• Medicaid State Data…

    Guidehouse (Arlington, VA)
    …seeking Consultants with experience and knowledge of validating, loading, processing and analyzing Medicaid data and detailed member data across various ... analyses will be leveraged to help inform work with state Medicaid , public health or state...stay abreast of states' healthcare transformation efforts + Perform data and qualitative research activities to address state… more
    Guidehouse (07/03/25)
    - Related Jobs

  • Sr. Manager, Medicaid Contract…

    Sumitomo Pharma (Richmond, VA)
    …Manager, Medicaid Contract Administration. This position is responsible for managing the Medicaid rebate team in receiving, processing, validating, ... trouble-shooting Medicaid claims and dispute resolution with state agencies. This position requires a detailed understanding of the life science industry… more
    Sumitomo Pharma (07/09/25)
    - Related Jobs

  • Senior Encounter Data Management…

    Humana (Richmond, VA)
    …the data exchange between Humana and its trading partners, Medicare and Medicaid . The Senior Encounter Data Management Professional will work with department ... caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and… more
    Humana (05/31/25)
    - Related Jobs

  • Sr Data and Reporting Analyst

    Public Consulting Group (Richmond, VA)
    …the public sector. To learn more, visit www.publicconsultinggroup.com . The Education Data Analyst works as part of a deadline-oriented, fast-paced team consisting ... consulting and operations staff that works together to provide superior service to state education agencies and school districts in the areas of special education… more
    Public Consulting Group (05/16/25)
    - Related Jobs

  • VP, Behavioral Health

    Humana (Richmond, VA)
    …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 ... The facts: * Over 35% of HUM's Medicare and Medicaid members have a BH diagnosis, including mild to...Leader will lead a transformative effort to define our future- state operating model for Behavioral Health to improve health… more
    Humana (07/12/25)
    - Related Jobs

  • Compliance Professional

    Humana (Richmond, VA)
    …factors. The Compliance Professional: + Manages state reporting for assigned Medicaid market(s) (contracts and gathering data for reports). + Researches ... who will ensure compliance with governmental requirements as they relate to Medicaid State reporting. The Compliance Professional's work assignments involve… more
    Humana (07/15/25)
    - Related Jobs

  • Modernization Lead

    CGI Technologies and Solutions, Inc. (Fairfax, VA)
    …this video you consent to Google/YouTube processing your data and using cookies -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . ... Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) Next Generation Desktop platform initiative. The Modernization Lead… more
    CGI Technologies and Solutions, Inc. (05/31/25)
    - Related Jobs

  • Lead Business Analyst

    CGI Technologies and Solutions, Inc. (Fairfax, VA)
    …this video you consent to Google/YouTube processing your data and using cookies -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . ... Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) Next Generation Desktop platform initiative. The Business Analyst… more
    CGI Technologies and Solutions, Inc. (05/31/25)
    - Related Jobs

  • Enterprise Transformation Lead

    Humana (Richmond, VA)
    …we're transforming the future of healthcare through strategic interoperability and data connectivity. As an Enterprise Transformation Lead on the Interoperability ... Enterprise Transformation Lead combines relationship-building, strategic program implementation, and data connectivity expertise across major EMR platforms like Epic,… more
    Humana (07/16/25)
    - Related Jobs

  • Next Generation Desktop Program Manager

    CGI Technologies and Solutions, Inc. (Fairfax, VA)
    …this video you consent to Google/YouTube processing your data and using cookies -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . ... Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) Next Generation Desktop platform initiative. The Program Manager will… more
    CGI Technologies and Solutions, Inc. (07/02/25)
    - Related Jobs