- Abt Global Inc. (Rockville, MD)
- …seeks to add a talented researcher to its team of experts conducting policy-relevant Medicare and Medicaid research and evaluation. The successful candidate ... key technical roles on projects for the Centers for Medicare and Medicaid Services (CMS). As a...Medicaid Services (CMS). As a member of the Research , Monitoring, and Evaluation Capability, you will collaborate on… more
- CareFirst (Owings Mills, MD)
- …FUNCTIONS:** + Respond to the Maryland Department of Health (MDH), US Centers for Medicare and Medicaid Services (CMS), and other federal and state agencies as ... + Experience with developing and implementing clinical programs + Experience with Medicare Part D and Medicaid guidelines and requirements + Completion… 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. ... Through the design and implementation of various types of research studies and the strategic interpretation of data, the...Our team's areas of focus include-but are not limited to- Medicare policy and payment; care delivery and quality; access… 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. ... us put health first** Humana's Clinical Analytics Team is seeking a Lead Research Scientist (Remote). Healthcare is rapidly changing, and our members are living… 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. ... health first** Humana's Clinical Strategy and Analytics (CS&A) Team is seeking a Research Scientist 2 (Remote). Healthcare is rapidly changing, and our members are… 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 Associate Actuary, Pricing is responsible for setting pricing assumptions, submitting bids, filing… 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** As the Associate Director of Software Engineering, you will be at the heart of coding state-of-the-art… more
- Guidehouse (Mclean, VA)
- …trusted client relationships, and delivering impactful project results within the Centers for Medicare & Medicaid Services (CMS). You will own the delivery of ... Doctoral (preferred) degree in health policy, health economics, health services research , biostatistics, epidemiology, public health, or related fields + 10+ years… more
- Humana (Washington, DC)
- …benefits organizations in the country. The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's largest, ... professional experience leveraging core consulting skills to support delivering some of Medicare and Medicaid 's highest priority projects and initiatives, with… more
- Humana (Washington, DC)
- …supports Humana's Healthcare Quality Reporting and Improvement business area, part of the Medicare and Medicaid business. With over 9 million medical members and ... $67B in '20 revenue, Medicare and Medicaid are Humana's largest business...eager to contribute and to learn + Analytically minded; research , data, and detail oriented + Passionate about driving… more
- Humana (Washington, DC)
- …supports Humana's Healthcare Quality Reporting and Improvement business area, part of the Medicare and Medicaid business. With over 9 million medical members and ... $67B in '20 revenue, Medicare and Medicaid are Humana's largest business...eager to collaborate and to learn + Analytically minded; research , data, and detail oriented + Passionate about driving… more
- Humana (Washington, DC)
- …Strategy Practice for the Insurance Segment. This includes strategic oversight across Medicare Advantage (Individual and Group), Medicaid , Medicare ... data and trends to develop robust, forward-looking strategies that propel our Medicare , Medicaid , and Specialty lines towards sustained growth, profitability,… more
- Humana (Washington, DC)
- …delivering high priority projects and initiatives across our insurance products (including Medicare , Medicaid , Med Supp, PDP, and others), with an emphasis ... 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. ... will work closely with the RVP, Operations, including exposure to Medicare Advantage bid strategy, regional operations staffing, and administrative expense… more
- Humana (Washington, DC)
- …in the country. **Location:** remote The Insurance Strategy team supports Humana's Medicare and Medicaid lines of business. This business unit, Humana's ... 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)
- …Specialty products that may be developed and marketed. The team supports Commercial, Medicare and Medicaid business, including Specialty products that are sold ... 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)
- …or auditing practices. + Experience working within a health plan and understanding of Medicaid or Medicare guidelines. + Proven oral / written communication and ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- CareFirst (Baltimore, MD)
- …Qualifications:** + Healthcare Compliance certification(s). + Experience in CMS programs ( Medicare or Medicaid , project management, business process analysis, ... programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Medicare and Medicaid Compliance **Equal Employment Opportunity**… 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. ... enhancements to existing products or strategic product extensions, and translates research discoveries into usable and marketable product design features. Develops… more
- CareFirst (Baltimore, MD)
- …for members and providers who appeal on behalf of members for Maryland Medicaid , Maryland Medicare including (EGWP, DSNP, MAPD). Ensures quality management of ... appeals, Regulatory complaints and External review requests. Performs analytics and research to promote best practices, problem solve, facilitate resolution and… more