- Mathematica (Washington, DC)
- …https://www.mathematica.org/career-opportunities/benefits-at-a-glance. Mathematica is looking for a highly organized Medicaid Project Associate to contribute ... and support the work of projects in the Federal Medicaid practice. As a part of a project team, the Associate will be responsible for coordinating and… more
- Abt Global Inc. (Rockville, MD)
- …meaningful work? Now's your chance. **The Opportunity** Abt Global seeks an experienced Medicaid researcher (Senior Associate ) to play a leadership role in our ... technical programming staff to design and implement analyses using Medicaid claims and administrative data to meet project...to work effectively in a team environment. + Senior Associate Level: Master's degree + 13 years of relevant… more
- Humana (Washington, DC)
- …This role will work horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts to synthesize, ... growth partners to design and optimize clinical operating model blueprints for viable Medicaid health plans that meet the needs of state clients and populations… more
- Humana (Washington, DC)
- …Humana Healthy Horizons and prepares markets for upcoming bids for state Medicaid managed care programs. The Strategy Advancement Advisor works with Business ... state and local levels. The Strategy Advancement Advisor works closely with Medicaid Business Development and Proposal leaders to identify and determine strategies… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Medicaid Actuary role is responsible for providing actuarial support for multiple states in ... are the specific day to day responsibilities of the Medicaid Actuary role: + Frequent analysis of actual experience...of technical experience + 2 or more years of project leadership experience **Scheduled Weekly Hours** 40 **Pay Range**… more
- Humana (Washington, DC)
- …part of our caring community and help us put health first** The Associate Director, Business Systems Analysis performs analysis of business, process and user needs, ... analysis and translation into proper system requirement specifications. The Associate Director, Business Systems Analysis requires a solid understanding of… more
- Westat (Rockville, MD)
- **27185BR** **Job Title:** Senior Research Associate - Innovative Health Care **Location:** MD - Rockville **Job Description:** Westat is an employee-owned ... Summary** Westat has an immediate opening for a Senior Associate to lead and contribute to the implementation and...care programs funded by the Centers for Medicare & Medicaid Services (CMS). Activities include developing expertise related to… more
- Humana (Washington, DC)
- …part of our caring community and help us put health first** The Associate Director of Contractor Workforce Management will drive a best-in-class contractor workforce ... program. Reporting directly to the Associate Vice President of Source to Pay Operations you...multi-faceted and often ambiguous data + Ability to motivate project team members and stakeholders to meet established deadlines… more
- Humana (Washington, DC)
- …of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex… more
- Westat (Rockville, MD)
- **27052BR** **Job Title:** Principal Research Associate -Mixed Methods- Health Services Research **Location:** MD - Rockville **Job Description:** Westat is an ... of our employees. Westat is seeking a Principal Research Associate with expertise in health services, specifically focused on...with others in multidisciplinary teams and may serve as project director, project manager, task lead or… 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 ... the most complex issues in order to understand capability needs, gather project specifications, create business cases and cost sheet analysis, translate high-level… more
- Humana (Washington, DC)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Washington, DC)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Washington, DC)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Washington, DC)
- …Leads projects of high sensitivity/confidentiality + Report out SLA performance and project delivery to key stakeholder groups and prepare remediation plans when ... leadership on a weekly basis. + Leads continuous improvement initiatives for project management and delivery. + Has overall responsibility for service issue… more
- Humana (Washington, DC)
- …analytic solutions. The Stars program is the Centers for Medicare & Medicaid Services (CMS) five‐star quality rating system for measuring Medicare beneficiaries' ... improve the decision-making experience for stakeholders + 2 or more years of project leadership experience + Experience analyzing data to solve a wide variety of… more
- Intermountain Health (Washington, DC)
- …A strong candidate will have experience with Encounter Data submissions (EDPS, Medicaid , ACA Edge Server, etc.), experience with the Facets claims adjudication ... may be offered a lower level position (Staff or Associate level) if they do not fully qualify for...participates on national and local standards committees. 3. Provides project guidance and training to less experienced users/analysts to… more
- Humana (Washington, DC)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... a law firm or in-house health care organization + Experience in Medicare, Medicaid , or similar regulatory work + Strong legal research, analytical, and writing/oral… more
- Humana (Washington, DC)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... and external clinical vendors who aid in managing medical utilization for Medicare, Medicaid , and Commercial lines of business. + Master the intricacies of the data… more
- Humana (Washington, DC)
- …moderately complex to more complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable ... moderately complex to more complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable… more