- Trinity Health (Silver Spring, MD)
- …experience strongly preferred. Experience in Oncology preferred. Experience with Medicare / Medicaid billing strongly preferred. Maintains familiarity with current ... **Shift:** **Description:** **Position Title:** Sr. Financial Analyst Oncology Clinical Research **Position Type:** Full Time, Exempt **Position Purpose:** The… more
- Humana (Washington, DC)
- …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 Healthy Horizons in Oklahoma is seeking a Claims Research & Resolution Lead to lead a team that focuses on supporting providers in… more
- General Dynamics Information Technology (Fairfax, VA)
- …or equivalent experience. + Minimum of 10 years conducting systems, regulatory or policy research related to Medicare and/or Medicaid . + Significant in-depth ... to a wide audience including senior Agency leadership **Desired Skills:** + Medicare Advantage or Medicaid Managed Care experience is preferred. + Ability to… more
- Prime Therapeutics (Washington, DC)
- …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
- Humana (Washington, DC)
- …help us put health first** Humana Healthcare Research (HHR), a health outcomes research subsidiary of Humana, is seeking a Senior Data Engineer to design, ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- Humana (Washington, DC)
- …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 Behavioral Economics Professional (SBEP) is a core member of Humana's industry-leading… more
- Amgen (Washington, DC)
- …with government price reporting requirements under federal programs including Centers for Medicare and Medicaid (CMS) programs, the Federal Supply Schedule, and ... lasting impact on the lives of patients as we research , manufacture, and deliver innovative medicines to help people...patients while transforming your career. **Contracts and Pricing Execution, Senior Manager** **What you will do** Let's do this.… more
- Humana (Washington, DC)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... of healthcare through AI excellence. We are seeking a Senior Data Scientist to develop reliable, interpretable, and steerable...+ Master's Degree and 3+ years of experience in research /ML engineering or an applied research scientist… more
- Somatus (Mclean, VA)
- …manage multiple projects and meet tight deadlines + Comprehensive knowledge of Medicare , Medicaid , and commercial policies, processes, and procedures Travel ... and mental well-being + Community engagement opportunities + And more! The Senior Vice President of Finance will lead financial activities that support critical… more
- Humana (Washington, DC)
- …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 Professional Provider Network Strategy will be accountable for supporting the development of… more
- Humana (Washington, DC)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... first** The Associate Actuary, Analytics/Forecasting applies statistical/actuarial methods to advise senior leadership and other business stakeholders on matters of … more
- Humana (Washington, DC)
- …a managed care healthcare system or health plan. + Experience working in Medicaid and/or Medicare . **Preferred Qualifications** + 3+ years of leadership ... processes. + Proficiency in Microsoft Office programs. + Experience working in Medicaid / Medicare implementation. + Prosci, Six Sigma, and/or Project Management… more
- Humana (Washington, DC)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... can be used to drive customer acquisition in the Medicare Advantage space. Within this business area, we are...on approaches to best-practices in Product Management. Be a senior leader in how Product Management at the company… more
- Humana (Washington, DC)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... ideal candidate will possess a deep understanding of the Medicare landscape, strong analytical skills and the ability to...leadership team + Collaborate with Stars Measure Owners and senior leaders to refine strategies that align our mission,… more
- Evolent (Washington, DC)
- …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 (Washington, DC)
- …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** + MD/DO/MBBS Degree + Current,...by any state or federal health care program, including Medicare or Medicaid , and is not identified… more
- Humana (Washington, DC)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... product partners, and Integrated Health. + Guide and mentor UI, UX, research , and content professionals in best practices. + Foster collaboration between design… more
- Evolent (Washington, DC)
- …is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... exclusion or sanction by any state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person" by the Office of… more
- The Joint Commission (Washington, DC)
- …the regulatory agendas of federal departments and agencies such as the Centers for Medicare and Medicaid Services (CMS); the Department of Health and Human ... sources and federal organizations such as the Government Accountability Office; the Medicare Payment Advisory Commission; the National Academy of Medicine; and other… more
- Humana (Washington, DC)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... Strategy Lead, you will deconstruct issues and challenges, perform targeted research and analysis, and craft sound, logical solutions and recommendations. You… more