Services (CMS) Hospital Quality Reporting (HQR)… more
- ICF (Reston, VA)
- …by hospital providers across the country, by collecting, computing, and publicly reporting outcomes-based hospital quality measure data . This contract will serve ... to develop a human-centric reporting system that allows refinement, filtering, and ...scalable applications that support the Centers for Medicare and Medicaid Services (CMS) Hospital Quality Reporting (HQR)… more
- Humana (Richmond, VA)
- …ranging from moderate to substantial. The Actuary, Analytics/Forecasting supports centralized reporting of external data sharing, oversees internal reporting ... The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and… more
- General Dynamics Information Technology (Fairfax, VA)
- …and Oversight (FSSSO) team remotely to support the Centers for Medicare & Medicaid Services (CMS) activities. Work visa sponsorship will not be provided for this ... Confluence, and other tools and reports to collect, develop, and analyze Agile data and metrics, managing progress daily + May perform Business Analyst and/or… more
- ICF (Reston, VA)
- …by hospital providers across the country, by collecting, computing, and publicly reporting outcomes-based hospital quality measure data . This contract will serve ... to develop a human-centric reporting system that allows refinement, filtering, and ...scalable applications that support the Centers for Medicare and Medicaid Services (CMS). Your responsibilities will also include leveraging… more