- Humana (Richmond, VA)
- …caring community and help us put health first** Humana Healthy Horizons is seeking a Medicaid Implementation Senior Business Project Manager to manage a ... change management and project management are best suited for this role. The Medicaid Implementation Senior Business Project Manager will serve as a… more
- CVS Health (Richmond, VA)
- …This position is responsible for promoting compliant and ethical behavior for Aetna's Medicaid business , including timely implementation of compliant ... corrective actions plans (iCAPs) at a national level across Aetna's Medicaid business . Additionally, the incumbent will lead and participate in other key… more
- Humana (Richmond, VA)
- …Medicaid products and capabilities to support the strategic direction and growth of the Medicaid and Duals lines of business . This is a unique opportunity for ... Care Organization **OR** 2+ years of experience in strategy consulting supporting Medicaid managed care organizations. + Experience in business development or… more
- Humana (Richmond, VA)
- …community and help us put health first** Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional to drive best in class provider ... Provider Education team through collaboration across existing and new Medicaid markets. The Senior Medicaid ...create provider materials, has interpersonal skills to work across business segments, and must be highly organized. **Key Role… more
- Public Consulting Group (Richmond, VA)
- Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human ... and regulation. + Reviews and is an expert in business operations for service and efficiency improvements. + Develops...such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge… more
- Humana (Richmond, VA)
- …scope while aligned to enterprise objectives. The ** Senior Technology Implementation Professional** gathers and documents business system and functional ... a part of our caring community and help us put health first** The Senior Technology Implementation Professional delivers new technological solutions to meet … more
- Humana (Richmond, VA)
- … business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work ... business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work… more
- Elevance Health (Richmond, VA)
- …preferred. + Experience analyzing and building valued based care contracts for the Medicaid line of business preferred. + Experience reconciling value-based care ... **Provider Contract Analyst Senior ** **Location:** This position will work a hybrid...Experience working with claims and provider contracts for the Medicaid line of business preferred. Please be… more
- Humana (Richmond, VA)
- …us put health first** Humana's Marketing Organization is seeking an experienced Senior Production Professional, Dialogue Developer to join the Exstream Dialogue team ... working remote anywhere in the US. As the Senior Professional, you will contribute to the development of...You will work closely with product managers and Humana business units with the need to be receptive to… more
- Humana (Richmond, VA)
- …Coordinate business partner engagement with external regulators + Coordinate implementation and compliance with corrective action plans, as needed + Provide ... a part of our caring community and help us put health first** This Senior Compliance Professional role supports Humana's suite of Medicare and Commercial Dental and… more
- CVS Health (Richmond, VA)
- … implementation of value-based contract relationships in support of business strategies. + Represent Aetna with high visibility constituents, including customers ... role? Join Aetna/CVS Health, a Fortune six company, as the Network Management Senior Manager. In this individual contributor role, you will negotiate with, execute… more
- Prime Therapeutics (Richmond, VA)
- …Create and maintain strategic partnerships with customers through the development and implementation of annual account work plans, retention and growth plans that ... Other duties as assigned **Minimum Qualifications** + Bachelor's degree in Finance, Business , Health Care Administration or related area of study, or equivalent… more
- Humana (Richmond, VA)
- …that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of home health services, and ... in their personal and professional well-being, all from day one. The Home Solutions business segment is comprised of two major brands - CenterWell Home Health (CWHH)… more
- HCA Healthcare (Richmond, VA)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... You will assist the Regional HIM Director with the oversight and implementation of facility related HIM Service Center (HSC) operational planning, service level… more
- Humana (Richmond, VA)
- …. + Strong analytical and strategic thinking skills, with the ability to influence senior leaders across both the business and technology. + Proven track record ... devises an effective strategy for executing and delivering on IT business initiatives. The Associate VP, Technology Solutions requires a in-depth understanding… more
- Humana (Richmond, VA)
- …experience. The individual in this role will lead Humana network infrastructure implementation for Google Cloud. The Lead Cloud Solutions Engineer (Network) performs ... to ensure an integrated architecture across interdependent technologies. Works with senior executives to develop and drive segment or enterprise-wide functional… more
- Highmark Health (Richmond, VA)
- …carriers), topics (ex. technology, virtual health, industry trends), and lines of business (ex. ACA, commercial, Medicare Advantage, Medicaid ). The work can ... will support strategic initiatives and priorities for product development and implementation and/or market and competitive intelligence. Gather and analyze internal… more
- Humana (Richmond, VA)
- …strong relationships with key stakeholders discussing financial performance and incorporate business insights into the financial models. + Implementation and ... seeking a Financial Analytics Lead. This individual will work across the business , and will be highly involved in reporting, planning, underwriting, strategic… more
- CVS Health (Richmond, VA)
- …required.** **The BH Clinical Liaison** is a clinical leader in the Medicaid plan focusing on utilization management, integrating member care, clinical coordination, ... leading the development, implementation and ongoing monitoring of program and quality initiatives...and to ensure adherence to performance targets of the business area. **Fundamental Components:** + Clinically manage non-traditional mental… more
- Cardinal Health (Richmond, VA)
- …care contracts. This includes coordination of commercial, Medicare Advantage, Managed Medicaid and other third-party managed care contracts and payer relation ... contracts and operations. This position is responsible for administrative, strategic, business development, and contracting activities related to the Managed Care… more