- CenterWell (Washington, DC)
- …Medicaid Drug Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care , PBM, market and regulatory insights to develop, and/or ... lines of business. + Utilizes broad understanding of pharmacy, managed care , PBM, market and regulatory insights...at the center. As the nation's largest provider of senior -focused primary care , one of the largest… more
- Humana (Washington, DC)
- …the Medicaid line of business. + Utilizes broad understanding of pharmacy, managed care , PBM, market and regulatory insights to support the implementation of ... caring community and help us put health first** The Senior Professional collaborates with healthcare professionals, pharmacists, and other...degree or equivalent + 3+ years of experience in managed care or other pharmacy related field… more
- Humana (Washington, DC)
- … 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
- Cardinal Health (Washington, DC)
- …familiar with long- and short-range changes in the reimbursement environment including Medicare, Medicaid , Managed Care , and Commercial plans while planning ... Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain...serves as the first line of communication for Health Care Providers who require special handling. The position is… more
- Humana (Washington, DC)
- …building. + Experience working with cross-functional business areas. **Preferred Qualifications** + Managed care , Medicaid health plan experience. + Advanced ... help us put health first** We are seeking a Senior Accreditation Professional who will work in a team...on NCQA Health Plan Accreditation Member Experience (ME) and Medicaid Module (MED) requirements, advising stakeholders on compliance. +… more
- CenterWell (Washington, DC)
- …and/or Medicaid experience + 3 or more years clinical experience in managed care + Ability to manage end-to-end-processes + Understand Humana's business ... put patients at the center. As the nation's largest provider of senior -focused primary care , one of the largest providers of home health services, and fourth… more
- CVS Health (Washington, DC)
- …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
- 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
- Humana (Washington, DC)
- …Strong commitment to personal and professional growth **Preferred Qualifications** + Managed care and/or healthcare services work experience **Additional ... has a strong dotted-line partnership with the Medicare and Medicaid organization, Humana's largest, which comprises over 80% of...majority of its earnings. Team members partner with the senior leaders of the business unit, and more broadly… more
- Humana (Washington, DC)
- …in a management field + Prior healthcare industry experience, preferably in the managed care or provider sector **Reporting Relationships** The role reports to ... company's total revenue and earnings. Team members partner with senior leaders of the business unit, and more broadly...serve to achieve their best health - delivering the care and service they need, when they need it.… more