- Abt Global Inc. (Rockville, MD)
- …seeks to add a talented researcher to its team of experts conducting policy-relevant Medicare and Medicaid research and evaluation. The successful candidate ... key technical roles on projects for the Centers for Medicare and Medicaid Services (CMS). As a...Medicaid Services (CMS). As a member of the Research , Monitoring, and Evaluation Capability, you will collaborate on… more
- Abt Global Inc. (Rockville, MD)
- … research expert with demonstrated success directing projects funded by the Centers for Medicare and Medicaid Services (CMS). As a member of the Research , ... Opportunity** Abt Global seeks to expand its health care research team with the addition of a health care...a project director or equivalent for projects focused on Medicare policy. + Contribute subject matter expertise in the… more
- GRAIL (Washington, DC)
- …focusing on maximizing the impact through strategic interactions with the Centers for Medicare and Medicaid Services (CMS) and the CMS Coverage and Analysis ... As the Policy and Reimbursement Lead reporting to the Senior Vice President of Government Affairs & Alliance Development...plans. + Extensive knowledge of public program coverage, including Medicare and Medicaid . + Understanding of the… more
- CareFirst (Baltimore, MD)
- …Qualifications:** + Healthcare Compliance certification(s). + Experience in CMS programs ( Medicare or Medicaid , project management, business process analysis, ... programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Medicare and Medicaid Compliance **Equal Employment Opportunity**… more
- Prime Therapeutics (Annapolis, MD)
- …a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare , Medicaid , and the Affordable Care Act (ACA) + Must be ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The … more
- CVS Health (Annapolis, MD)
- …per year, depending on business needs) **Preferred Qualifications** + Previous Medicaid / Medicare investigatory experience + Exercises independent judgement and ... care more personal, convenient and affordable. **Position Summary** As a Regional Senior Investigator you will conduct high level, complex investigations of known or… more
- Humana (Annapolis, MD)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... our caring community and help us put health first** The MarketPoint Senior Compliance Professional ensures compliance with governmental requirements. The Senior … more
- Somatus (Mclean, VA)
- …manage multiple projects and meet tight deadlines + Comprehensive knowledge of Medicare , Medicaid , and commercial policies, processes, and procedures Travel ... and mental well-being + Community engagement opportunities + And more! The Senior Vice President of Finance will lead financial activities that support critical… more
- Humana (Annapolis, MD)
- …benefits organizations in the country. The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's largest, ... total revenue and earnings. Team members partner with the senior leaders of the business unit, and more broadly...leveraging core consulting skills to support delivering some of Medicare and Medicaid 's highest priority projects and… more
- Elevance Health (Woodlawn, MD)
- …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division within...Medicare experience which includes previous experience at a Senior Auditor level in health care, public accounting, or… more
- Humana (Annapolis, MD)
- …delivering high priority projects and initiatives across our insurance products (including Medicare , Medicaid , Med Supp, PDP, and others), with an emphasis ... total revenue and earnings. Team members partner with the senior leaders of the business unit, and more broadly...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …Position is in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI), Provider ... intersection and coordination of program integrity issues that cut across Medicare and Medicaid provider/supplier enrollment operations. Leads staff responsible… more
- Humana (Annapolis, MD)
- …in the country. **Location:** remote The Insurance Strategy team supports Humana's Medicare and Medicaid lines of business. This business unit, Humana's ... total revenue and earnings. Team members partner with the senior leaders of the business unit, and more broadly...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Elevance Health (Washington, DC)
- …and ability to translate legal issues into business context + Deep knowledge of Medicaid and Medicare managed care legal issues and ability to analyze complex ... **Managing Associate General Counsel Senior ** **Location:** This position will work a hybrid...Government Business Legal Team, with a specific focus on Medicaid managed care. Additionally, is responsible for providing in-depth… more
- Mathematica (Annapolis, MD)
- …Agile methodology. * Conceptual and practical knowledge of health data (eg commercial, Medicare , Medicaid , or APCD claims data; EHR and/or HIE data; healthcare ... sources such as EHRs and HIEs, to effectively answer research questions about health care policy. * Incorporate client...some of our largest clients, including the Centers for Medicaid & Medicare Services (CMS) and other… more
- Humana (Annapolis, MD)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... a part of our caring community and help us put health first** The Senior Product Designer partners with specialty product teams to design specialty products that… more
- Guidehouse (Mclean, VA)
- …trusted client relationships, and delivering impactful project results within the Centers for Medicare & Medicaid Services (CMS). You will own the delivery of ... role involves leadership of multi-year task orders and regular interaction with senior , executive-level clients to ensure the success of innovative new programs. The… more
- Evolent (Annapolis, MD)
- …in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... for utilization management while working in conjunction with the Senior Medical Director. **Qualifications - Required and Preferred:** +...by any state or federal health care program, including Medicare or Medicaid , and is not identified… more
- Evolent (Annapolis, MD)
- …is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... exclusion or sanction by any state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person" by the Office of… more
- Prime Therapeutics (Annapolis, MD)
- …a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare , Medicaid , and the Affordable Care Act (ACA) + Must be ... Analyst (Regulatory Intelligence and Assessment) - Remote **Job Description** The Senior Compliance Analyst assists in the implementation of Prime's compliance… more