• Health Insurance Specialist

    Centers for Medicare & Medicaid Services (Washington, DC)
    …in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Legislation (OL), Congressional Affairs ... Conducts analyses and special studies of policy issues and topics relating to Medicare , Medicaid , Children's Health Insurance Program (CHIP) and private health… more
    Centers for Medicare & Medicaid Services (09/14/24)
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  • Medicare Advantage Analytics Advisor

    General Dynamics Information Technology (Fairfax, VA)
    …findings and recommendations to our team and customer, The Centers for Medicare & Medicaid Services (CMS). **Responsibilities:** + Lead a ... our team to support the mission of protecting the Medicare and Medicaid programs from fraud, abuse,...most. We are GDIT. A global technology and professional services company that delivers consulting, technology and mission … more
    General Dynamics Information Technology (09/13/24)
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  • Compliance Professional (Virginia Medicaid

    Humana (Washington, DC)
    …and Federal agencies, such as Health and Human Services ' Centers for Medicare and Medicaid Services (CMS) and EQROs. + Supports compliance oversight ... as well as to the Department of Medical Assistance Services (DMAS) for meetings. + **Typical Workdays & Hours:**...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service more
    Humana (09/13/24)
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  • BSWHP - Tx Medicaid Encounter Analyst

    Baylor Scott & White Health (Washington, DC)
    …adjustment data management and submissions to government agencies such as Centers for Medicare and Medicaid Services (CMS) or Health & Human Services ... independently and with cross functional groups. + Knowledge of ACA, Medicare , Medicaid , MCO, TPA business requirements preferred. + Experience with healthcare… more
    Baylor Scott & White Health (09/13/24)
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  • Medicaid Certification Consultant

    Public Consulting Group (Washington, DC)
    …experience is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined modular ... improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG...Business Enablement + Business Solutions + Project Assurance The Medicaid marketplace is changing, and PCG is at the… more
    Public Consulting Group (07/17/24)
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  • Senior Director, Medicare Risk Adjustment…

    Somatus (Mclean, VA)
    …ensure program compliance with governing bodies' regulations, including the Center for Medicare and Medicaid Services . This role will partner with ... well-being + Community engagement opportunities + And more! The Sr. Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of… more
    Somatus (07/10/24)
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  • Insurance Coordinator

    Fresenius Medical Center (Hyattsville, MD)
    …insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid , Medicare Supplement, State Renal programs and ... + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: +… more
    Fresenius Medical Center (09/06/24)
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  • Delaware Valley ACO Fellowship/Provider Engagement…

    Humana (Washington, DC)
    …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services ' Medicare Shared Savings Program ... our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service more
    Humana (06/24/24)
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  • Python Programmer (Data Analyst II)

    American Institutes for Research (Washington, DC)
    …assistance, and operations projects funded by Federal Agencies (such as Centers for Medicare and Medicaid Services (CMS) and the Centers for ... senior team members on various tasks including querying large datasets including Medicare , Medicaid , and commercial payer claims data, cleaning and imputing… more
    American Institutes for Research (08/10/24)
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  • Medical Director - Medical Affairs (Oncology)

    CVS Health (Washington, DC)
    …(PA) and/or medical necessity appeals for commercial clients, governmental ( Medicare / Medicaid ) programs and individual client requested coverage determinations ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...(PA) and/or medical necessity appeals for commercial clients, governmental ( Medicare / Medicaid ) programs and individual client requested coverage… more
    CVS Health (08/31/24)
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  • Senior Business Intelligence Engineer

    Humana (Washington, DC)
    …data into advanced analytic solutions. The Stars program is the Centers for Medicare & Medicaid Services (CMS) five‐star quality rating system for ... our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service more
    Humana (09/06/24)
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  • Data Platform Engineer - Remote Eligible

    Mathematica (Washington, DC)
    …include:* * As part of the AI Health Outcomes Challenge held by Centers for Medicare and Medicaid Services , members of this team developed a cloud data ... Health unit will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts will be… more
    Mathematica (09/13/24)
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  • Research Associate, Healthcare Payment Models

    American Institutes for Research (Washington, DC)
    …will work on projects funded by Federal Agencies such as the Centers for Medicare and Medicaid Services (CMS) and state and local governments. The ... in the areas of education, health, the workforce, human services , and international development to create a better, more...participating in healthcare programs or demonstrations. + Experience with Medicare , Medicaid , or healthcare service more
    American Institutes for Research (08/16/24)
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  • Policy Analyst, Health

    American Institutes for Research (Washington, DC)
    …analyst will lead tasks related to AIR Health's work with the Centers for Medicare & Medicaid Services (CMS). In addition, the candidate will be expected ... care quality initiatives. Ideally, the candidate will have experience with the Medicare Access and CHIP Reauthorization Act (MACRA) and the Quality Payment Program… more
    American Institutes for Research (08/24/24)
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  • Experienced AWS Security Engineer - (100% Remote)

    Serco (Herndon, VA)
    …position reports to IT Operations Network Manager. Serco supports the Centers for Medicare & Medicaid Services , a federal agency within the United States ... a high profile and challenging Security Engineer position supporting Centers for Medicare and Medicaid ...Department of Health and Human Services that administers the Medicare program and… more
    Serco (08/27/24)
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  • Strategy Advancement, Principal (Fide-SNP/PACE)

    Humana (Washington, DC)
    …These efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities ... is seeking a Strategy Advancement Principal for Long Term Supports and Services (LTSS). The Strategy Advancement, Principal accelerates ideation and development of… more
    Humana (07/25/24)
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  • VP, Brokerage Channel

    Humana (Washington, DC)
    …These efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities ... 10+ years) in the insurance brokerage industry, with a significant focus on Medicare products and services and/or multi-carrier experience. He/she will have a… more
    Humana (09/11/24)
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  • Senior/Lead Salesforce Developer (LWC/Aura)

    General Dynamics Information Technology (Fairfax, VA)
    … (SOAP and REST) + Healthcare Service Industry or Center for Medicare and Medicaid Services (CMS) experience + Experience working with JIRA, ... impact as a **Senior/Lead Salesforce Developer (LWC/Aura)** supporting the ** Centers for Medicare & Medicaid Services (CMS).** GDIT is your place to… more
    General Dynamics Information Technology (09/10/24)
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  • Salesforce Developer

    General Dynamics Information Technology (Fairfax, VA)
    … (SOAP and REST) + Healthcare Service Industry or Center for Medicare and Medicaid Services (CMS) experience + Experience working with JIRA, ... joining our team to support Centers for Medicare & Medicaid Services (CMS)...design patterns and development. + Extensive understanding of Salesforce Service Cloud and Experience Cloud (Communities) development and customization.… more
    General Dynamics Information Technology (08/29/24)
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  • Business Analyst

    General Dynamics Information Technology (Fairfax, VA)
    …requirements to maintain both an on-premise and Cloud data warehouse at Centers for Medicare & Medicaid Services (CMS). **HOW YOU WILL MAKE AN IMPACT:** ... years of Business Analyst experience in a CMS ( Center for Medicare & Medicaid Services ) environment + Experience soliciting and defining business and… more
    General Dynamics Information Technology (09/12/24)
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