• Medicaid Management Systems

    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
    Conduent (12/04/24)
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  • Medicaid Children's Behavioral Health…

    Public Consulting Group (Richmond, VA)
    Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human ... Outsourcing and Operations + Strategy + Project and Grants Management + Assessments and Feasibility Studies PCG is looking...Studies PCG is looking for a Senior Consultant in Medicaid policy and funding as it relates to children's… more
    Public Consulting Group (10/23/24)
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  • Medicaid Certification Consultant

    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
    Public Consulting Group (10/16/24)
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  • Principal Systems Engineer

    Humana (Richmond, VA)
    …of our caring community and help us put health first** The Principal Systems Engineer is responsible for design, analysis, configuration and maintenance of complex ... systems software solutions, based on a thorough knowledge of systems engineering and programming concepts and techniques. Systems software… more
    Humana (10/29/24)
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  • AVP, IT Service Management

    Humana (Richmond, VA)
    …caring community and help us put health first** AVP of IT Service Management is responsible for Humana's enterprise Incident, Problem Management , Configuration, ... Operations within the CTO organization. Leads Operations IT Service Management Organization of over 80 ITSM employee/contractors through Humana's strategic… more
    Humana (11/23/24)
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  • Business Consultant

    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
    HealthEdge Software Inc (12/18/24)
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  • Director, IT Portfolio Management

    Humana (Richmond, VA)
    …community and help us put health first** The Director, IT Portfolio Management for Enterprise Information Protection (EIP) develops and executes on programs defined ... or attempts to infiltrate company email, data, e-commerce and web-based systems . This role requires an in-depth understanding of how organization capabilities… more
    Humana (12/14/24)
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  • Revenue Integrity Clin Charge Review Analyst

    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 (12/29/24)
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  • Revenue Integrity Charge Analyst

    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 (12/29/24)
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  • Revenue Integrity Charge Analyst

    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 (12/29/24)
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  • Associate Director Cloud Architecture

    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 (11/02/24)
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  • Director, Solutions Architecture

    Humana (Richmond, VA)
    …front-end development, back-end development, database integrations, network and hosting management , user interface, user experience, and back-end server ... in developing level-of-effort estimates. + Partner with internal leaders across the Management Team, operations, IT and other areas to drive delivery and create… more
    Humana (12/20/24)
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  • Senior Cloud Security Engineer(remote)

    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 (11/06/24)
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  • Senior Genesys DevOps Engineer

    Humana (Richmond, VA)
    …Senior Genesys DevOps Engineer Supports development and execution of cloud implementation strategy within organization's existing IT infrastructure. The Senior Cloud ... infrastructure as code, and continuous integration with appropriate change management . Key responsibilities include: + Developing and maintaining cloud… more
    Humana (01/07/25)
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  • Value-Based Reimbursement Strategic Partners…

    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
    Highmark Health (01/08/25)
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