- Mathematica (Annapolis, MD)
- …https://www.mathematica.org/career-opportunities/benefits-at-a-glance. Mathematica is looking for a highly organized Medicaid Project Associate to contribute ... and support the work of projects in the Federal Medicaid practice. As a part of a project team, the Associate will be responsible for coordinating and… more
- Humana (Annapolis, MD)
- …priority health plan and care delivery integration workstreams for the Virginia Medicaid contract, which is central to the company's strategic priority to deliver ... for our members and financial growth for our company. + Support the Medicaid Virginia market leadership team with specific Medicare operational impacts such as Open… more
- Humana (Annapolis, MD)
- …a part of our caring community and help us put health first** The Medicaid Actuary role is responsible for providing actuarial support for multiple states in ... are the specific day to day responsibilities of the Medicaid Actuary role: + Frequent analysis of actual experience...of technical experience + 2 or more years of project leadership experience **Scheduled Weekly Hours** 40 **Pay Range**… more
- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Senior Project Manager manages all aspects of a project , from start to finish, so that ... it is completed on time and within budget. The Senior Project Manager work assignments involve moderately complex to complex issues where the analysis of situations… more
- Humana (Annapolis, MD)
- …of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex… more
- Humana (Annapolis, MD)
- …of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex… more
- Humana (Annapolis, MD)
- …part of our caring community and help us put health first** The Associate Director of Contractor Workforce Management will drive a best-in-class contractor workforce ... program. Reporting directly to the Associate Vice President of Source to Pay Operations you...multi-faceted and often ambiguous data + Ability to motivate project team members and stakeholders to meet established deadlines… more
- Humana (Annapolis, MD)
- …help us put health first** Humana's Marketing Organization is seeking an Associate Director, Sales Enablement Technology to join the Retail Marketing team working ... support the end-to- end agent and market leader experience. As the Associate Director, Sales Enablement Technology, you will plan, recommend, implement, and optimize… more
- Humana (Annapolis, MD)
- …Financial Communications expert to join our internal communication team. As the Associate Communications Lead, Finance, you will have the opportunity to step into ... business teams and company leadership + Present exceptional presentation, writing and project management skills with keen attention to detail across all tasks and… more
- Humana (Annapolis, MD)
- …anywhere in the US. In this role, you will support Humana's growing Medicaid line of business which provides insurance and care options predominately for low-income ... individuals and families and those who have disabilities. Since Medicaid marketing is regulated state by state, this role requires an understanding of applicable … more
- Highmark Health (Annapolis, MD)
- …underlying systems that support the respective business platforms for the Medicaid Business Unit market served by Highmark. Performs configuration change management ... the most complex issues in order to understand capability needs, gather project specifications, create business cases and cost sheet analysis, translate high-level… more
- Humana (Annapolis, MD)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Annapolis, MD)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Annapolis, MD)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Annapolis, MD)
- …Leads projects of high sensitivity/confidentiality + Report out SLA performance and project delivery to key stakeholder groups and prepare remediation plans when ... leadership on a weekly basis. + Leads continuous improvement initiatives for project management and delivery. + Has overall responsibility for service issue… more
- Humana (Annapolis, MD)
- …analytic solutions. The Stars program is the Centers for Medicare & Medicaid Services (CMS) five‐star quality rating system for measuring Medicare beneficiaries' ... improve the decision-making experience for stakeholders + 2 or more years of project leadership experience + Experience analyzing data to solve a wide variety of… more
- CareFirst (Baltimore, MD)
- …+ Healthcare Compliance certification(s). + Experience in CMS programs (Medicare or Medicaid , project management, business process analysis, workflow, and task ... benefits/incentives are subject to eligibility requirements). **Department** Medicare and Medicaid Compliance **Equal Employment Opportunity** CareFirst BlueCross BlueShield is… more
- Humana (Annapolis, MD)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... a law firm or in-house health care organization + Experience in Medicare, Medicaid , or similar regulatory work + Strong legal research, analytical, and writing/oral… more
- Humana (Annapolis, MD)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... and external clinical vendors who aid in managing medical utilization for Medicare, Medicaid , and Commercial lines of business. + Master the intricacies of the data… more
- Humana (Annapolis, MD)
- …moderately complex to more complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable ... moderately complex to more complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable… more