• Capture Lead , Medicaid Clinical…

    Humana (Washington, DC)
    …Based Services , Medicaid and Medicare integration, D-SNPs, and Self-Directed Services . The Capture Lead , Medicaid Clinical & Population Health ... clients and populations served in target growth markets. The Lead , Medicaid Clinical & Population Health Strategy,...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (08/15/24)
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  • Lead , Medicaid Provider

    Humana (Washington, DC)
    …caring community and help us put health first** Humana Healthy Horizons is seeking a Lead , Medicaid Provider Services Implementation, for new market ... implementation, operations, contract compliance, and federal contract application submissions. The Lead , Medicaid Provider Services Implementation role… more
    Humana (10/04/24)
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  • Children's Behavioral Health Medicaid

    Public Consulting Group (Washington, DC)
    …more, visit www.publicconsultinggroup.com . _Key responsibilities include:_ _Project Management_ + Lead the planning, execution, and monitoring of Medicaid ... + Identify new and emerging opportunities in growth industries related to Medicaid . _Leadership_ + Provide leadership, guidance, and mentorship to junior… more
    Public Consulting Group (07/25/24)
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  • Medicaid Certification Consultant

    Public Consulting Group (Washington, DC)
    …is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined modular certification (SMC) and ... achieve strategic goals to serve the public better. We provide the full spectrum of technology consulting services...Medicaid Consultant to join our team and help lead our growth efforts. Deep Medicaid experience… more
    Public Consulting Group (07/17/24)
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  • Senior Provider Education Professional…

    Humana (Washington, DC)
    …community and help us put health first** Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional to drive best in class provider ... internal processes and markets (as needed) to support the Medicaid Provider Education team through collaboration across...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (10/04/24)
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  • Lead , LTSS Process Improvement

    Humana (Washington, DC)
    …Optimization** : + Lead initiatives to streamline processes related to Medicaid services , reducing administrative burden, and enhancing service delivery. ... health first** The Medicaid Long-Term Supports and Services (LTSS) Process Improvement Lead analyzes and...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
    Humana (10/04/24)
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  • Financial Planning and Analysis Lead

    Humana (Washington, DC)
    …health first? The DoD SkillBridge or Military Spouse Financial Planning & Analysis Lead Intern will utilize Humana's Medicaid training and mentorships and engage ... military experience and education to perform within the finance Medicaid segment. Financial Planning & Analysis Lead ...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (08/21/24)
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  • Medicaid Payment & Financing Researcher/Sr.…

    Mathematica (Washington, DC)
    …related to monitoring and improving the following Medicaid programs: Medicaid payment and financing policies (fee-for- service base and supplemental payments, ... managed care capitation rates, and state approaches to provider payment).** * Responsibilities: * * Participate actively and...will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff… more
    Mathematica (09/14/24)
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  • Compliance Professional (Virginia Medicaid

    Humana (Washington, DC)
    …agencies, such as Health and Human Services ' Centers for Medicare and Medicaid Services (CMS) and EQROs. + Supports compliance oversight activities including ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (09/13/24)
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  • Behavioral Health Medical Director…

    Humana (Washington, DC)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... , requested level of care, or requested site of service should be authorized, with all work occurring within...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (09/20/24)
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  • Lead Product Manager - Provider

    Humana (Washington, DC)
    …a part of our caring community and help us put health first** The Lead Product Manager - Provider Directory helps identify, validate, and implement improvements ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (09/18/24)
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  • Senior Manager, Network & Provider

    Point32Health (Washington, DC)
    …Director, Network & Provider Analytics and other members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of ... enjoy the important work we do every day in service to our members, partners, colleagues and communities. To...requests. This individual will manage staff as well as provide training and mentoring to all members of the… more
    Point32Health (09/11/24)
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  • AVP, Provider Process and Network…

    Humana (Washington, DC)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... will own the transformation of how we work in Provider Process and Network Operations (PPNO). As an Associate...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (10/04/24)
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  • Sr./ Lead Salesforce Developer

    General Dynamics Information Technology (Fairfax, VA)
    …and REST) + Healthcare Service Industry or Center for Medicare and Medicaid Services (CMS) experience + Experience working with JIRA, Confluence, and ... how agencies operate. Our work depends on a Sr./ Lead Salesforce Developer joining our team to support Centers...joining our team to support Centers for Medicare & Medicaid Services (CMS) activities. This position is… more
    General Dynamics Information Technology (09/26/24)
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  • Lead Google Cloud Solutions Engineer,…

    Humana (Washington, DC)
    …and service offerings. Assesses the compatibility and integration of products/ services proposed as standards in order to ensure an integrated architecture across ... provider PaaS and SaaS offerings (eg Azure Kubernetes Service , Application Service Environment, etc.) Data Center...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (08/20/24)
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  • Lead Security Architect(remote)

    Humana (Washington, DC)
    …strategies, architecture, systems solutions and roadmaps for various enterprise and cloud provider environments. The Lead Architect provides strategic advice and ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (09/11/24)
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  • Client Success Lead (Consultant)…

    Public Consulting Group (Washington, DC)
    …of intersection and overlap between our Special Education/Case Management and school-based Medicaid services work within a state; regularly engage with ... and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000… more
    Public Consulting Group (10/02/24)
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  • Financial Analytics Lead

    Humana (Washington, DC)
    …and help us put health first** CenterWell's Value-Based Organization is an integrated homecare service provider focused on meeting the needs of Health Plans by ... deals with health plans and other risk-bearing groups to provide home health, DME, and home infusion services...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
    Humana (08/31/24)
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  • Strategy Advancement Lead - Clinical…

    Humana (Washington, DC)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (09/04/24)
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  • Lead RPA Engineer

    Humana (Washington, DC)
    …processes, such as claims processing, policy administration, and customer service operations. + **Technical Leadership:** Provide expert guidance ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (10/04/24)
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