- Public Consulting Group (Washington, DC)
- …of our work. + Assist the Business Team in conducting research to determine compliance with relevant Medicare or other government program regulations. + Develop ... . **Job-Specific Responsibilities** + Provide strong leadership on all Medicare /Medicaid cost settlement and supplemental payment projects, effectively supervising… more
- American Institutes for Research (Arlington, VA)
- …seeking a full-time **Researcher** with a strong background in Medicare and Medicaid policyto join AIR'sHealth Division (https://www.air.org/our-work/health) . The ... and implementation support to evaluation and analytical support for Centers for Medicare & Medicaid Services (CMS), states, and foundations. Candidates hired for the… more
- American Institutes for Research (Arlington, VA)
- **Overview** AIR is seeking a **Policy Operations Manager ** to join our Health Payer Innovation, Transformation, and Supports Program Areawithin ourHealth ... (https://www.air.org/our-work/health) division.The Policy Operations Manager will provide leadership, people development, and project management skills to projects… more
- Takeda Pharmaceuticals (Washington, DC)
- …true to the best of my knowledge. **Job Description** Join Takeda as a Manager of Payer Contracting. Where you will lead the development and implementation of ... on drafting and editing complex agreements for Commercial and Medicare Part D entities. You will also act as...issues and concerns for legal review + Managing contract compliance and adherence to the approved business case +… more
- Prime Therapeutics (Washington, DC)
- …passion and drives every decision we make. **Job Posting Title** Pharmacy Network Manager - Remote **Job Description** We are hiring for two Pharmacy Network ... Managers to join our team! The Pharmacy Network Manager is responsible for development and management of Prime's retail, mail, specialty and quality-based pharmacy… more
- HealthEdge Software Inc (Washington, DC)
- **Overview** **Position** **Overview:** As a Senior Product Manager , within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... **: ** + 5+ years' experience as a product manager in a **SaaS-based, Agile** /Scrum technology company including...or healthsystem + Experience with government plans/program such as Medicare , Medicaid, Duals + Master's degree in Business or… more
- Point32Health (Washington, DC)
- …and other members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of contract negotiations, strategic initiatives and ... provide training and mentoring to all members of the team. The Senior Manager will directly support complex analysis related to negotiations and provider contracts… more
- HealthEdge Software Inc (Washington, DC)
- **Overview** **Position Overview** **:** As a Product Manager forHealthEdgeSource, you willbededicatedto developing innovative solutions for the healthcare ... payment integrity, and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration… more
- HealthEdge Software Inc (Washington, DC)
- **Overview** **Position Overview** **:** As aSenior Manager ,Product ManagementforHealthEdgeSource, you willbededicatedto developing innovative solutions for the ... payment integrity, and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration… more
- Lundbeck (Washington, DC)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. **Pharmaceutical Environment/ Compliance ... Psychiatry Account Manager - Washington North, DC Requisition ID: 5547...on our journey of growth! As a Psychiatry Account Manager , you lead the promotion of our psychiatry portfolio,… more
- Humana (Washington, DC)
- …community and help us put health first** We are seeking a visionary Product Manager to lead our Product Security and DevSecOps initiatives. In this critical role, ... incorporate them into our strategy + Partner with cross-functional teams to ensure compliance with industry standards and regulations (eg, SOC 2, ISO 27001, GDPR) +… more
- General Dynamics Information Technology (Fairfax, VA)
- …experience **Job Description:** We are seeking an **Oracle EBS** **Development Manager ** for our Healthcare Integrated General Ledger Accounting System (HIGLAS) ... project with the Centers for Medicare & Medicaid Services (CMS) program. HIGLAS is a...development deployment as well as responsible for meeting software compliance standards. + Evaluates operational requirements and characteristics of… more
- Prime Therapeutics (Washington, DC)
- …to questions and resolving complex problems and issues. + If supporting Medicare Part D, will be responsible for implementing CMS requirements related direct ... ability to adjust focus **Reporting Structure** + Reports to Manager or Sr Director in the Finance department **Responsibilities**...Big 4 public accounting experience. + For roles supporting Medicare Part D: Medicare , PBM and/or managed… more
- American Institutes for Research (Arlington, VA)
- …care quality initiatives. Ideally, the candidate will have experience with the Medicare Access and CHIP Reauthorization Act (MACRA) and the Quality Payment Program ... related to AIR Health's work with the Centers for Medicare & Medicaid Services (CMS). In addition, the candidate...equitable world. AIR's commitment to diversity goes beyond legal compliance to its full integration in our strategy, operations,… more
- Humana (Washington, DC)
- …areas while helping ensure vendors meet contractual obligations as part of the Medicare Prescription Payment Plan program. The M3P program will provide all ... Medicare Part D enrollees an option to pay $0...monitoring vendor activities: SLA's, reporting, system reliability, and CMS compliance . Facilitates meetings with vendors to monitor business activity… more
- Serco (Herndon, VA)
- …program based out of Herndon, VA. The position reports to IT Operations Network Manager . Serco supports the Centers for Medicare & Medicaid Services, a federal ... for a high profile and challenging Security Engineer position supporting Centers for Medicare and Medicaid (CMS), then Serco has a great opportunity for you!The… more
- Georgetown Univerisity (Washington, DC)
- …Analyst is responsible for generating clinical research billing plans and Medicare Coverage Analyses (MCA) for all industry-sponsored studies. S/he will ensure ... and other MedStar entities as appropriate. + Consistently demonstrate support for compliance in the performance of job duties and responsibilities by: developing and… more
- Akin Gump Strauss Hauer & Feld LLP (Washington, DC)
- …cycle, including auditing and validating deduction calculations and file set-up. Reporting, Compliance , and Communications + Assist Manager and Director in ... seeking a Benefits Analyst in the Human Resources department, reporting to the Benefits Manager (Health). The role can reside in either the New York or Washington,… more
- General Dynamics Information Technology (Fairfax, VA)
- …As an AWS System Administrator (SysAdmin) remotely supporting the Centers for Medicare and Medicaid Services, you will be trusted to work on multi-account ... as IAM, EC2, EBS, ELB, CloudWatch, S3, Route 53, KMS, Cloud Formation, Systems Manager , and RDS. + 4+ years of experience supporting a 24x7 enterprise production… more
- Fresenius Medical Center (Lanham Seabrook, MD)
- …nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal ... ongoing performance of other PCT's. + Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education… more