- Somatus (Mclean, VA)
- …physical and mental well-being + Community engagement opportunities + And more! The Sr. Director , Medicare Risk Adjustment (MRA) will lead the execution ... experience required. + Proven experience with commercial and/ or Medicare Advantage risk adjustment functions. + Proven track record of working collaboratively… more
- Travelers Insurance Company (Washington, DC)
- …strategies for addressing and resolving various types of debt, including Medicare , to deliver positive financial outcomes. This role requires leveraging economic ... Support: + Partners with the Field, Claim Resources and Senior Leadership to identify and improve Claim processes and...a financial management and control strategy to limit financial risk associated with claim costs. + Serves as a… more
- Prime Therapeutics (Washington, DC)
- …vision, depth perception and ability to adjust focus **Reporting Structure** + Reports to Senior Principal or Senior Director in the Finance department ... and drives every decision we make. **Job Posting Title** Principal Actuary - Medicare Part D - Remote **Job Description** The Principal Actuary is responsible for… more
- CenterWell (Washington, DC)
- …under the PCO's Chief Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: + Lead ... to a Conviva/CenterWell market location(s) + Experience working in a value-based care, senior care, and/or Medicare managed care **Workstyle** This is a remote… more
- Huntington Ingalls Industries (Woodlawn, MD)
- …video: https://vimeo.com/732533072 Who We Are HII - Mission Technologies is seeking a Senior Cyber Supply Chain Risk Management (C-SCRM) Consultant for a hybrid ... support the Director , Division of Strategic Information (DSI), Center for Medicare and Medicaid Services (CMS) and other government personnel. Day to day… more
- CVS Health (Washington, DC)
- …oversight and peer review of national outside actuarial firms. Manages a senior analyst and collaborates with business actuaries and members of the enterprise ... with finance to ensure the financial integrity of business strategies, forecasts and risk contracts * Works with business actuaries and business leaders to drive the… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** Director of Enterprise Information Protection (EIP) Cybersecurity Engineering focused on building a ... and strategic thinking skills, with the ability to influence senior leaders across EIP. * Proven track record of...Have a bias towards action and delivery while balancing risk management. + Ability to implement best practices for… more
- Guidehouse (Mclean, VA)
- …client relationships, and delivering impactful project results within the Centers for Medicare & Medicaid Services (CMS). You will own the delivery of projects ... role involves leadership of multi-year task orders and regular interaction with senior , executive-level clients to ensure the success of innovative new programs. The… more
- The Cigna Group (Baltimore, MD)
- The System Contract Senior Manager will have oversight of a region of facility network and will be responsible for its contract performance. This Senior Manager ... of negotiators to manage all rate renewals and contract maintenance activities. This Senior Manager will collaborate with the other Regional Senior Manager to… more
- Johns Hopkins University (Baltimore, MD)
- …training and education content. Assists in the preparation of reports for the Senior Director , Director , and clinical departments regarding the status ... close collaboration with the Sr. Auditor/Trainers, Leads, Manager and Director to provide input and assist in the development...a provider, division or department that poses a compliance risk and provides input on recommended solutions. + Assist… more
- Johns Hopkins University (Baltimore, MD)
- …the School of Medicine's Quality Assurance Compliance Program. Prepares reports for the Senior Director , Director , and clinical departments regarding the ... coding patterns by a provider, division or department that poses a compliance risk and recommends solutions to address the problem(s). + Assists departments and… more
- CareFirst (Baltimore, MD)
- …drives the company-wide Quality Management program (including CMS Stars and risk adjustment), and the ongoing development and implementation of health care ... insurer called to the table. + Collaborates with other senior leaders on efforts that enhance the quality-of-care delivery,...a managed care setting. + Previous experience as medical director for a health care company. + At least… more