- Conduent (Richmond, VA)
- …in managing complex, matrixed teams to ensure project success?** We are seeking a ** Medicaid Management Systems Implementation Leader** to spearhead ... project success from start to finish. **Responsibilities** + Leading large Medicaid Management Systems implementation projects, ensuring success… more
- Public Consulting Group (Richmond, VA)
- …risk, and , stakeholder management activities, all while adding deep Medicaid and Medicaid Enterprise Systems (MES) experience and thought ... Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health,...Business Enablement + Business Solutions + Project Assurance The Medicaid marketplace is changing, and PCG is at the… more
- HealthEdge Software Inc (Richmond, VA)
- …cycle/workflow, network contracting, payment/policy configuration, provider relations, medical management , medical economics, audit, compliance) related to ... products (from basic to advanced features/functionality), payment methodologies/policies (Medicare, Medicaid , and commercial), payment integrity, and healthcare plan operations… more
- CVS Health (Richmond, VA)
- …coverage required.** **The BH Clinical Liaison** is a clinical leader in the Medicaid plan focusing on utilization management , integrating member care, clinical ... coordination, leading the development, implementation and ongoing monitoring of program and quality initiatives...and addiction recovery and treatment services through the utilization management process + Drives collaboration on quality of care,… more
- Elevance Health (Richmond, VA)
- …years of experience leading project teams, application software development, maintenance or implementation and support, including 3 years of management or ... contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Software Engineering Manager** is… more
- HCA Healthcare (Richmond, VA)
- …revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 ... collaborating with Corporate Revenue Integrity Leadership during Meditech Expanse implementation . + Maintains constant communication with Facility Departments during… more
- HCA Healthcare (Richmond, VA)
- …revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 ... you will do in this role: + During the implementation of Meditech Expanse, will review daily charges to...total charges associated with new service lines, procedures and/or systems to ensure charges are crossing through the various… more
- HCA Healthcare (Richmond, VA)
- …revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 ... you will do in this role:** + During the implementation of Meditech Expanse, will review daily charges to...total charges associated with new service lines, procedures and/or systems to ensure charges are crossing through the various… more
- Humana (Richmond, VA)
- …of Humana's operational processes. The Senior IT Internal Auditor audits information systems technology and applications to ensure that IT controls and are designed ... to mitigate risk. This role advises others on information systems , key IT internal controls and cyber security procedures...Auditor executes the audit plan and prepares reports for management on the results of IT risk audits, providing… more
- Humana (Richmond, VA)
- …to better serve our members. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting ... + **Data Platform Enablement** : Provide leadership to enable data platforms, systems and infrastructure across our data center and cloud data environments. +… more
- Humana (Richmond, VA)
- …business processes are in place for cloud security control engineering and implementation , with proper visibility and approvals. The engineer begins to influence ... security solutions, including **Workload Protection (Compute)** , **Cloud Security Posture Management (CSPM)** , and **Code Security** modules. + Integrate robust… more
- Humana (Richmond, VA)
- …first** The Senior Database Engineer leads important projects in design, development, implementation and management of databases. The Senior Database Engineer ... structure. Creates plans for architecture updates and integrates new systems with existing warehouse structure to refine performance/functionality. Generally has… more
- Highmark Health (Richmond, VA)
- …Inc. **Job Description :** **JOB SUMMARY** This job works closely with management , and assists in developing new reimbursement models for the Organization's ... development and completion of sales cycle (from model conception to implementation ) of VBR programs for key strategic accounts and/or initiatives.Support strategic… more
- Consulate Health Care (Ashland, VA)
- …Rehabilitation Center!** **_Now Operating Under a New Administrative and Clinical Management Team!_** We are searching for an **Admissions Liaison/Coordinator** to ... check, no hidden fees. + **Access to online learning 24/7:** Our Learning Management System offers over 1,500 courses for senior care, health and human services… more
- Public Consulting Group (Richmond, VA)
- …Existing knowledge or experience with state government, health insurance payment systems (particularly Medicaid ), and/or cost accounting are highly advantageous. ... Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human… more