- Mathematica (Annapolis, MD)
- …https://www.mathematica.org/career-opportunities/benefits-at-a-glance. Mathematica is looking for a highly organized Medicaid Project Associate to contribute ... and support the work of projects in the Federal Medicaid practice. As a part of a project team, the Associate will be responsible for coordinating and… more
- Humana (Annapolis, MD)
- …priority health plan and care delivery integration workstreams for the Virginia Medicaid contract, which is central to the company's strategic priority to deliver ... for our members and financial growth for our company. + Support the Medicaid Virginia market leadership team with specific Medicare operational impacts such as Open… more
- Humana (Annapolis, MD)
- …decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. The Behavioral Health ... Behavioral Health Medical Directors will learn Medicare, Medicare Advantage and/or Medicaid requirements, and will understand how to operationalize this knowledge in… more
- Humana (Annapolis, MD)
- …a part of our caring community and help us put health first** The Medicaid Actuary role is responsible for providing actuarial support for multiple states in ... are the specific day to day responsibilities of the Medicaid Actuary role: + Frequent analysis of actual experience...of technical experience + 2 or more years of project leadership experience **Scheduled Weekly Hours** 40 **Pay Range**… more
- Humana (Annapolis, MD)
- …a part of our caring community and help us put health first** The Senior Project Manager is an individual with Project Management skills who is a servant ... projects and products in support of Humana Government Business (HGB). The Senior Project Manager will manage assignments that involve all aspects of Program Delivery… more
- Humana (Annapolis, MD)
- …part of our caring community and help us put health first** The Associate Director, Business Systems Analysis performs analysis of business, process and user needs, ... analysis and translation into proper system requirement specifications. The Associate Director, Business Systems Analysis requires a solid understanding of… more
- Humana (Annapolis, MD)
- …of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex… more
- Humana (Annapolis, MD)
- …of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex… more
- Humana (Annapolis, MD)
- …help us put health first** Humana's Marketing Organization is seeking an Associate Director, Sales Enablement Technology to join the Retail Marketing team working ... support the end-to- end agent and market leader experience. As the Associate Director, Sales Enablement Technology, you will plan, recommend, implement, and optimize… more
- Highmark Health (Annapolis, MD)
- …underlying systems that support the respective business platforms for the Medicaid Business Unit market served by Highmark. Performs configuration change management ... the most complex issues in order to understand capability needs, gather project specifications, create business cases and cost sheet analysis, translate high-level… more
- Humana (Annapolis, MD)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Annapolis, MD)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- CareFirst (Baltimore, MD)
- …+ Healthcare Compliance certification(s). + Experience in CMS programs (Medicare or Medicaid , project management, business process analysis, workflow, and task ... benefits/incentives are subject to eligibility requirements). **Department** Medicare and Medicaid Compliance **Equal Employment Opportunity** CareFirst BlueCross BlueShield is… more
- Humana (Annapolis, MD)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... and external clinical vendors who aid in managing medical utilization for Medicare, Medicaid , and Commercial lines of business. + Master the intricacies of the data… more
- Humana (Annapolis, MD)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... a law firm or in-house health care organization + Experience in Medicare, Medicaid , or similar regulatory work + Strong legal research, analytical, and writing/oral… more
- Humana (Annapolis, MD)
- …moderately complex to more complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable ... moderately complex to more complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable… more
- CareFirst (Owings Mills, MD)
- …UX, design teams, operations managers, engineering managers, and finance teams. Confirms project deadlines with support from the product owners and delivery team. To ... Manager (CPMM)-AIPMM **Knowledge, Skills and Abilities (KSAs)** + Proficient in project planning and life cycle development. + Excellent communication skills both… more
- Humana (Annapolis, MD)
- …of professional experience working within managed care + 2 or more years of project lead experience + Experience taking complex data and making it more accessible, ... understandable and usable for leaders to derive insights + Project Management experience + Clear oral and written communication...10 Mbps is recommended to support Humana applications, per associate . + Wireless, Wired Cable or DSL connection is… more
- Humana (Annapolis, MD)
- …decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. + Develop custom ... prioritized needs in the requirements, development, and testing phases of each project + Implement Change Management processes as needed to maintain accurate… more
- Humana (Annapolis, MD)
- …systems strategy and functional roadmap + Responsible for the life cycle of project from planning to implementation. To include but not limited to: integration, ... + Develop and maintain relationships between TA Leadership, HR Technology Partners, project team and key stakeholders + Responsible for effective vendor management… more