- Humana (Washington, DC)
- …caring community and help us put health first** Humana Healthy Horizons is seeking a Medicaid Implementation Senior Business Project Manager to manage a ... change management and project management are best suited for this role. The Medicaid Implementation Senior Business Project Manager will serve as a… more
- Prime Therapeutics (Washington, DC)
- … business (Employer Markets, Health Insurance Marketplace, Commercial, Medicare, Medicaid , Specialty) or with unique Prime contract requirements; drive the ... we make. **Job Posting Title** Health Plan Account Dir Sr - Remote **Job Description** The Sr ...advanced degree + Experience working within assigned line of business or market segment (Commercial, Medicare, Medicaid ,… more
- Prime Therapeutics (Washington, DC)
- …passion and drives every decision we make. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is responsible ... and participates in committee review meetings within the Commercial, Medicare, Medicaid , and Health Insurance Marketplace for the assigned department. This position… more
- Humana (Washington, DC)
- …Medicaid products and capabilities to support the strategic direction and growth of the Medicaid and Duals lines of business . This is a unique opportunity for ... Care Organization **OR** 2+ years of experience in strategy consulting supporting Medicaid managed care organizations. + Experience in business development or… more
- Public Consulting Group (Washington, DC)
- …and Grants Management + Assessments and Feasibility Studies PCG is looking for a Senior Consultant in Medicaid policy and funding as it relates to children's ... Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health,...children's behavioral health services. PCG is looking for a Senior Consultant in Medicaid policy and funding… more
- Prime Therapeutics (Washington, DC)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr . Director, Pharmacy Network Management - Remote **Job Description** The Senior ... market leading pharmacy reimbursement methodologies that support all of Prime's business assuring coordination with performance standards and corporate goals. + Lead… more
- Amneal Pharmaceuticals (Washington, DC)
- Description: The Senior Director - Policy will lead "on the ground" development and advocacy for Amneal's positions on policies proposed and/or enacted by Congress, ... the Centers for Medicare and Medicaid (CMS), the US Food and Drug Administration, and...experts and company leadership across these work functions, the Senior Director will be responsible for soliciting, collating, drafting,… more
- Humana (Washington, DC)
- …an in-depth evaluation of variable factors. The Senior Technology Implementation Professional gathers and documents business system and functional ... a part of our caring community and help us put health first** The Senior Technology Implementation Professional delivers new technological solutions to meet … more
- Guidehouse (Mclean, VA)
- …statewide implementation of healthcare reform + Assist clients in assessing business and technical requirements related to the implementation of program ... 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
- Pew Charitable Trusts (Washington, DC)
- …aims to build data-driven partnerships between state public health and Medicaid agencies to more effectively address preventable, high-priority diseases that affect ... to inform the development of a blueprint for data partnerships between state Medicaid and public health agencies, partner with select states to implement the… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Senior Business Systems Analysis Professional who is part of the System Optimization ... ensuring optimal performance and integration across the procurement landscape. The Senior Business Systems Analysis Professional performs analyses of systems,… more
- Somatus (Mclean, VA)
- …physical and mental well-being + Community engagement opportunities + And more! The Sr . Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and ... implementation of the organization's Risk Adjustment Programs to optimize...governing bodies' regulations, including the Center for Medicare and Medicaid Services. This role will partner with leadership to… more
- Gilead Sciences, Inc. (Arlington, VA)
- …illnesses worldwide. Join Gilead's mission as the **Director, Long-Acting Injectable Implementation Lead** ; this individual is responsible for serving as a ... Affairs, Legal, and Government Affairs on initiatives related to key LAI implementation initiatives, projects, and working groups. + Stay informed about evolving… more
- KPMG (Baltimore, MD)
- ** Business Title:** Senior Associate, Federal Healthcare Solutions **Requisition Number:** 118328 - 42 **Function:** Advisory **Area of Interest:** **State:** MD ... then consider a career in Advisory. KPMG is currently seeking a Senior Associate to join our Federal Advisory practice. Responsibilities: + Communicate complex… more
- Humana (Washington, DC)
- …Coordinate business partner engagement with external regulators + Coordinate implementation and compliance with corrective action plans, as needed + Provide ... a part of our caring community and help us put health first** This Senior Compliance Professional role supports Humana's suite of Medicare and Commercial Dental and… more
- CVS Health (Washington, DC)
- … implementation of value-based contract relationships in support of business strategies. . Represent Aetna with high visibility constituents, including customers ... role? Join Aetna/CVS Health, a Fortune six company, as the Network Management Senior Manager. In this individual contributor role, you will negotiate with, execute… more
- Humana (Annapolis, MD)
- …analyzes, plans and modifies network components supporting customer communication implementation activities. The Senior Network Engineer work assignments ... situations or data requires an in-depth evaluation of variable factors. The Senior Network Engineer will be responsible for providing engineering and operational… more
- Somatus (Mclean, VA)
- …and mental well-being + Community engagement opportunities + And more! The Senior Vice President of Finance will lead financial activities that support critical ... and Provider Finance. This role is responsible for developing high-quality business strategies and operational plans, ensuring alignment with Somatus short-term and… more
- HealthEdge Software Inc (Washington, DC)
- **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... in claims processing. The successful candidate will be responsible for taking a senior level role in analyzing claims data, as well as translating contract terms,… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Senior IT Product Owner (PO) role is responsible for managing and communicating the vision ... to the team to determine the HOW. The role drives value to the business by building and maintaining a product backlog in collaboration with stakeholder and delivery… more