- 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 ... them for implementation into their system. **Responsibilities:** + Document and reporting product or service quality levels + Develop and implementing standards for… 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
- 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
- Humana (Washington, DC)
- …reports and data management to support the market's Quality team within the Medicaid product line. Integrates data from multiple sources to produce requested ... a part of our caring community and help us put health first** The Senior Data and Reporting Professional generates ad hoc reports and regular datasets or report… more
- Deloitte (Falls Church, 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)
- …Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Senior Technology Leadership Professional ... situations or data requires an in-depth evaluation of variable factors. The Senior Technology Leadership Professional works with design engineering and test team to… 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
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Senior Software Engineer solves complex business problems and issues using data from internal and ... incorporates principles of Scrum Agile, dedicated Partnership Leaders, and collective Product Ownership to deliver integrated risk adjustment (RA) and quality… 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)
- …of Care (cost) & Effectiveness of Care (quality). Humana is seeking a Senior Informaticist on the Physician Performance Analytics team that leverages their advanced ... performance and rating metrics (claims, measures, conditions, specialties, etc.), product offerings, and analytics-based approaches which produce meaningful results… 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
- Humana (Washington, DC)
- …accessibility, and cross-platform strategy in an Agile development environment. As the Senior Product Designer, you will: + Develop industry-leading, high-value ... help us put health first** Are you a skilled Product Designer, User Experience Designer and/or Interaction Designer? Are...as much as users _Leadership_ + Ability to influence senior leaders, peers, and diverse teams consisting of a… 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)
- …experience across the PPNO lifecycle. The ideal candidate has led product teams, project management, strategy and possibly technology teams. **Responsibilities:** + ... the provider experience across PPNO + Bring extremely strong product management and technical skills to bear as we...greatest developments. + Play a critical role in influencing senior leadership on the future-state. + Work closely with… 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