• Medicaid Payment & Financing…

    Mathematica (Lincoln, NE)
    …in multidisciplinary teams, drawing on your knowledge and past experience with Medicaid programs * Help conduct research and technical assistance projects ... expertise, and institutional knowledge of staff working in the Medicaid area Position Requirements: * Researcher candidates...years of experience working in health policy or health research , with a substantial portion of that time related… more
    Mathematica (08/25/24)
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  • Health Services Researcher ( Remote

    Mathematica (Lincoln, NE)
    …our benefits here: https://www.mathematica.org/career-opportunities/benefits-at-a-glance We are hiring a researcher to join our vibrant and growing Health division. ... support project teams in the planning and execution of research projects for clients such as: The Centers for...for clients such as: The Centers for Medicare & Medicaid Services, the Social Security Administration, the Centers for… more
    Mathematica (08/22/24)
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  • Capture Lead, Medicaid Clinical…

    Humana (Lincoln, NE)
    …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 (08/15/24)
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  • Principal Consultant/Senior Fellow - Public Health…

    Mathematica (Lincoln, NE)
    …monitoring for projects supporting state and local health, human services, and Medicaid agencies in areas of their relevant expertise. * Withing their appropriate ... active mentorship *About the team:* The State Health and Medicaid practice is one of six that comprise our...work. Position Requirements: * 10/+ years of experience (Principal Researcher ) or 15/+ years of experience (Senior Fellow) in… more
    Mathematica (08/02/24)
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  • Data Platform Engineer - Remote

    Mathematica (Lincoln, NE)
    …part of the AI Health Outcomes Challenge held by Centers for Medicare and Medicaid Services, members of this team developed a cloud data pipeline and machine ... analytics involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data...sources such as EHRs and HIEs, to effectively answer research questions about health care policy. * Incorporate client… more
    Mathematica (06/15/24)
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  • Principal Client Solution Architect…

    Mathematica (Lincoln, NE)
    …warehouses, interactive dashboards, data analytics, and visualization products; and research and advisory. * Accountability for all project deliverables alongside ... large primary and secondary data sources to effectively answer research questions and guide decision-making about health care policy....salary range of $145,000 - $185,000. This position is eligible for a discretionary bonus based on company and… more
    Mathematica (08/11/24)
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  • Resource Manager ( Remote eligible )

    Mathematica (Lincoln, NE)
    …complex staffing or performance problems. * Work collaboratively across technology and research and advisory services teams. * Actively support the advancement of ... salary range of $100,000 - $135,000. This position is eligible for a discretionary bonus based on company and...will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on… more
    Mathematica (08/09/24)
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  • Research Scientist

    Humana (Lincoln, NE)
    …and help us put health first** Humana's Clinical Analytics Team is seeking a Research Scientist 2 ( Remote ). Healthcare is rapidly changing, and our members are ... and clinicians to shape Humana's clinical strategies and initiatives. The Research Scientist 2 applies statistical and epidemiologic principles to identify trends,… more
    Humana (08/23/24)
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  • Health Data Analyst - Remote

    Prime Therapeutics (Lincoln, NE)
    …every decision we make. **Job Posting Title** Health Data Analyst - Remote **Job Description** The Health Data Analyst provides information, analyses, and ... new products + May be responsible for Centers for Medicaid /Medicare Services reporting and analysis, including the management of...healthcare, financial services or related field + Must be eligible to work in the United States without need… more
    Prime Therapeutics (08/21/24)
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  • Senior Accountant - Remote US

    Public Partnerships LLC (Lincoln, NE)
    …largest and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support ... * Assists with oversight and coordination of non-financial audits. * Research accounting standards or policies **Required Skills:** * Excellent interpersonal,… more
    Public Partnerships LLC (08/21/24)
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  • Principal Actuary - Medicare Part D…

    Prime Therapeutics (Lincoln, NE)
    …we make. **Job Posting Title** Principal Actuary - Medicare Part D - Remote **Job Description** The Principal Actuary is responsible for supporting the development ... strategic pricing advice on structures and methodology using market research , financial projections, and complex actuarial modeling + Present...+ Actuarial designation (ASA or FSA) + Must be eligible to work in the United States without need… more
    Prime Therapeutics (07/17/24)
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  • Strategy Advancement, Principal (Fide-SNP/PACE)

    Humana (Lincoln, NE)
    …our goals, we seek talent with the following attributes: Creative - Adept at research to determine the opportunity and a structured yet flexible approach to problem ... to maximize available resources to achieve growth. + Leads National Medicaid Strategic Priorities, effectively develops LTSS-based strategic goals and turns them… more
    Humana (07/25/24)
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  • Delaware Valley ACO Fellowship/Provider Engagement…

    Humana (Lincoln, NE)
    …accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and ... + Strong written and verbal communication skills in a remote work environment + Highly motivated, and a self-starter...the requisition number so we may be able to research your request quicker. \#LI-LM1 **Scheduled Weekly Hours** 40… more
    Humana (06/24/24)
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  • Senior Healthcare Risk Management Professional

    CenterWell (Lincoln, NE)
    …Risk Professional develops and implements compliance policies and procedures. Research compliance issues and recommends changes that assure compliance with ... and regulations as it relates to healthcare compliance in Medicare, Medicaid , and/or clinical industries (includes anti-kickback and Stark statutes, government… more
    CenterWell (08/16/24)
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  • Reimbursement Coordinator

    Cardinal Health (Lincoln, NE)
    …specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers. Individualized ... agreed upon by the client + As needed conduct research associated with issues regarding the payer, physician's office,...+ Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage,… more
    Cardinal Health (08/23/24)
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  • Reimbursement Coordinator

    Cardinal Health (Lincoln, NE)
    …Service experience, preferred * Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers' policies and guidelines for coverage, preferred * Knowledge ... team with call overflow and intake when needed * As needed conduct research associated with issues regarding the payer, physician's office, and pharmacy to resolve… more
    Cardinal Health (08/21/24)
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  • Case Manager

    Cardinal Health (Lincoln, NE)
    …payer issues by region with the appropriate team + As needed conduct research associated with issues regarding the payer, physician's office, and pharmacy to resolve ... + Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage,...our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. ** REMOTE DETAILS:** You will work remotely, full-time. It will… more
    Cardinal Health (07/24/24)
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