- Somatus (Mclean, VA)
- …+ And more! The Sr. Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of the organization's Risk Adjustment ... including all aspects of the various methods of executing on an MRA strategy (eg prospective, retrospective, concurrent approaches). + Lead the risk adjustment… more
- CareFirst (Washington, DC)
- …The Senior Public Policy Analyst monitors, evaluates, and provides recommendations on strategy and communications regarding federal and state public policy issues in ... The incumbent will have primary responsibility for issues related to Medicare / Medicare Advantage, prescription drugs, utilization management, and behavioral… more
- Humana (Arlington, VA)
- …Initiative Management, Strategy Reporting and Change Management. Humana is seeking a Strategy Management Lead who will work with company leaders at all ... to define and advance strategic objectives, measures, targets and, at times, lead enterprise-wide strategic initiatives. The Strategy Management Lead … more
- Mathematica (Washington, DC)
- …We are seeking a self-starting tech enthusiast to lead business development and client management efforts for our ... leadership to all practice areas in Health by contributing to strategy and implementing solutions for service delivery execution and growth. *Responsibilities:*… more
- Humana (Washington, DC)
- …to drive exploration and implementation of identified opportunities. The AVP will lead a multidisciplinary team that blends strategy , policy, clinical and ... caring community and help us put health first** The Associate VP, Strategy Advancement provides data-based strategic direction to identify and address business… more
- Humana (Washington, DC)
- …health and financial well-being of you and your family The SVP, Home Solutions Strategy and Business Development will drive the development and execution of the ... strategy and growth plan in Humana's Home Solutions organization....commercialization and partnerships to drive growth. The SVP will lead a multi-level organization of ~800 associates, with seven… more
- Humana (Washington, DC)
- …security architecture to ensure the enterprise can achieve the enterprise security strategy . The Lead Security Architect will work with stakeholders and ... of our caring community and help us put health first** The Lead Security Architect determines security architecture requirements by evaluating business strategies… more
- Humana (Washington, DC)
- …community and help us put health first** The Financial Planning & Analysis Lead is a critical leadership role with market financial oversight over the Wisconsin ... information for strategic and operational decisions. The Financial Planning & Analysis Lead works on problems of diverse scope and complexity ranging from moderate… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Lead Cloud Solutions Engineer (Network) is responsible for the planning, design, and engineering of ... infrastructure and platforms related to cloud network & cloud computing. The Lead Cloud Solutions Engineer (Network) provides strategic advice and guidance to… more
- Humana (Washington, DC)
- …vision resonates with you, we would like to talk to you! The Lead Application Architect designs and develops IT applications architecture solutions to business ... problems in alignment with the enterprise architecture direction and standards. The Lead Application Architect works on problems of diverse scope and complexity… more
- Humana (Washington, DC)
- …us put health first** Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the end to end ownership of Humana Healthy ... Quality associates throughout the line of business. The Quality Improvement Program Lead reports directly to the National Medicaid Quality Director. The Quality… more
- Evolent Health (Washington, DC)
- …Evolent's mission, they will play a pivotal role in delivering our value-based strategy with partners and contribute to dynamic initiatives that propel the growth of ... business experience in an HMO / PPO Claims, Medicaid, Medicare and / or managed care healthcare environment +...Act, HMO and managed care principles including Medicaid and Medicare regulation + Extensive experience with the System Design… more
- Humana (Washington, DC)
- …it. The result is a better quality of life-not only for people with Medicare and Medicaid but also for families, military service personnel, and communities at ... large. Business Strategy Humana's strategy is centered on providing...health outcomes. The facts: * Over 35% of HUM's Medicare and Medicaid members have a BH diagnosis, including… more
- Elevance Health (Hanover, MD)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
- Guidehouse (Mclean, VA)
- **Job Family** **:** Strategy & Transformation Consulting **Travel Required** **:** Up to 10% **Clearance Required** **:** Ability to Obtain Public Trust **What You ... to provide deep evaluation expertise to the Centers for Medicare & Medicaid Services (CMS). The ideal candidate will...our existing CMS and program evaluation portfolio. You will lead , coach, and mentor others on the team to… more
- Humana (Washington, DC)
- …The role of the Vice President, Enterprise Data Governance & Protection is to lead Humana's data strategy including investments in acquisition and protection of ... approaches for data governance. She/he will be responsible for data protection strategy and execution to improve cyber breach resistance. She/he will be responsible… more
- American Institutes for Research (Washington, DC)
- …seeking a full-time **Researcher** with a strong background in Medicare and Medicaid policyto join AIR'sHealth Division (https://www.air.org/our-work/health) . The ... and implementation support to evaluation and analytical support for Centers for Medicare & Medicaid Services (CMS), states, and foundations. Candidates hired for the… more
- Humana (Washington, DC)
- …guiding critical technology decisions. This will report directly to the VP of IT Strategy and Transformation and will lead the AI Enablement Office, serving as ... for all AI and GenAI efforts. **Key Responsibilities:** **AI Strategy & Program Management:** + Lead the...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Humana (Annapolis, MD)
- …the development and maintenance of collateral and resources to support clinicians and patients. ** Lead SEO content strategy and execution** You will lead our ... exactly how each piece should be developed. **Manage social strategy ** You will manage our social strategy ...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Humana (Washington, DC)
- …is seeking an Associate Director, Medicaid Implementation (Business Project Management) to lead within a specific defined business area (non-IT) within Humana. This ... Medicaid market. The Associate Director key roles and responsibilities include: + Lead a team of program managers supporting new Medicaid state contract… more