- Sumitomo Pharma (Washington, DC)
- …a dynamic, highly motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. Manager , Medicaid ... the Medicaid rebate team in receiving, processing, validating, trouble-shooting Medicaid claims and dispute resolution with state agencies. This position… more
- Prime Therapeutics (Washington, DC)
- …fuels our passion and drives every decision we make. **Job Posting Title** Contract Manager Vendor Performance - LA Medicaid - Remote **Job Description Summary** ... documents. This position is responsible for monitoring provider contract compliance and for development of performance-based contract incentives. **Job Description**… more
- Prime Therapeutics (Washington, DC)
- …our passion and drives every decision we make. **Job Posting Title** Contract Manager - NC Medicaid **Job Description Summary** Responsible for the ... documents. This position is responsible for monitoring provider contract compliance and for development of performance-based contract incentives. **Job Description**… more
- Pew Charitable Trusts (Washington, DC)
- …activities to inform the development of a blueprint for data partnerships between state Medicaid and public health agencies, partner with select states to ... execute partnership agreements for implementing Pew's blueprint for data partnerships between state Medicaid and public health agencies. + Manages overall… more
- Public Consulting Group (Washington, DC)
- …. **Job-Specific Responsibilities** + Provide strong leadership on all Medicare/ Medicaid cost settlement and supplemental payment projects, effectively supervising ... and reports completed by team members. + Review applicable Federal and State policies and regulations associated with various audit types. + Develop peer-to-peer… more
- Service Source (Oakton, VA)
- …engagement and a healthy and safe environment. Ensure compliance with all State and Federal regulatory guidelines, including Medicaid , Licensing, and CARF as ... ongoing compliance with organizational polices, and other regulatory bodies ( Medicaid , Licensure, CARF, etc.) as it pertains to individual's records, plans and… more
- Service Source (Oakton, VA)
- …(ISP) and support to assigned participants. Ensure compliance with all State and Federal regulatory guidelines, including Medicaid , Licensure, and CARF ( ... ServiceSource is proudly hiring a compassionate and skilled Division Manager for our community integration and day support programs...knowledge of and ensure compliance with all State and Federal regulatory guidelines, including Medicaid ,… more
- American Institutes for Research (Arlington, VA)
- …full-time **Researcher** with a strong background in Medicare and Medicaid policyto join AIR'sHealth Division (https://www.air.org/our-work/health) . The Researcher ... support to evaluation and analytical support for Centers for Medicare & Medicaid Services (CMS), states, and foundations. Candidates hired for the position may… more
- J&J Family of Companies (Arlington, VA)
- …problem solving and project management skills. + Understanding of national and state legislative, Medicare, Medicaid , and private payer initiatives affecting ... Field Reimbursement Manager , CAR-T - Northeast Region - 2406206269W **Description**...and external office staff regarding the Medicare treatment guidelines, Medicaid Managed Care, commercial plans, policy changes, formulary status… more
- Fedcap (Springfield, VA)
- …that DSPs) maintain Human Rights standards, Health and Safety standards, and recordkeeping standards in accordance with State Licensure, Medicaid , CARF, DARS, ... members as appropriate. Conduct assessment meetings. Maintain current knowledge of Medicaid and licensure regulations as it pertains to program delivery. Program… more
- AmeriHealth Caritas (Washington, DC)
- …operations of the Bright Start (Maternity) and Early Intervention ICM teams. Responsible for compliance with State and Federal laws and business plan goals. + ... **RN Manager , Bright Start (Maternity) and Early Intervention ICM...achievement of assigned NCQA standard compliance and compliance with all applicable State and Federal… more
- Prime Therapeutics (Washington, DC)
- …passion and drives every decision we make. **Job Posting Title** Pharmacy Network Manager - Remote **Job Description** We are hiring for two Pharmacy Network ... Managers to join our team! The Pharmacy Network Manager is responsible for development and management of Prime's retail, mail, specialty and quality-based pharmacy… more
- HealthEdge Software Inc (Washington, DC)
- **Overview** **Position Overview** **:** As aSenior Manager ,Product ManagementforHealthEdgeSource, you willbededicatedto developing innovative solutions for the ... and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for… more
- Humana (Washington, DC)
- …community and help us put health first** We are seeking a visionary Product Manager to lead our Product Security and DevSecOps initiatives. In this critical role, ... our strategy + Partner with cross-functional teams to ensure compliance with industry standards and regulations (eg, SOC 2,...contractors who live and work from home in the state of California will be provided payment for their… more
- Highmark Health (Washington, DC)
- …underlying systems that support the respective business platforms for the Medicaid Business Unit market served by Highmark. Performs configuration change management ... and pricing changes made by health plans, CMS and/or the states' Medicaid programs. **ESSENTIAL RESPONSIBILITIES** + Lead in working with customers, Software… more
- Serco (Herndon, VA)
- …IT Operations Network Manager . Serco supports the Centers for Medicare & Medicaid Services, a federal agency within the United States Department of Health and ... challenging Security Engineer position supporting Centers for Medicare and Medicaid (CMS), then Serco has a great opportunity for...of security tasks and processes is a plus In compliance with state and local laws regarding… more
- Service Source (Arlington, VA)
- …communication, behavior, and skill development. Ensure compliance with all State and Federal regulatory guidelines, including Medicaid , Licensure, and ... Immediately report any unsafe conditions, medical concerns to the Program Manager or designee. Follow established written protocols and plans. Report any… more
- Fresenius Medical Center (Lanham Seabrook, MD)
- …and in compliance with regulations set forth by the corporation, state , and federal agencies. Responsible for the setup and operation of hemodialysis machines. ... state specific certification as defined by Center for Medicaid /Medicare (CMS)Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization culture,… more
- Fresenius Medical Center (Washington, DC)
- …and in compliance with regulations set forth by the corporation, state , and federal agencies. Responsible for the setup and operation of hemodialysis machines. ... state specific certification as defined by Center for Medicaid /Medicare Services (CMS)Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization… more
- American Institutes for Research (Washington, DC)
- …lead tasks related to AIR Health's work with the Centers for Medicare & Medicaid Services (CMS). In addition, the candidate will be expected to participate in ... business development opportunities at the federal and state levels and mentor more junior policy analysts. Candidates hired for the position may work remotely within… more