- Mathematica (Richmond, VA)
- …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
- Humana (Richmond, VA)
- …Fee Schedule Management System + Collaborate with Markets, Claims, Policy, Process and Project Managers to accommodate new Medicaid logic and identify the ... of our core cross-functional team responsible for ensuring timely and accurate Medicaid Physician reimbursement. The business needs of the team, Integrated Network… more
- Humana (Richmond, VA)
- …agencies, such as Health and Human Services' Centers for Medicare and Medicaid Services (CMS) and EQROs. + Supports compliance oversight activities including ... WV, KY, TN & NC)_ **.** + Bachelor's or associate degree. + Two (2) - five (5) years...risk, compliance, regulatory or related experience). + Regulatory or Medicare/ Medicaid compliance experience. + Auditing experience working with auditing… more
- Humana (Richmond, VA)
- …negotiates, and executes behavioral health provider contracts for Virginia Medicaid . The Provider Contracting Professional communicates contract terms, payment ... decisions on moderately complex issues regarding technical approaches for project components. Engages in contracting negotiations with Behavioral Health physicians… more
- Humana (Richmond, VA)
- …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 (Richmond, VA)
- …part of our caring community and help us put health first** The Physical Security Project Manager 2 will report to the Physical Security Lead and assist in managing ... protection of company assets through physical security projects. The Physical Security Project Manager 2 will be responsible for the design, implementation, and… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Project Management Lead manages all aspects of a project , from start to finish, so ... that it is completed on time and within budget. The Project Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial.… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Associate Actuary role is a role within the Insurance Products Actuarial Medicare Advantage ... ad hoc projects and analysis to help enhance Part D accuracy. The Associate Actuary, Pricing work assignments involve moderately complex to complex issues where the… more
- Humana (Richmond, VA)
- …help us put health first** Join our Process Excellence team within Enterprise Associate and Business Solutions (EABS), a key component of the Chief Administrative ... We focus on process and continuous improvement, performance management, project and program management, knowledge management, governance, and operational readiness.… more
- Humana (Richmond, VA)
- …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 (Richmond, VA)
- …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
- Humana (Richmond, VA)
- …health first** Humana's Retail Marketing Organization is looking for a Marketing Campaign Associate to join Direct Mail Team working remote. In this role, you will ... products and/or services. As the Campaign Manager ( _internally known as Associate , Marketing Campaign Management),_ you will contribute to the operational execution… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** An Associate Actuary on the Medicare Financial Planning & Analysis Team will be responsible ... A foundation in Medicare and/or Corporate Finance is preferred. The Associate Actuary, Analytics/Forecasting ensures data integrity by developing and executing… more
- Humana (Richmond, VA)
- …values and associate value proposition + Present exceptional writing and project management skills with keen attention to detail across all tasks and ... In this role as the Internal Communications Lead - Associate Experience, you will have the opportunity to step...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Highmark Health (Richmond, VA)
- …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 (Richmond, VA)
- …+ Engage with the producers and the Center for Medicare and Medicaid Services/Department of Insurance regulations specific to them if there are concerns ... the general ledger. + Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance regulations to establish required appointment fees… more
- Humana (Richmond, VA)
- …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 (Richmond, VA)
- …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 (Richmond, VA)
- …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 (Richmond, VA)
- …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