- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. ... The Senior Product Manager work assignments involve moderately complex...includes leading solutioning sessions and balancing competing priorities across Medicare , Medicaid lines of business. + Serve as a… more
- Humana (Arlington, VA)
- …future of healthcare through AI excellence. We are seeking a dynamic and experienced Lead Product Manager to join our team (known internally as Lead, IT ... together to build impactful and beneficial AI systems. **Job Description** The Lead Product Manager conceives, develops, delivers, and manages AI products for… more
- Humana (Richmond, VA)
- …part of our caring community and help us put health first** The Senior IT Product Manager - Information Marketplace & Data Governance is responsible for the ... and that role will continue to expand and evolve. The Senior IT Product Manager partners closely with data governance leadership, architecture, engineering,… more
- Humana (Richmond, VA)
- …community and help us put health first** Humana is seeking a highly skilled Lead Product Manager to own and advance the intake process and facilitate key Lean ... Portfolio Management (LPM) ceremonies for the Medicaid portfolio. The Lead Product Manager will be responsible for optimizing intake workflows, driving… more
- Cognizant (Richmond, VA)
- …field. . 5+ years of experience as a Product Owner or in product management within healthcare or insurance domains. . Hands-on experience with sales and ... **About the Role** As a Product Owner for Sales & Enrollment Platforms, you...enrollment processes for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA). . Strong understanding of CMS, ACA,… more
- Humana (Richmond, VA)
- …incentives, and advanced agentic AI decision-making across the enterprise. As Lead Technical Product Manager (PM-T), you will shape the product vision, ... management or technical program management, including 3+ years as a Technical Product Manager in data, AI/ML, or personalization platforms. + Proven record… more
- Merck (Richmond, VA)
- …operations, project management, or reimbursement support * Strong knowledge of health insurance structures ( Medicare Part B, Medicaid, commercial) and related ... **Job Description** Field Access Manager The Field Access Manager (FAM)...the products are covered under the benefit design (Commercial, Medicare , Medicaid) * Answer questions about coverage, including payer-specific… more
- Humana (Richmond, VA)
- …enable smarter planning, faster execution, and greater transparency-and we're looking for a product manager to lead that effort. As Senior Associate/ Product ... **Capability Ownership & Roadmap Development** + Define and evolve the product roadmap for MRM capabilities, including campaign intake, prioritization workflows,… more
- Elevance Health (Ashburn, VA)
- …are or should be enrolled in other coverage. + Aides members in enrolling in Medicare when they are entitled. + Determines primacy on each case using a complex set ... correct forms are provided to assist members enrolling in Medicare . + Reviews claim history to identify claims requiring...impacted claims, using multiple COB Formulas for the various product types, pursuant to State and Federal Guidelines. +… more
- Cardinal Health (Richmond, VA)
- …and reinforce policies and procedures. + Ensures adherence to Medicare and insurance medical policies for CGM and other product lines (eg, ostomy, urology). ... associates who interpret clinical notes from healthcare providers, validate documentation against Medicare and insurance policies, and support the submission of… more