- Humana (Washington, DC)
- …and help us put health first** Humana Healthy Horizons is seeking a Medicaid Compliance Business Intelligence Lead who describes the tools, technologies, ... off current and historical compliance information in their Market and others. The Medicaid Compliance Business Intelligence Lead will support the Medicaid … more
- Humana (Washington, DC)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Abt Global Inc. (Rockville, MD)
- …to play a leadership role in our work with the Centers for Medicare and Medicaid Services (CMS). As a member of the Research, Monitoring, and Evaluation ... claims and administrative data to meet project needs. + Lead the adaptation or development of Medicaid ...partners to develop and implement quality improvement strategies and/or provide technical support to participants in CMMI models. +… more
- Public Consulting Group (Washington, DC)
- …is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined modular certification (SMC) and ... Medicaid Consultant to join our team and help lead our growth efforts. Deep Medicaid experience...outcomes-based certification (OBC). Our ideal Medicaid Consultant will provide oversight and direction… more
- Mathematica (Washington, DC)
- …areas related to monitoring and improving Medicaid programs such as: Medicaid payment and financing policies (fee-for- service base and supplemental payments, ... manage multiple priorities, sometimes simultaneously, under deadlines * Understanding of Medicaid payment and financing, home and community-based services , or… more
- Humana (Washington, DC)
- …value. The Senior Product Manager plays a critical role in developing and managing Medicaid and Dual Eligible insurance products and services that meet the needs ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- CareFirst (Washington, DC)
- …in Maryland and DC markets will be strongly considered. **ESSENTIAL FUNCTIONS:** + Provide subject matter expertise in a Medicaid growth, marketing, business ... for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including… more
- Humana (Washington, DC)
- …population with a strong lens on intersecting behavioral and social health needs. + Provide support to Medicaid markets within the region, aiding in case review, ... Typically reports to a Regional Vice President of Health Services , Lead , or Corporate Medical Director, depending...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Washington, DC)
- …innovate **Additional Information:** Typically reports to a Regional Vice President of Health Services , Lead , or Corporate Medical Director, depending on size of ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- NORC (Bethesda, MD)
- …Research Scientist - Health Care Program Integrity and Oversight: Medicare & Medicaid Programs Job no: 502272 Work type: Regular Full-Time Location: Bethesda, MD ... data from health care organizations and patients; evaluators; health services researchers; health-policy analysts; and professionals with first-hand experience… more
- Mathematica (Washington, DC)
- …candidate will have strong knowledge of SQL, Python, Databricks, and Amazon Web Services (AWS). Individuals with an interest in confronting the challenges of working ... care data are strongly encouraged to apply. *Responsibilities:* * Provide technical leadership to multidisciplinary teams combining data analytics, visualization,… more
- Highmark Health (Washington, DC)
- …business data subject matter expert hands on where possible, and guide, lead and educate staff knowledge and growth. Responsible for customer relationship ... as necessary; may have budgetary responsibility and authority. + Provide leadership for data analysis, including requirement solicitation, collaboration with… more
- Humana (Washington, DC)
- …our caring community and help us put health first** The Value-Based Programs Lead supports successful value-based provider relationships with a focus on ... in VBP and have advanced technical knowledge and experience. The Value-Based Programs Lead supports successful value-based provider relationships with a focus on… more
- Humana (Washington, DC)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... help us put health first** The Value Based Programs Lead generates ad hoc reports and regular datasets and/or...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Serco (Washington, DC)
- …eligibility reviews, medical reviews, and data processing reviews, of selected state Medicaid and CHIP fee-for- services (FFS) and managed care claims; and ... **Position Description** Serco is seekinga motivated Communication Lead to join our talented and fast-paced Public Sector Solutions team in supporting CMS'… more
- Humana (Washington, DC)
- …development of Medicaid RFP content to effectively represent the products, services , brands, and/or the organization to customers. **The Lead , Content ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Washington, DC)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... business and the experiences we create for our members, provider partners & associates. We partner closely with our...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Washington, DC)
- …Humana's business segments to drive enterprise-wide value. Focusing on the Cloud provider space, the Lead Category Manager investigates available products, ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- ICF (Reston, VA)
- …Experience working with federal clients such as the Centers for Medicare and Medicaid Services (CMS) + Experience with writing business requirements **Working at ... ICF is growing and we're seeking a Data Governance Lead to join a new and exciting opportunity serving...ICF** ICF is a global advisory and technology services provider , but we're not your typical… more
- Public Consulting Group (Washington, DC)
- …practical guidance and support to management and consultants in compliance areas including Medicaid regulations. + Take a lead role in compliance investigations ... and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000… more