• Medicaid Insurance Product Manager

    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. ... caring community and help us put health first** Humana Medicaid is seeking exceptional candidates to join our ...with the following attributes: * Creative - Adept at research to determine the opportunity and a structured yet… more
    Humana (02/20/25)
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  • Associate Actuary

    Humana (Washington, DC)
    …planning. Applies statistical methods for modeling and comparison studies The Associate Actuary, Analytics/Forecasting analyzes emerging trends on Medicare ... 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 (02/19/25)
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  • Lead Research Scientist

    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 (03/08/25)
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  • Central Billing Associate

    Erickson Living (Baltimore, MD)
    …next steps for accounts receivable management + Review billing of charges to Medicare Traditional, Medicare Advantage, Medicaid , Railroad Retirement and ... Location: Erickson Senior Living The Central Billing Associate is responsible for securing revenue by verifying...where Medical Centers are located + Possess knowledge of Medicare , Medical Assistance and other 3rd Party Payer billing… more
    Erickson Living (01/25/25)
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  • AR Follow Up Associate

    TEKsystems (Catonsville, MD)
    …payment and write-off codes. Skills Medical Billing, EMR, Customer service, medicaid , medicare , Accounts receivable, Medical billing, Cash application, Claim ... Description Responsible for performing research , correction, and updates within the accounts receivable...cash posting processes in a health care provider environment. Medicare , Medicaid and Managed Care experience a… more
    TEKsystems (03/08/25)
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  • Associate Medical Director, Cardiology

    Evolent (Washington, DC)
    …exclusions, sanctions, or disciplinary actions by **state or federal healthcare programs ( Medicare , Medicaid , OIG, or GSA).** Join us at **Evolent Health** ... for the mission. Stay for the culture. **What You'll Be Doing:** ** Associate Medical Director - Cardiovascular Medicine (Cardiologist) | Evolent Health** Are you… more
    Evolent (03/04/25)
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  • AR Follow Up Associate

    TEKsystems (Catonsville, MD)
    …billing, collections, and cash posting processes in a healthcare provider environment. + Medicare , Medicaid , and Managed Care experience a plus. + Experience ... AR Follow-Up Associate - 6-Month Contract to Hire Job Description...Contract to Hire Job Description . Responsible for performing research , correction, and updates within the accounts receivable management… more
    TEKsystems (03/08/25)
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  • Sr. Professional Network Strategy

    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 will be accountable for supporting the development of Humana Healthy Horizon's Medicaid network strategy and market approaches in the Medicaid growth… more
    Humana (03/06/25)
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  • Sr Business Project Manager

    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 (03/09/25)
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  • Special Investigator (DC / DMV resident required)

    AmeriHealth Caritas (Washington, DC)
    …agencies. **Other Skills: ;** + Health care industry and/or Medicare / Medicaid /Pharmacy/Behavioral Health/Pharmacy Benefit Management knowledge required. + Law ... criminal and civil rules of evidence. + Proactively performs research using the Internet, data analysis tools, etc., to...adjudication standards & procedures preferred. + Solid knowledge of Medicaid , Medicare , and pharmacy benefit laws and… more
    AmeriHealth Caritas (03/13/25)
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  • Contracts and Pricing Execution Manager

    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...Responsible for calculations and submissions of pricing related to Medicare , Medicaid , VA, 340B, and State Reporting.… more
    Amgen (03/04/25)
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  • Director, Competitive Intelligence, Stars

    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. ... Ratings. The ideal candidate will possess a deep understanding of the Medicare landscape, strong analytical skills and the ability to communicate insights… more
    Humana (03/04/25)
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  • Federal Relations Specialist

    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 ... affecting The Joint Commission's work. Receives additional assignments from Associate Director/Director/EVP as needed. LI-HYBRID **Responsibilities** + Performs environmental… more
    The Joint Commission (02/06/25)
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  • Value Based Programs Specialty Care Lead

    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. ... individual contributor role + This role reports to the Associate Vice President of Value Based Strategies In addition...the requisition number so we may be able to research your request quicker. \#LI-LM1 **Scheduled Weekly Hours** 40… more
    Humana (03/15/25)
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  • Sr Workday BI Engineer, HR Analytics

    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. ... Humana is dedicated to optimizing talent outcomes and enhancing the associate experience through a customer-centric approach. We deliver advanced analytic products… more
    Humana (03/13/25)
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  • Senior Data Scientist

    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. ... **Required Qualifications** + Master's Degree and 3+ years of experience in research /ML engineering or an applied research scientist position preferably with… more
    Humana (01/28/25)
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  • Senior Behavioral Economics Professional

    Humana (Annapolis, MD)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... must also work collaboratively with teams whose expertise is outside of quantitative research , eg product managers and market leaders. Success for the SBEP means (1)… more
    Humana (03/20/25)
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  • Coding Educator

    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. ... 10 Mbps is recommended to support Humana applications, per associate . + Wireless, Wired Cable or DSL connection is...the requisition number so we may be able to research your request quicker. \#LI-LM1 \#B2 **Scheduled Weekly Hours**… more
    Humana (12/21/24)
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  • Billing Representative

    Ascension Health (Halethorpe, MD)
    …insurance companies, third party organizations and/or government or self payers. + Research , analyze and reconcile Medicare / Medicaid billing and ... Imaging Center and Ascension Saint Agnes Foundation. As an associate , you will be a part of a team...and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make… more
    Ascension Health (03/04/25)
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  • Fee For Service Contracting Intern - MD, DC/VA…

    CareFirst (Baltimore, MD)
    …inquiries from a variety of network providers and care partners related to Medicare , Medicaid , Commercial and DSNP contracts + Assisting the contractor ... strategic issues requiring analytical, financial, and writing skills. Assist with research and data analysis for client proposals, reports, and prepare… more
    CareFirst (03/06/25)
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