- Sun Pharmaceuticals, Inc (Washington, DC)
- …developed analytical skills with demonstrated ability to conceptualize issues and synthesize data to provide strategic direction Experience in Sun Pharmas ... Field Reimbursement Manager Overview: The Field Reimbursement Manager ...(coverage, coding & payment), specialty pharmacy and distribution processes, provider support services (eg, benefits investigation) and patient support… more
- CVS Health (Annapolis, MD)
- …all with heart, each and every day. **Position Summary** + Lead a team of Medicaid Provider Data Services Analysts responsible for loading and maintaining ... Medicaid Provider data within Aetna QNXT. + Team...Medicaid Provider data within Aetna QNXT. + Team...or Network operations. + 1+ years of experience in Medicaid provider operations. + At least 1… more
- Humana (Washington, DC)
- …Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing ... be primarily responsible for implementation, maintenance and support of Medicaid provider reimbursement for hospitals and facilities....EAPG + 2+ years of experience with Optum Rate Manager + 2+ years of experience with Optum WebStrat… more
- CVS Health (Annapolis, MD)
- … Manager of Claims Management is responsible for overseeing Medicaid claims operations, inventory management, quality assurance, and compliance monitoring. This ... federal regulations, contractual requirements, and organizational performance standards. The manager partners cross-functionally with Provider Relations, Configuration,… more
- Humana (Washington, DC)
- …providers, with full accountability from strategy to execution. The Lead Product & Strategy Manager - Provider Practice Management role is a critical member of ... first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and...-friendly insights. + Lead the design and refinement of provider -facing data views (dashboards, insights, performance summaries)… more
- AmeriHealth Caritas (Washington, DC)
- …Responsible for assisting the Leader with departmental activities related to provider satisfaction, education, and communication. This position is also responsible ... for all provider network recruiting and contracting management activities as it...with claim payment methodologies. + Maintains familiarity with State Medicaid fee schedules and analyzes comparable Plan pricing guidelines.… more
- NTT America, Inc. (Baltimore, MD)
- **Req ID:** 343399 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, ... adaptable, and forward-thinking organization, apply now. We are currently seeking a APD Manager to join our team in Baltimore, Maryland (US-MD), United States (US).… more
- CenterWell (Washington, DC)
- …part of our caring community and help us put health first** The Manager of Pre-Bill Audit provides strategic leadership and operational oversight for the ... improvements in unbilled rates, revenue cycle performance, and compliance. The Manager leads a team of Pre-Bill Specialists, partners with senior leadership,… more
- Serco (Herndon, VA)
- **Position Description** Serco is seekinga self-starter **Senior Manager Compliance** to join our talented and fast-paced team supporting millions of people applying ... goals. The candidate will also manage policy, internal and external audit, data analytics and research teams to improve program performance, quality, and consumer… more
- CareFirst (Baltimore, MD)
- …performance to internal stakeholders, and C-suite with a focus on coding data and analytics. + Experienced with effective physician/ provider collaborative ... **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Manager plays a critical role in the development...a dedicated resource within the organization for Medicare Advantage, Medicaid and ACA markets, coordinating and leading the end… more
- Humana (Washington, DC)
- …telephony, data systems, and enterprise architecture. The Senior Product Manager will serve as a key interface between business and technology, driving ... and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Senior… more
- Service Source (Oakton, VA)
- …thrive? ServiceSource is looking for a compassionate and motivated Assistant Program Manager to join our Oakton Day Support Program, supporting adults with ... Summary Serve in an assistant capacity to the Program Manager . Serve in an acting capacity in the absence...implementation of services, supports, and programming of persons served. Provide support to staff to ensure active engagement and… more
- Humana (Washington, DC)
- …technical program management, including at least 3 years as a Technical Product Manager in data , AI/ML, or personalization platforms. + Demonstrated success in ... advanced agentic AI decision-making across our organization. As a Lead Technical Product Manager (PM-T), you will be responsible for shaping the vision, defining the… more
- Erickson Living (Springfield, VA)
- Location: Greenspring Village by Erickson Senior Living The Health Care Sales Manager is responsible for managing the health care sales team to develop and maintain ... ensure accurate knowledge of the competitive landscape. + Maintain market intelligence data and collaborates with ESL Home Office partners to build quarterly market… more
- Cardinal Health (Washington, DC)
- …conducts investigations to resolve ethics and compliance issues. **Compliance Audit Manager ** Reporting to the Compliance Director, this position supervises and ... annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **Responsibilities** +… more
- Humana (Washington, DC)
- …us put health first Humana's Product organization is seeking a Lead Product Manager to drive the strategy, development, and optimization of the Adobe Experience ... translating business needs into platform capabilities that enable personalized, data -driven customer experiences. You'll work closely with cross-functional teams to… more
- Humana (Washington, DC)
- …healthcare through AI excellence. We are seeking a dynamic and experienced Lead Product Manager to join our team (known internally as Lead, IT Product Management) to ... our customers. Join our rapidly expanding team of dedicated product managers, data scientists, engineers, policy experts, and business leaders as we work together… more
- Capital One (Mclean, VA)
- …loan forbearance programs and Medicaid on consumer financial health. As a Senior Manager on the team, you will be a people leader for 2+ associates, as well ... Sr. Manager , Consumer Intelligence - Corporate Strategy **Description:** Founded...the team in getting the most from our existing data , as well as writing new surveys to uncover… more
- Leidos (Baltimore, MD)
- …Leidos currently has an opening for an HHS (Health and Human Services) Program Manager to work in our Baltimore, Maryland office. This is an exciting opportunity to ... use your experience helping the Center for Medicare and Medicaid (CMS) program operate, maintain, modernize and transform its current highly visible legacy system.… more
- Cardinal Health (Washington, DC)
- ** Manager , Revenue Cycle Manager , Collections** **About Navista** We believe in the power of community oncology to support patients through their cancer ... with a strong emphasis on oncology practice needs. **_Job Purpose:_** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection… more
