- Humana (Washington, DC)
- …thinking capable of providing frameworks to maximize available resources to achieve growth The Medicaid Senior Insurance Product Manager plays a critical ... the needs of Humana's customers while aligning with its business objectives. The ** Medicaid Senior Insurance Product Manager** plays a critical role in… more
- General Dynamics Information Technology (Fairfax, VA)
- …will support an exciting new program focused on identifying vulnerabilities in Medicaid , Medicare and the Marketplace. The position will monitor, inspect, and ... established quality standards and guidelines. **Responsibilities:** + Document and reporting product or service quality levels + Develop and implementing standards… more
- Humana (Washington, DC)
- …us put health first** Humana's Corporate Marketing organization is looking for a Senior Product Owner that is Salesforce Marketing Cloud Email Specialist ... just may be the role for you! As the Senior Product Owner, you will support Humana's...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc.… more
- CenterWell (Washington, DC)
- **Become a part of our caring community and help us put health first** The senior product manager will play critical role in defining and executing Integrated ... models, patient 360 and AI based solutions that enhances omni channel patient experiences. The Senior Product Manager Leads all phases of the product life… more
- HealthEdge Software Inc (Washington, DC)
- **Overview** **Position** **Overview:** As a Senior Product Manager, within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... add significant value to our customers. Working directly with customers, other product owners, agile engineering teams, and internal functions you will create… more
- Guidehouse (Mclean, VA)
- …industry + Knowledge of state health agencies and healthcare reform, eg, Medicaid , public health, health insurance , and health reform organizations (legislative, ... None **What You Will Do** **:** We are seeking Senior Consultants with experience and knowledge of national healthcare...of national healthcare reform and its impact on state Medicaid , public health or state and local health and… more
- General Dynamics Information Technology (Fairfax, VA)
- …Description:** Seize your opportunity to make a personal impact as a ** Senior /Lead Salesforce Developer (LWC/Aura)** supporting the **Centers for Medicare & ... Medicaid Services (CMS).** GDIT is your place to make...career. At GDIT, people are our differentiator. As a Senior /Lead Salesforce Developer, you will help ensure today is… more
- Deloitte (Mclean, VA)
- …Actuary - Senior Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice, you will assist Deloitte Managers, Senior Managers, and ... health plan/ insurance company experience + 1 years' experience with Medicaid managed care capitation rate development and/or fee-for-service rate development +… more
- Humana (Washington, DC)
- …this position will play a pivotal role in advancing the team's analytical product portfolio and delivering technical enhancements to core products for Stars. Main ... analytic solutions. The Stars program is the Centers for Medicare & Medicaid Services (CMS) five‐star quality rating system for measuring Medicare beneficiaries'… more
- Humana (Washington, DC)
- …utilize to reduce administrative cost and improve the customer's experience. The Senior Business Intelligence Engineer position will be supporting BI work for our ... Medicare organizations. The ** Senior Business Intelligence Engineer** : + Develops and maintains...interactive reports using Power BI, Qlik, Tableau and/or similar product + Intermediate skills in Power Apps and Power… more
- Point32Health (Washington, DC)
- …and other members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of contract negotiations, strategic initiatives ... and mentoring to all members of the team. The Senior Manager will directly support complex analysis related to...health status risk adjustment. + Knowledge of Medicare and Medicaid reimbursement is a plus + Must have the… more
- Humana (Washington, DC)
- …Contract Requires US Citizenship for this Position. Job Description Summary The Senior Database Administrator is a key player in managing and maintaining both ... team. + Interact with internal customers including Developers, Data Engineers, Product Owners, etc., providing consultation on database changes, best practices, and… more
- CVS Health (Washington, DC)
- …to various internal departments (eg, specialty pharmacy services, clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. ... (PA) and/or medical necessity appeals for commercial clients, governmental (Medicare/ Medicaid ) programs and individual client requested coverage determinations or… more
- Humana (Washington, DC)
- …delivery experience and technical expertise across multiple platforms and will have senior level leadership experience in a complex corporate environment. They will ... technology strategy and execution for the rationalization of the Insurance IT portfolio of systems. + Partner closely with... IT portfolio of systems. + Partner closely with product owners and product managers, strategy teams,… more
- Humana (Washington, DC)
- …opportunity to shape the future of our technology landscape. Reporting to senior leadership, you will build architecture and designs to develop innovative solutions ... and enhance customer experiences. **Primary Responsibilities:** + **Collaborate with Product Managers and Product Owners:** Understand business...related field + 8 or more experience as a senior developer or architecture in large IT projects +… more
- Humana (Washington, DC)
- …Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Lead Technology Leadership Professional works on ... volume production release. Performs various engineering tests to verify and validate product designs. Supports product evaluation and qualification on leading… more
- AbbVie (Washington, DC)
- …Claims Act, and competition law matters. + Providing strategic legal counsel to senior management on product pricing and access matters, with significant ... reporting. The Associate General Counsel will report to the Senior Associate General Counsel, US Market Access and Pricing....as well as federal health care program contracting (eg Medicaid , VA, etc.). + Developing proficiency in commercial payor… more
- Humana (Washington, DC)
- …Market President for the Northeast Region. Reporting to the East Division Senior Vice President, the Regional Market President manages the development, operations, ... Region; drives financial and operational performance; and coordinates activities of senior managers and their respective functions. The Regional President represents… more
- Humana (Washington, DC)
- …clinical strategy. Ultimately, the Strategy Advancement Advisor will support product and operational partners to translate strategic recommendations into tangible, ... both verbal and written, with ability to flex to different audiences, including senior leadership + Proven skills influencing others and a track record of success… more