- Humana (Washington, DC)
- …first** Humana Healthy Horizons is seeking exceptional candidates to join our Medicaid Product Strategy Organization to advance Humana's Medicaid products and ... to support the strategic direction and growth of the Medicaid and Duals lines of business. This is a...model for new markets. We deliver value through detailed research , data-driven insights, strategic planning, structured problem solving, and… more
- Humana (Washington, DC)
- …This role will work horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts to synthesize, ... growth partners to design and optimize clinical operating model blueprints for viable Medicaid health plans that meet the needs of state clients and populations… more
- Humana (Washington, DC)
- …and Federal agencies, and monitors corrective action plans, if applicable. + Research exam issues/requests and partners with subject matter experts to provide ... as Health and Human Services' Centers for Medicare and Medicaid Services (CMS) and EQROs. + Supports compliance oversight...WV, KY, TN & NC)_ **.** + Bachelor's or associate degree. + Two (2) - five (5) years… more
- American Institutes for Research (Washington, DC)
- **Overview** Join AIR as a ** Research Associate ** with ourHealth (https://www.air.org/our-work/health) Division to support the implementation and evaluation of ... ftc.gov/scams . \#LI-Remote #LI-SH1 Submit an interest application (https://jobs-airdc.icims.com/jobs/13142/ research - associate %2c-healthcare-payment-models/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627785) **Please note, each section of… more
- Humana (Washington, DC)
- …health first** Humana's Corporate Marketing Organization is looking for a Senior Market Research Professional to join the Market Research team working remote ... anywhere in the US. The goal of the Market Research team at Humana is to discover and illuminate insights into market conditions and customers' wants and needs to… more
- Humana (Washington, DC)
- …help us put health first** Humana's Clinical Analytics Team is seeking a Research Scientist 2 (Remote). Healthcare is rapidly changing, and our members are living ... to shape Humana's future enterprise clinical strategies and initiatives. The Research Scientist 2 applies mathematical, statistical, epidemiologic and data science… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Associate Actuary role is a role within the Insurance Products Actuarial Medicare Advantage ... ad hoc projects and analysis to help enhance Part D accuracy. The Associate Actuary, Pricing work assignments involve moderately complex to complex issues where the… more
- Guidehouse (Mclean, VA)
- …relationships, and delivering impactful project results within the Centers for Medicare & Medicaid Services (CMS). You will own the delivery of projects that aim to ... Doctoral (preferred) degree in health policy, health economics, health services research , biostatistics, epidemiology, public health, or related fields + 10+ years… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Medicaid Long-Term Supports and Services (LTSS) Process Improvement Lead analyzes and measures the ... diverse scope and complexity ranging from moderate to substantial. The LTSS Medicaid Process Improvement Lead researches best business practices within and outside… more
- Humana (Washington, DC)
- …+ Engage with the producers and the Center for Medicare and Medicaid Services/Department of Insurance regulations specific to them if there are concerns ... the general ledger. + Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance regulations to establish required appointment fees… more
- Humana (Washington, DC)
- …objectives, audience(s), roadmap, features, design trends and best practices, research , metrics, VOC and other measures, competitive landscape, and full ... Humana digital ecosystem + Partner with the User Research team to create long-term research strategy to facilitate ongoing discovery and iterative delivery +… more
- Humana (Washington, DC)
- …be sure to provide the requisition number so we may be able to research your request quicker. Alert: Humana values personal identity protection. Please be aware that ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Washington, DC)
- …products in Puerto Rico, the Senior Compliance Professional shall: + Research regulatory compliance issues and make business recommendations that assure compliance ... and Commercial Dental and Vision compliance issues in Puerto Rico * Research , understand and apply federal and state laws, regulations, and regulatory guidance… more
- Humana (Washington, DC)
- …for our Medicare lines of business in the North East Region + Conducts research and produces reporting using Excel and Power BI of key performance metrics, providing ... 10 Mbps is recommended to support Humana applications, per associate . + Wireless, Wired Cable or DSL connection is...the requisition number so we may be able to research your request quicker. \#LI-LM1 **Scheduled Weekly Hours** 40… more
- Humana (Washington, DC)
- …ensure compliance with NCQA guidelines and organizational standards + Conducting in-depth research on clinical events as assigned ( Research Process) **Use your ... make an impact** **Required Qualifications** + Registered Nurse (RN) license + Associate 's or Bachelor's Degree + Strong clinical background preferably any acute… more
- Humana (Washington, DC)
- …upload speed of 10 Mbps is recommended to support Humana applications, per associate . + Wireless, Wired Cable or DSL connection is suggested. + Satellite, cellular ... be sure to provide the requisition number so we may be able to research your request quicker. \#LI-LM1 **Scheduled Weekly Hours** 40 **Pay Range** The compensation… more
- Humana (Washington, DC)
- …calculations to accurately compile and report statistics + Perform background research on customer accounts, prospects, competitors, and industry trends to support ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Washington, DC)
- …be sure to provide the requisition number so we may be able to research your request quicker. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Washington, DC)
- …organization + Experience in Medicare or similar regulatory work + Strong legal research , analytical, and writing skills + Ability to work both independently under ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Washington, DC)
- …the best care based on quality ratings, reviews, and outcomes + Conduct user research and usability studies to gather insights and identify pain points in the ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more