• Senior Medicare / Medicaid

    Abt Global Inc. (Rockville, MD)
    …seeks to add a talented researcher to its team of experts conducting policy-relevant Medicare and Medicaid research and evaluation. The successful candidate ... key technical roles on projects for the Centers for Medicare and Medicaid Services (CMS). As a...Medicaid Services (CMS). As a member of the Research , Monitoring, and Evaluation Capability, you will collaborate on… more
    Abt Global Inc. (01/01/25)
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  • Senior Health Care Research Expert…

    Abt Global Inc. (Rockville, MD)
    research expert with demonstrated success directing projects funded by the Centers for Medicare and Medicaid Services (CMS). As a member of the Research , ... Opportunity** Abt Global seeks to expand its health care research team with the addition of a health care...a project director or equivalent for projects focused on Medicare policy. + Contribute subject matter expertise in the… more
    Abt Global Inc. (01/03/25)
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  • Senior Financial Analytics Professional…

    Humana (Annapolis, MD)
    …supports Humana's Healthcare Quality Reporting and Improvement business area, part of the Medicare and Medicaid business. With over 9 million medical members and ... $67B in '20 revenue, Medicare and Medicaid are Humana's largest business...eager to contribute and to learn + Analytically minded; research , data, and detail oriented + Passionate about driving… more
    Humana (12/13/24)
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  • Senior Director of Policy & Reimbursement

    GRAIL (Washington, DC)
    …focusing on maximizing the impact through strategic interactions with the Centers for Medicare and Medicaid Services (CMS) and the CMS Coverage and Analysis ... As the Policy and Reimbursement Lead reporting to the Senior Vice President of Government Affairs & Alliance Development...plans. + Extensive knowledge of public program coverage, including Medicare and Medicaid . + Understanding of the… more
    GRAIL (12/07/24)
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  • Senior Embedded Compliance Analyst (Hybrid)

    CareFirst (Baltimore, MD)
    …Qualifications:** + Healthcare Compliance certification(s). + Experience in CMS programs ( Medicare or Medicaid , project management, business process analysis, ... programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Medicare and Medicaid Compliance **Equal Employment Opportunity**… more
    CareFirst (11/07/24)
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  • Senior Researcher, Quality Measures

    American Institutes for Research (Rockville, MD)
    …knowledge and experience with federal agencies, including but not limited to the Centers for Medicare and Medicaid Services (CMS). Come join us in our work to ... **Overview** Join AIR as a ** Senior Researcher, Quality Measures** with ourHealth (https://www.air.org/our-work/health) team.AIR's Health Division specializes in … more
    American Institutes for Research (11/22/24)
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  • Senior Compliance Professional

    Humana (Annapolis, MD)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... part of our caring community and help us put health first** The Senior Compliance Professional ensures compliance with governmental requirements. The Senior more
    Humana (12/19/24)
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  • Senior Compliance Analyst (Interpretation…

    Prime Therapeutics (Annapolis, MD)
    …a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare , Medicaid , and the Affordable Care Act (ACA) + Must be ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The … more
    Prime Therapeutics (12/17/24)
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  • Senior Marketing Campaign Manager

    Humana (Annapolis, MD)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... Cloud (SFMC), aiming to enroll prospects in a Humana Medicare plan. We are looking for an acquisition-focused digital...in current channel trends and best practices. As the Senior Marketing Campaign Manager, you will work with a… more
    Humana (01/02/25)
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  • Senior Manager, Strategic Planning

    CVS Health (Annapolis, MD)
    …opportunities to improve **Preferred Qualifications:** + Knowledge of Commercial, IFP, Medicare and/or Medicaid lines of business + Multi-year strategic ... make health care more personal, convenient and affordable. **Position Summary** The Senior Manager, Strategic Planning will sit in the Network Performance &… more
    CVS Health (01/03/25)
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  • Senior Software Engineer - IAM

    Humana (Annapolis, MD)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... a part of our caring community and help us put health first** As a Senior ForgeRock Engineer, you will support Humana's Consumer (B2C & B2B) Identity & Access… more
    Humana (12/05/24)
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  • Senior Marketing Business Intelligence…

    Humana (Annapolis, MD)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... help us put health first** Humana's Marketing organization is seeking a Senior Business Intelligence Engineer, Measurement Strategy & Marketing Performance to join… more
    Humana (11/01/24)
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  • Data Analyst, Health

    American Institutes for Research (Rockville, MD)
    …assistance, and operations projects funded by Federal Agencies (such as Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control ... data and provide support to the project director and/or senior team members on various tasks including querying large...members on various tasks including querying large datasets including Medicare , Medicaid , and commercial payer claims data,… more
    American Institutes for Research (12/28/24)
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  • Insurance Strategy Consultant

    Humana (Annapolis, MD)
    …benefits organizations in the country. The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's largest, ... total revenue and earnings. Team members partner with the senior leaders of the business unit, and more broadly...leveraging core consulting skills to support delivering some of Medicare and Medicaid 's highest priority projects and… more
    Humana (11/05/24)
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  • Insurance Segment Strategy Lead

    Humana (Annapolis, MD)
    …delivering high priority projects and initiatives across our insurance products (including Medicare , Medicaid , Med Supp, PDP, and others), with an emphasis ... total revenue and earnings. Team members partner with the senior leaders of the business unit, and more broadly...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
    Humana (11/13/24)
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  • Director, Insurance Strategy

    Humana (Annapolis, MD)
    …in the country. **Location:** remote The Insurance Strategy team supports Humana's Medicare and Medicaid lines of business. This business unit, Humana's ... total revenue and earnings. Team members partner with the senior leaders of the business unit, and more broadly...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
    Humana (12/21/24)
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  • Principal Client Solution Architect - State…

    Mathematica (Annapolis, MD)
    …Agile methodology. * Conceptual and practical knowledge of health data (eg commercial, Medicare , Medicaid , or APCD claims data; EHR and/or HIE data; healthcare ... sources such as EHRs and HIEs, to effectively answer research questions about health care policy. * Incorporate client...some of our largest clients, including the Centers for Medicaid & Medicare Services (CMS) and other… more
    Mathematica (01/04/25)
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  • Specialty Product Designer

    Humana (Annapolis, MD)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... a part of our caring community and help us put health first** The Senior Product Designer partners with specialty product teams to design specialty products that… more
    Humana (12/10/24)
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  • Field Medical Director, Cardiology

    Evolent (Annapolis, MD)
    …in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... for utilization management while working in conjunction with the Senior Medical Director. **Qualifications - Required and Preferred:** +...by any state or federal health care program, including Medicare or Medicaid , and is not identified… more
    Evolent (11/15/24)
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  • Summer 2025 - Market Intelligence Analyst…

    Highmark Health (Annapolis, MD)
    …trends), and lines of business (ex. ACA, commercial, Medicare Advantage, Medicaid ). The work can include new research and updating existing material. ... Concordia Dental **Job Description :** Job Description This role conducts in-depth research and analysis, and develops and deliver reports and presentations on… more
    Highmark Health (01/01/25)
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