- Mathematica (Washington, DC)
- …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
- Abt Global Inc. (Rockville, MD)
- …meaningful work? Now's your chance. **The Opportunity** Abt Global seeks an experienced Medicaid researcher (Senior Associate ) to play a leadership role in our ... technical programming staff to design and implement analyses using Medicaid claims and administrative data to meet project...to work effectively in a team environment. + Senior Associate Level: Master's degree + 13 years of relevant… more
- Humana (Washington, DC)
- …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 (Annapolis, MD)
- …priority health plan and care delivery integration workstreams for the Virginia Medicaid contract, which is central to the company's strategic priority to deliver ... for our members and financial growth for our company. + Support the Medicaid Virginia market leadership team with specific Medicare operational impacts such as Open… more
- Humana (Washington, DC)
- …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 (Washington, DC)
- …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 (Washington, DC)
- **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 work assignments involve moderately complex to complex issues where the analysis of situations… more
- Humana (Washington, DC)
- …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 (Washington, DC)
- …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
- Westat (Rockville, MD)
- **27052BR** **Job Title:** Principal Research Associate -Mixed Methods- Health Services Research **Location:** MD - Rockville **Job Description:** Westat is an ... of our employees. Westat is seeking a Principal Research Associate with expertise in health services, specifically focused on...with others in multidisciplinary teams and may serve as project director, project manager, task lead or… more
- Humana (Washington, DC)
- …help us put health first** Humana's Marketing Organization is seeking an Associate Director, Sales Enablement Technology to join the Retail Marketing team working ... support the end-to- end agent and market leader experience. As the Associate Director, Sales Enablement Technology, you will plan, recommend, implement, and optimize… more
- Humana (Washington, DC)
- …Financial Communications expert to join our internal communication team. As the Associate Communications Lead, Finance, you will have the opportunity to step into ... business teams and company leadership + Present exceptional presentation, writing and project management skills with keen attention to detail across all tasks and… more
- Highmark Health (Washington, DC)
- …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 (Washington, DC)
- …The team has a strong dotted-line partnership with the Medicare and Medicaid organization, Humana's largest, which comprises over 80% of the company's total ... Management Team, and corporate, functional, and business unit leaders. Select project examples include (1) Optimization of Medicare enrollment growth strategy, such… more
- Humana (Washington, DC)
- …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 (Washington, DC)
- …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 (Washington, DC)
- …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 (Washington, DC)
- …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
- Humana (Washington, DC)
- …analytic solutions. The Stars program is the Centers for Medicare & Medicaid Services (CMS) five‐star quality rating system for measuring Medicare beneficiaries' ... improve the decision-making experience for stakeholders + 2 or more years of project leadership experience + Experience analyzing data to solve a wide variety of… more
- Humana (Washington, DC)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... a law firm or in-house health care organization + Experience in Medicare, Medicaid , or similar regulatory work + Strong legal research, analytical, and writing/oral… more