• 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 (07/31/25)
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  • Medicaid Managed Care Senior…

    Abt Global Inc. (Rockville, MD)
    …workstreams, complex technical teams, subcontractors) related to Federal Medicaid and Medicaid managed care required. State experience is not required but a ... is what we do every day at Abt. Advancing data -driven innovations is no small task, but we are...your chance. **The Opportunity** Abt Global seeks a Senior Associate with deep policy and management consulting experience relevant… more
    Abt Global Inc. (08/01/25)
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  • Medicaid Managed Care Senior Analyst/…

    Abt Global Inc. (Rockville, MD)
    …and program implementation and monitoring + Experience working on projects related to Medicaid and managed care required. State experience is not required but ... is what we do every day at Abt. Advancing data -driven innovations is no small task, but we are...Now's your chance. **The Opportunity** Abt Global seeks an Associate with policy and management consulting experience relevant to… more
    Abt Global Inc. (08/01/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Washington, DC)
    …an impact** **Required Qualifications** + 3+ years of experience researching state Medicaid hospital reimbursement methodologies that utilize MS-DRG, APR-DRG, ... Experience with Optum WebStrat or PSI applications + Experience interacting with a State Medicaid or Federal government agency + Intermediate Microsoft Access… more
    Humana (07/29/25)
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  • Strategy Advancement Advisor ( Medicaid )

    Humana (Washington, DC)
    …social determinants of health data to create a foundational understanding of a state 's health care and Medicaid landscape. + Works with Market VP, Business ... presence for Humana Healthy Horizons and prepares markets for upcoming bids for state Medicaid managed care programs. The Strategy Advancement Advisor works with… more
    Humana (07/25/25)
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  • Medicaid Lead, Technology Solutions

    Humana (Washington, DC)
    …**This State Technology Lead role will cover the Michigan Medicaid /DSNP product lines along with one additional state .** **Responsibilities** **Market ... ensuring all stakeholders are aligned and informed, including new functionality needs, data connections, adaption to changing state regulations and the like.… more
    Humana (07/15/25)
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  • Senior Product Owner ( Medicaid )

    Humana (Washington, DC)
    …+ Bachelor's Degree + Lean Certified / Six Sigma. + Experience in Encounter Data Submissions. + Experience in Medicare/ Medicaid products. + CAS + X12 + ... help us put health first** The Senior Product Owner ( Medicaid ) is responsible for conveying product vision and roadmap...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The… more
    Humana (07/30/25)
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  • Encounter Data Management Professional

    Humana (Washington, DC)
    … analysis, claims research, and other resources to provide insight and ensure data integrity for Medicare/ Medicaid claims errors. **Key Role Functions** + ... community and help us put health first** The Encounter Data Management Professional 1 develops business processes to ensure...will decrease the amount of errors + May attend Medicaid /Medicare state partner meetings + May be… more
    Humana (08/02/25)
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  • Associate Director Finance Technology…

    Humana (Washington, DC)
    …trends and lead innovation across our systems to deliver a modern, data -driven, and scalable associate experience. **KEY RESPONSIBILITIES** + Develop and ... part of our caring community and help us put health first** The Associate Director, Technology Solutions devises an effective strategy for executing and delivering… more
    Humana (07/31/25)
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  • Associate Director, Regulatory Intake…

    Humana (Washington, DC)
    …part of our caring community and help us put health first** The Associate Director, Compliance ensures compliance with governmental requirements. The Associate ... be required to work in either Central or Eastern Time. Associate Director, Regulatory Intake Compliance is responsible for enterprise-wide regulatory monitoring,… more
    Humana (07/30/25)
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