• U of C NORC (Bethesda, MD)
    …data from health care organizations and patients; evaluators; health services researchers; health-policy analysts; and professionals with first-hand experience ... focus groups, and site visits; secondary data such as Medicare anRESPONSIBILITIES:Play a lead role in growing NORC's portfolio in the area of program integrity,… more
    JobGet (05/08/24)
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  • U of C NORC (Bethesda, MD)
    …to direct program and policy projects related to Medicare and/or Medicaid , including projects involving policy analysis, focus groups, literature reviews, structured ... care delivery, from private marketplaces and employer-sponsored insurance to Medicare and Medicaid ; from large health care systems to small clinics; and from the… more
    JobGet (05/09/24)
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  • Medicaid Certification Consultant

    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
    Public Consulting Group (03/21/24)
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  • Principal Researcher/Senior Fellow…

    Mathematica (Washington, DC)
    …person will bring expertise focused on one or several of the following areas: Medicaid , CHIP, Home- and community-based services , Medicaid Finance, ... implementation at a public or private entity such as Medicaid director, disability services director, deputy director...relevant expertise. * Within their appropriate area of expertise, provide consulting services to state and local… more
    Mathematica (05/03/24)
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  • Medicaid Researcher (Remote Eligible)

    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
    Mathematica (04/05/24)
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  • Medical Director - North Central Region…

    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 (04/25/24)
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  • Manager, Service Coordination (Virginia…

    Humana (Washington, DC)
    …us put health first** Humana Healthy Horizons in Virginia is seeking a Manager, Service Coordination (Manager, Care Coaching) who will lead teams of Service ... 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 (05/13/24)
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  • Behavioral Health Medical Director - N. Central…

    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
    Humana (04/09/24)
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  • Principal Research Scientist - Health Care Program…

    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
    NORC (04/18/24)
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  • Decision Support Analyst - Medicaid

    Highmark Health (Washington, DC)
    …+ Provide assistance and, depending on skill and experience, lead with interpretation of raw data, statistical results or otherwise compiled information, ... projects and data analysis. Determines how decision support systems will provide information required to make effective business decisions; translates requirements… more
    Highmark Health (05/10/24)
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  • Senior Decision Support Analyst - Medicaid

    Highmark Health (Washington, DC)
    …+ Provide assistance and, depending on skill and experience, lead with interpretation of raw data, statistical results or otherwise compiled information, ... projects and data analysis. Determines how decision support systems will provide information required to make effective business decisions; translates requirements… more
    Highmark Health (05/10/24)
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  • Lead Solutions Architect

    Humana (Washington, DC)
    …in and delivery leaders in Insurance segment to make a major impact on the Medicaid and Specialty space by provide world-class, best of breed solutions! **Job ... and Clinical etc., to deliver solutions for new Medicaid State implementations and market enhancements. The Lead...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (05/12/24)
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  • Value Based Program - Data & Reporting Lead

    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
    Humana (04/12/24)
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  • Communications Lead

    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
    Serco (05/08/24)
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  • Lead Proposal Writer

    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 (04/19/24)
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  • Lead Solutions Architect - DEX +IT Support…

    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 ... caring community and help us put health first** The Lead Solutions Architect is a highly technical and strategic...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (05/02/24)
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  • Data Manager Lead

    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 ... first** Humana Healthy Horizons is seeking a Data Manager Lead who supports all clinical and population health analysis...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (05/07/24)
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  • Lead Solutions Architect

    Humana (Bethesda, MD)
    …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** Humana is seeking a Lead Solutions Architect to join our Fortune #40, Best...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (05/05/24)
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  • IT Cloud Procurement Category Lead

    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
    Humana (04/14/24)
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  • Data Governance Lead (Remote)

    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
    ICF (04/23/24)
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