• Senior HEDIS Medicaid Data Manager

    Humana (Richmond, VA)
    …The Senior Data Manager supports all aspects of configuration control, data management , and deficiency reporting. The Senior Data Manager work assignments involve ... more
    Humana (02/12/25)
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  • Senior Finance System Implementation

    Humana (Richmond, VA)
    Management Information System or a related field. + 3+ years of project implementation experience or systems support. + Knowledge of business acumen regarding ... more
    Humana (02/07/25)
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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 ... more
    Humana (02/12/25)
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  • Manager, Provider Services Behavioral Health

    Humana (Richmond, VA)
    …relationships with network BH providers in Humana's Healthy Horizons Virginia Medicaid plan through day-to-day, front-line relationship management . The Manager ... more
    Humana (01/31/25)
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  • Mainframe Performance & Capacity Management

    Humana (Richmond, VA)
    …This position offers a significant opportunity to influence mainframe usage, access, and management . You will play a crucial role in devising new processes and ... more
    Humana (02/07/25)
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  • Chief Information Officer

    Public Consulting Group (Richmond, VA)
    …Financial software to support the reporting of public provider costs to determine Medicaid payment rates. + Case management platforms to automate workflow ... more
    Public Consulting Group (02/14/25)
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  • Behavioral Health Clinical Liaison, Central Region…

    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 ... more
    CVS Health (01/10/25)
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  • Senior Insurance Product Compliance Professional

    Humana (Richmond, VA)
    …for MA DSNP product offerings + Knowledge of Humana's internal policies, procedures and systems + Prior project management or product management experience ... more
    Humana (02/15/25)
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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 ... 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 ... more
    HCA Healthcare (12/29/24)
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  • Lead Data Scientist

    Humana (Richmond, VA)
    …pipelines, ensuring adherence to best practices in accountable AI for effective risk management and measurement. Join us in shaping the future of healthcare through ... more
    Humana (01/28/25)
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  • Finance Data Strategy & Governance

    Humana (Richmond, VA)
    …process & tools, driving the rollout of a business-driven Finance Data Management practice and collaborating with other Finance Business leaders, as needed, to ... more
    Humana (02/08/25)
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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 ... more
    Highmark Health (01/08/25)
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  • Director, Data Science

    Humana (Richmond, VA)
    …pipelines, ensuring adherence to best practices in accountable AI for effective risk management and measurement. Join us in shaping the future of healthcare through ... more
    Humana (01/31/25)
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