- CenterWell (Richmond, VA)
- …financial data driven methods to develop and influence drug strategies for the Medicaid lines of business. + Utilizes broad understanding of pharmacy, managed care, ... PBM, market and regulatory insights to support the development of Medicaid formulary and medical drug strategies to mitigate Humana's costs and trend while improving… more
- Humana (Richmond, VA)
- …of our caring community and help us put health first** The Senior Market Finance Professional collects, analyzes and reports on various market data to connect ... financial outcomes with operational effectiveness. The Senior Market Finance Professional work assignments involve moderately complex to complex issues where the… more
- Somatus (Mclean, VA)
- …coverage (medical, dental vision) + Flexible Paid Time Off (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting ... engagement opportunities + And more! The Senior Vice President of Finance will lead financial activities that support critical operational stakeholders. The… more
- Humana (Richmond, VA)
- …from the data exchange between Humana and its trading partners, Medicare and Medicaid . The Senior Encounter Data Management Professional will work with ... and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation of… more
- Humana (Richmond, VA)
- …community and help us put health first** The IFG Senior Compliance Professional ensures compliance with Health Plan contracts and governmental requirements. The ... Senior Compliance Professional work assignments involve moderately complex to complex issues...and reporting **Preferred Qualifications** + Bachelor's degree in Business, Finance , Law, Healthcare Administration, or a related field +… more
- Prime Therapeutics (Richmond, VA)
- …flows, process change and/or project management in supporting Compliance with Medicaid requirements. + Provide direct, or indirect leadership to other compliance ... + Advise internal clients regarding compliance with State and Federal Medicaid regulatory and contractual requirements + Provides leadership to the business… more
- Humana (Richmond, VA)
- …users other than those directly employed by the organization. The Senior Finance Reporting Professional / Analyst + Analyzes and forecasts financial, economic, ... our caring community and help us put health first** The Senior Financial Reporting Professional / Analyst prepares and distributes periodic financial statements for… more
- Elevance Health (Norfolk, VA)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement II** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services).… more
- Humana (Richmond, VA)
- …& Clinical Innovation + Corporate Strategy & Transformation Office + Medicare & Medicaid Market Operations + Provider Relations & Network Performance + Marketing & ... Customer Engagement (including MarketPoint) + Finance , Accounting & Risk Management + Human Resources &...in a Master of Business (MBA) or other advanced professional degree (eg MPH, MD, JD, Ph.D.), with a… more
- Humana (Richmond, VA)
- …They will partner with cross-functional stakeholders-including business, product, architecture, finance , and delivery teams-to ensure that Enrollment solutions are ... department(s) and could lead multiple managers or highly specialized professional associates. **Responsibilities** Lead end-to-end technology delivery for Enrollment… more