- Abt Global Inc. (Rockville, MD)
- …seeks a Senior Associate with deep policy and management consulting experience relevant to Medicaid Managed Care and managed care organization ... complex technical teams, subcontractors) related to Federal Medicaid and Medicaid managed care required. State experience is not required but a… more
- Abt Global Inc. (Rockville, MD)
- …Global seeks an Associate with policy and management consulting experience relevant to Medicaid managed care monitoring and oversight. The successful ... and maintaining relationships with clients. The candidate will understand Medicaid managed care and the...with ambiguity and changing direction. **What We Value** + Senior Analyst: Bachelor's Degree + Five years of relevant… more
- Humana (Annapolis, MD)
- … Professional Business Intelligence Engineer** is an experienced individual with broad Medicaid Managed Care expertise, deep analytics expertise, and ... intelligence, data systems, reporting and data analysis + 3+ years of health care experience for Medicare and/or Medicaid populations + Proven experience with… more
- CVS Health (Annapolis, MD)
- …and/or Medicaid knowledge * 5+ years related experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for large ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...Health, a Fortune 4 company, as the Network Management Senior Manager. In this role, you will manage negotiations,… more
- Highmark Health (Annapolis, MD)
- …degree + Pharmacy technician certification certificate + Experience working in a managed care medication formulary management environment + Working knowledge of ... formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across multiple states. They… more
- CVS Health (Annapolis, MD)
- …willingness to travel up to 40% of the time. **Required Qualifications** - 3+ years of managed care Pharmacist experience and/or 1 year of Managed Care ... team, pharmacists, medical directors, CMO as well as other senior health plan leaders. The Health Plan Clinical Advisor...- Demonstrated experience in a client-facing role within the managed care environment - Demonstrated understanding of… more
- CenterWell (Annapolis, MD)
- …+ A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management ... degree in a related field + Experience with Florida Medicaid + Experience with Physical Therapy, DME, Cardiac or...other opportunities. Application Deadline: 09-30-2025 **About us** About Conviva Senior Primary Care : Conviva Senior … more
- Humana (Annapolis, MD)
- …MPH, or other relevant advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects ... core of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid , and other health plans to millions. By integrating insurance with … more
- Evolent (Annapolis, MD)
- … contracting and a strong foundation in regulatory analysis, particularly in managed care and value-based arrangements. **Collaboration Opportunities:** + As a ... and operations, including but not limited to: general corporate transactions, managed care , HIPAA, provider and vendor contracting, compliance, population… more
- Humana (Annapolis, MD)
- …within operations environment at a large corporation). + 5 or more years of healthcare/ managed care industry experience. + Proven ability to excel in a dynamic, ... Claims Operations team ensures Humana's 9+ million Medicare and Medicaid members receive the access to care ...associated with our 9+ million members. Reporting to the Senior Vice President of Claims Administration and Payment Integrity… more