• Sr. Financial Analyst, Oncology Clinical…

    Trinity Health (Silver Spring, MD)
    …experience strongly preferred. Experience in Oncology preferred. Experience with Medicare / Medicaid billing strongly preferred. Maintains familiarity with current ... **Shift:** **Description:** **Position Title:** Sr. Financial Analyst Oncology Clinical Research **Position Type:** Full Time, Exempt **Position Purpose:** The… more
    Trinity Health (02/19/25)
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  • Healthcare Innovations Functional Consultant/SME

    General Dynamics Information Technology (Fairfax, VA)
    …or equivalent experience. + Minimum of 10 years conducting systems, regulatory or policy research related to Medicare and/or Medicaid . + Significant in-depth ... to a wide audience including senior Agency leadership **Desired Skills:** + Medicare Advantage or Medicaid Managed Care experience is preferred. + Ability to… more
    General Dynamics Information Technology (02/14/25)
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  • Senior Compliance Analyst (Interpretation…

    Prime Therapeutics (Washington, DC)
    …a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare , Medicaid , and the Affordable Care Act (ACA) + Must be ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The … more
    Prime Therapeutics (03/04/25)
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  • Senior Data Engineer

    Humana (Washington, DC)
    …help us put health first** Humana Healthcare Research (HHR), a health outcomes research subsidiary of Humana, is seeking a Senior Data Engineer to design, ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
    Humana (03/20/25)
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  • Senior Behavioral Economics Professional

    Humana (Washington, DC)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... part of our caring community and help us put health first** The Senior Behavioral Economics Professional (SBEP) is a core member of Humana's industry-leading… more
    Humana (03/20/25)
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  • Contracts and Pricing Execution, Senior

    Amgen (Washington, DC)
    …with government price reporting requirements under federal programs including Centers for Medicare and Medicaid (CMS) programs, the Federal Supply Schedule, and ... lasting impact on the lives of patients as we research , manufacture, and deliver innovative medicines to help people...patients while transforming your career. **Contracts and Pricing Execution, Senior Manager** **What you will do** Let's do this.… more
    Amgen (03/04/25)
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  • Senior Provider Reimbursement Professional…

    Humana (Washington, DC)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... of our caring community and help us put health first** The Senior Provider Reimbursement Professional (MCCAU Code Edit Policy Team)-Certified Medical Coder performs… more
    Humana (03/06/25)
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  • Senior Data Scientist

    Humana (Washington, DC)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... of healthcare through AI excellence. We are seeking a Senior Data Scientist to develop reliable, interpretable, and steerable...+ Master's Degree and 3+ years of experience in research /ML engineering or an applied research scientist… more
    Humana (01/28/25)
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  • Senior Vice President, Finance

    Somatus (Mclean, VA)
    …manage multiple projects and meet tight deadlines + Comprehensive knowledge of Medicare , Medicaid , and commercial policies, processes, and procedures Travel ... and mental well-being + Community engagement opportunities + And more! The Senior Vice President of Finance will lead financial activities that support critical… more
    Somatus (03/19/25)
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  • Senior Capture Manager

    Leidos (Reston, VA)
    …our customers' challenges in public health, scientific research , and the provision of Medicare and Medicaid . For the fifth consecutive year, Leidos is No. 1 ... on theWashington Technology Top 100 (https://washingtontechnology.com/rankings/top-100/2023/) , an annual ranking of the largest government contractors in the federal market. While with Leidos, you can grow your career within BD/Capture, across Leidos… more
    Leidos (02/09/25)
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  • Sr. Professional Network Strategy

    Humana (Washington, DC)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... a part of our caring community and help us put health first** The Senior Professional Provider Network Strategy will be accountable for supporting the development of… more
    Humana (03/06/25)
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  • Associate Actuary

    Humana (Washington, DC)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... first** The Associate Actuary, Analytics/Forecasting applies statistical/actuarial methods to advise senior leadership and other business stakeholders on matters of … more
    Humana (02/19/25)
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  • Sr Business Project Manager

    Humana (Washington, DC)
    …a managed care healthcare system or health plan. + Experience working in Medicaid and/or Medicare . **Preferred Qualifications** + 3+ years of leadership ... processes. + Proficiency in Microsoft Office programs. + Experience working in Medicaid / Medicare implementation. + Prosci, Six Sigma, and/or Project Management… more
    Humana (03/09/25)
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  • Director, Competitive Intelligence, Stars

    Humana (Washington, DC)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... ideal candidate will possess a deep understanding of the Medicare landscape, strong analytical skills and the ability to...leadership team + Collaborate with Stars Measure Owners and senior leaders to refine strategies that align our mission,… more
    Humana (03/04/25)
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  • Field Medical Director, Cardiology

    Evolent (Washington, DC)
    …in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... for utilization management while working in conjunction with the Senior Medical Director. **Qualifications - Required and Preferred:** +...by any state or federal health care program, including Medicare or Medicaid , and is not identified… more
    Evolent (02/14/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Washington, DC)
    …in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... for utilization management while working in conjunction with the Senior Medical Director. **Qualifications** + MD/DO/MBBS Degree + Current,...by any state or federal health care program, including Medicare or Medicaid , and is not identified… more
    Evolent (01/30/25)
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  • Field Medical Director, Radiology (General Surgery…

    Evolent (Washington, DC)
    …is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... exclusion or sanction by any state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person" by the Office of… more
    Evolent (03/10/25)
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  • Federal Relations Specialist

    The Joint Commission (Washington, DC)
    …the regulatory agendas of federal departments and agencies such as the Centers for Medicare and Medicaid Services (CMS); the Department of Health and Human ... sources and federal organizations such as the Government Accountability Office; the Medicare Payment Advisory Commission; the National Academy of Medicine; and other… more
    The Joint Commission (02/06/25)
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  • Sr Workday BI Engineer, HR Analytics

    Humana (Washington, DC)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... analytic product development, and cutting-edge data science capabilities. The Senior **Workday** Business Intelligence Engineer describes the tools, technologies,… more
    Humana (03/13/25)
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  • CenterWell Strategy & Operations Lead

    Humana (Washington, DC)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... of CenterWell. This role will collaborate closely with CenterWell leadership and senior leaders across our Primary Care, Home, and Pharmacy businesses to advance… more
    Humana (03/04/25)
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