- Humana (Washington, DC)
- …caring community and help us put health first** Humana Healthy Horizons is seeking a Medicaid Implementation Senior Business Project Manager to manage a ... change management and project management are best suited for this role. The Medicaid Implementation Senior Business Project Manager will serve as a… more
- Humana (Washington, DC)
- …Medicaid products and capabilities to support the strategic direction and growth of the Medicaid and Duals lines of business . This is a unique opportunity for ... Care Organization **OR** 2+ years of experience in strategy consulting supporting Medicaid managed care organizations. + Experience in business development or… more
- Humana (Washington, DC)
- …community and help us put health first** Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional to drive best in class provider ... Provider Education team through collaboration across existing and new Medicaid markets. The Senior Medicaid ...create provider materials, has interpersonal skills to work across business segments, and must be highly organized. **Key Role… more
- Public Consulting Group (Washington, DC)
- Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human ... and regulation. + Reviews and is an expert in business operations for service and efficiency improvements. + Develops...such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge… more
- Amneal Pharmaceuticals (Washington, DC)
- Description: The Senior Director - Policy will lead "on the ground" development and advocacy for Amneal's positions on policies proposed and/or enacted by Congress, ... the Centers for Medicare and Medicaid (CMS), the US Food and Drug Administration, and...experts and company leadership across these work functions, the Senior Director will be responsible for soliciting, collating, drafting,… more
- Humana (Washington, DC)
- …scope while aligned to enterprise objectives. The ** Senior Technology Implementation Professional** gathers and documents business system and functional ... a part of our caring community and help us put health first** The Senior Technology Implementation Professional delivers new technological solutions to meet … more
- Guidehouse (Mclean, VA)
- …statewide implementation of healthcare reform + Assist clients in assessing business and technical requirements related to the implementation of program ... None **What You Will Do** **:** We are seeking Senior Consultants with experience and knowledge of national healthcare...of national healthcare reform and its impact on state Medicaid , public health or state and local health and… more
- Somatus (Mclean, VA)
- …physical and mental well-being + Community engagement opportunities + And more! The Sr . Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and ... implementation of the organization's Risk Adjustment Programs to optimize...governing bodies' regulations, including the Center for Medicare and Medicaid Services. This role will partner with leadership to… more
- Humana (Bethesda, MD)
- …part of our caring community and help us put health first** The Senior STARS Improvement Professional develops, implements, and manages oversight of the company's ... Medicare/ Medicaid Stars Program. Directs all Stars quality improvement programs...Directs all Stars quality improvement programs and initiatives. The Senior STARS Improvement Professional develops programs designed to increase… more
- Humana (Washington, DC)
- …us put health first** Humana's Marketing Organization is seeking an experienced Senior Production Professional, Dialogue Developer to join the Exstream Dialogue team ... working remote anywhere in the US. As the Senior Professional, you will contribute to the development of...You will work closely with product managers and Humana business units with the need to be receptive to… more
- KPMG (Washington, DC)
- ** Business Title:** Senior Associate, Federal Healthcare Solutions **Requisition Number:** 118328 - 21 **Function:** Advisory **Area of Interest:** **State:** DC ... then consider a career in Advisory. KPMG is currently seeking a Senior Associate to join our Federal Advisory practice. Responsibilities: + Communicate complex… more
- Humana (Washington, DC)
- …Coordinate business partner engagement with external regulators + Coordinate implementation and compliance with corrective action plans, as needed + Provide ... a part of our caring community and help us put health first** This Senior Compliance Professional role supports Humana's suite of Medicare and Commercial Dental and… more
- CVS Health (Washington, DC)
- … implementation of value-based contract relationships in support of business strategies. + Represent Aetna with high visibility constituents, including customers ... role? Join Aetna/CVS Health, a Fortune six company, as the Network Management Senior Manager. In this individual contributor role, you will negotiate with, execute… more
- ICF (Reston, VA)
- …results, Data Model output, Automation reporting + Close interaction with Dev and business team on refinement, implementation , and execution of data items ... for the customer. We are looking for a seasoned Senior Data Engineer who will be a key driver...on projects that support the Centers for Medicare and Medicaid Services (CMS) as we develop a next-generation analytics… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- ** Senior DevOps Engineer** **Category:** Project Management **Main location:** United States, Virginia, Fairfax **Position ID:** J1024-0148 **Employment Type:** Full ... . **Position Description:** CGI Federal is seeking a seasoned Senior DevOps Engineer to join our Healthcare Practice. This...particularly in working with the Centers for Medicare & Medicaid Services (CMS) or in Healthcare domain. The successful… more
- General Dynamics Information Technology (Fairfax, VA)
- …**Experience:** 6 + years of related experience **Job Description:** Quality Analyst Senior **JOB PROFILE SUMMARY:** At GDIT, people are our differentiator. We are ... seeking a Senior Quality Analyst to join our team to support...join our team to support Centers for Medicare and Medicaid Services (CMS) activities remotely (centered in the DC-MD-VA… more
- Somatus (Mclean, VA)
- …and mental well-being + Community engagement opportunities + And more! The Senior Vice President of Finance will lead financial activities that support critical ... and Provider Finance. This role is responsible for developing high-quality business strategies and operational plans, ensuring alignment with Somatus short-term and… more
- HealthEdge Software Inc (Washington, DC)
- **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... in claims processing. The successful candidate will be responsible for taking a senior level role in analyzing claims data, as well as translating contract terms,… more
- ICF (Reston, VA)
- …satisfaction + Attending requirements gathering meetings to better understand business needs, functional and system requirements and ensuring all development ... ** + Bachelor's degree in Computer Science, Information Systems, Engineering, Business , or other related scientific or technical discipline + 7+ years… more
- Guidehouse (Mclean, VA)
- …can span organizational development and transformation, strategic planning and implementation , business process improvement, risk management, change management ... Agencies: NIH (National Institutes of Health), CMS (Centers for Medicare & Medicaid ), The VHA (Veterans' Health Administration), CDC (Centers for Disease Control),… more