- 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)
- …This role will work horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts to synthesize, ... growth partners to design and optimize clinical operating model blueprints for viable Medicaid health plans that meet the needs of state clients and populations… 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)
- **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)
- **Become a part of our caring community and help us put health first** The Senior Project Manager manages all aspects of a project , from start to finish, so that ... it is completed on time and within budget. The Senior Project Manager works on problems of diverse scope and complexity ranging from moderate to substantial in a… more
- Evolent Health (Richmond, VA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Project Manager on the Medical Policy team, you will work closely with Medical Policy ... to providing the best clinical guideline product. **Collaboration Opportunities:** The Project Manager will partner most closely with Medical Policy teammates and… more
- Elevance Health (Norfolk, VA)
- …for Medicare and Medicaid Services to transform federal health programs. The ** Project Leader** is responsible for developing project plans and leading small ... ** Project Leader** **Location:** This position will work a...mitigation plans. + Provide oversight of operational plans (eg Associate Engagement Plans, transformation and automation plans, etc.) +… more
- American Institutes for Research (Arlington, VA)
- **Overview** Join AIR as a **Research Associate ** with ourHealth (https://www.air.org/our-work/health) Division to support the implementation and evaluation of ... Federal Agencies such as the Centers for Medicare and Medicaid Services (CMS) and state and local governments. The...policies to different audiences. + Help with administrative and project management tasks. + Write, compile, and edit assigned… 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)
- **Become a part of our caring community and help us put health first** Associate Director of Digital Experience Solutions (DES) Architecture In support of our vision ... goals, and to enable effectiveness and efficiency of technology decisions. The Associate Director of Digital Experience Solutions (DES) Architecture is a highly… more
- Guidehouse (Mclean, VA)
- …and delivering impactful project results within the Centers for Medicare & Medicaid Services (CMS). You will own the delivery of projects that aim to achieve ... with a passion for creative problem-solving, client service, and project management. **Job Description/Responsibilities** + Provide leadership and oversight of… more
- Humana (Richmond, VA)
- …omnichannel use cases. **Leadership skills** + Strong leadership, communication, and project management skills, with a proven ability to lead cross-functional teams. ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Richmond, VA)
- …reporting. + 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)
- …+ Drives development of ad-hoc strategic initiatives to execute on the Medicaid Long-Term Services and Support (LTSS)/Home and Community Based Services (HCBS) ... ensure successful execution of Provider Support Plan. + Partners with corporate Medicaid Provider Services team to rollout new segment-wide process or technology… more
- Humana (Richmond, VA)
- …of the managed care industry including Medicare Advantage, Managed Medicaid , or other Medical management organizations, hospitals/ Integrated Delivery Systems, ... medical management review organization, such as Medicare Advantage and managed Medicaid + Physical Medicine and Rehabilitation, Internal Medicine, Family Practice,… 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
- General Dynamics Information Technology (Fairfax, VA)
- …impact as a **Principal Solutions Architect** supporting the Center for Medicare & Medicaid Services (CMS) A large federal healthcare payer. GDIT is your place to ... Architect** will be trusted to support technical aspects of the project , help with complex security requirements capture, solutions architecture, system design,… more
- Humana (Richmond, VA)
- …cloud native architectures and agile delivery **Preferred Qualifications** + Associate or Professional level solution architecture certification in Azure, GCP ... Cloud technologies, Cloud migration or Enterprise Architecture. + 2+ years of project leadership and consulting experience. + Health Care Business Domains -… more
- Humana (Richmond, VA)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... will:** + Support the discipline of portfolio planning and management for project selection and execution in TechStrat towards agreed upon milestones + Collaborate… more