- Humana (Richmond, VA)
- …Based Services , Medicaid and Medicare integration, D-SNPs, and Self-Directed Services . The Capture Lead , Medicaid Clinical & Population Health ... clients and populations served in target growth markets. The Lead , Medicaid Clinical & Population Health Strategy,...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Richmond, VA)
- …caring community and help us put health first** Humana Healthy Horizons is seeking a Lead , Medicaid Provider Services Implementation, for new market ... implementation, operations, contract compliance, and federal contract application submissions. The Lead , Medicaid Provider Services Implementation role… more
- Public Consulting Group (Richmond, VA)
- …more, visit www.publicconsultinggroup.com . _Key responsibilities include:_ _Project Management_ + Lead the planning, execution, and monitoring of Medicaid ... + Identify new and emerging opportunities in growth industries related to Medicaid . _Leadership_ + Provide leadership, guidance, and mentorship to junior… more
- Public Consulting Group (Richmond, VA)
- …is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined modular certification (SMC) and ... achieve strategic goals to serve the public better. We provide the full spectrum of technology consulting services...Medicaid Consultant to join our team and help lead our growth efforts. Deep Medicaid experience… 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 ... internal processes and markets (as needed) to support the Medicaid Provider Education team through collaboration across...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Richmond, VA)
- …Optimization** : + Lead initiatives to streamline processes related to Medicaid services , reducing administrative burden, and enhancing service delivery. ... health first** The Medicaid Long-Term Supports and Services (LTSS) Process Improvement Lead analyzes and...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Richmond, VA)
- …health first? The DoD SkillBridge or Military Spouse Financial Planning & Analysis Lead Intern will utilize Humana's Medicaid training and mentorships and engage ... military experience and education to perform within the finance Medicaid segment. Financial Planning & Analysis Lead ...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Mathematica (Richmond, VA)
- …related to monitoring and improving the following Medicaid programs: Medicaid payment and financing policies (fee-for- service base and supplemental payments, ... managed care capitation rates, and state approaches to provider payment).** * Responsibilities: * * Participate actively and...will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff… more
- CVS Health (Richmond, VA)
- …of internal corrective actions plans (iCAPs) at a national level across Aetna's Medicaid business. Additionally, the incumbent will lead and participate in other ... sends a personal message that how we deliver our services is just as important as what we deliver....supports the compliance program activities and deliverables of a Medicaid managed care organization. In partnership with and under… 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 ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Richmond, VA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... , requested level of care, or requested site of service should be authorized, with all work occurring within...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Lead Product Manager - Provider Directory helps identify, validate, and implement improvements ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Elevance Health (Richmond, VA)
- …care contracts to ensure data accuracy preferred. + Experience working with claims and provider contracts for the Medicaid line of business preferred. Please be ... ** Provider Contract Analyst Senior** **Location:** This position will...to control costs. + Projects cost increases in medical services by using analytic techniques for PMPM trending via… more
- Humana (Richmond, VA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... will own the transformation of how we work in Provider Process and Network Operations (PPNO). As an Associate...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- University of Virginia (Charlottesville, VA)
- UVA Orthopedic Surgery is seeking a qualified APP to lead our brand new Ortho Express clinic opening at the UVA Orthopedic Center at Ivy Rd in Charlottesville, VA. ... The APP hired for this job will provide acute outpatient orthopedic injury care to an adult...initiatives Additional information: One APP will be hired to lead this clinic. Anticipated working hours are approximately 12p-9p… more
- General Dynamics Information Technology (Fairfax, VA)
- …and REST) + Healthcare Service Industry or Center for Medicare and Medicaid Services (CMS) experience + Experience working with JIRA, Confluence, and ... how agencies operate. Our work depends on a Sr./ Lead Salesforce Developer joining our team to support Centers...joining our team to support Centers for Medicare & Medicaid Services (CMS) activities. This position is… more
- Humana (Richmond, VA)
- …and service offerings. Assesses the compatibility and integration of products/ services proposed as standards in order to ensure an integrated architecture across ... provider PaaS and SaaS offerings (eg Azure Kubernetes Service , Application Service Environment, etc.) Data Center...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Richmond, VA)
- …strategies, architecture, systems solutions and roadmaps for various enterprise and cloud provider environments. The Lead Architect provides strategic advice and ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Public Consulting Group (Richmond, VA)
- …of intersection and overlap between our Special Education/Case Management and school-based Medicaid services work within a state; regularly engage with ... and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000… more
- Humana (Richmond, VA)
- …and help us put health first** CenterWell's Value-Based Organization is an integrated homecare service provider focused on meeting the needs of Health Plans by ... deals with health plans and other risk-bearing groups to provide home health, DME, and home infusion services...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more