Medicare jobs in McLean, VA

Data Integrity Engineer with( Centers for Medicare & Medicaid Services (CMS) federal healthcare program)

Hybrid in Tysons, Virginia

•

20d ago

Job Title: Data Integrity Engineer Location: Tysons Corner, VA Duration: Fulltime Job Summary We are seeking an experienced Data Integrity Engineerto support data quality, validation, reconciliation, and integrity initiatives within a mission-critical Centers for Medicare & Medicaid Services (CMS)federal healthcare program. The Data Integrity Engineer will work with data engineers, application developers, database teams, business analysts, QA engineers, and business stakeholders to ensure that

Easy Apply

Full-time

100,000 - 140,000

Medicare Marketing Project Manager (PM)

Remote

•

Today

Job Description: Seeking an organized and detail-oriented Medicare Marketing Project Manager to support campaign execution, marketing operations, workflow routing, and project coordination across Medicare brand and organic social initiatives. The ideal candidate will manage timelines, track deliverables, coordinate cross-functional teams, and ensure marketing materials move efficiently through review and approval processes. Required Skills: Experience in marketing operations, campaign execution,

Easy Apply

Contract, Third Party

55 - 60

Sr. Product Data Analyst - Medicare Advantage - Remote

Remote or Minnetonka, Minnesota

•

Today

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Medicare Advantage (MA) Product Capabilities team provides management, strategic oversight, subjec

Full-time

USD 91,700.00 - 163,700.00 per year

Sr. Healthcare Data Scientist (Medicare/Medicaid)

Remote

•

Today

Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: NACI (T1) Job Family: Data Science and Data Engineering Job Qualifications: Skills: Agentic AI, Big Data, Generative AI, Machine Learning Methods, Python (Programming Language) Certifications: None Experience: 5 + years of related experience ship Required: No Job Description: We are GDIT. We take pride in providing our clients with the data t

Full-time

USD 97,968.00 - 132,250.00 per year

Medicare Sales CRM

Remote

•

7d ago

Medicare Sales CRM Remote 12 months contract We are looking to identify a highly experienced Medicare Sales CRM leader who has successfully led similar initiatives and can serve as a strategic advisor to our business partners. The objective is not only to rebuild our Medicare Sales CRM platform, but to ensure the solution is informed by industry-leading practices, proven operating models, and best-in-class capabilities that drive sales effectiveness, member engagement, and long-term business v

Easy Apply

Contract, Third Party

$45 - $50

Senior QA Tester with Healthcare Medicaid Medicare Claims domain

Remote

•

Today

Hi Greetings from Infinite Computer Solutions ! Hope you are well today! I'd like to discuss a job opportunity with you. Hope you would be interested. Position: Senior QA Tester with Healthcare Medicaid Medicare Claims domain Location:Dallas, TX, St Louis, Mo, Las Vegas, NV, Hybrid/Remote Term : Fulltime About Infinite: InfiniteisagloballeaderindigitalengineeringandITservices,withover20yearsofexperiencedrivingdigitaltransformation.WepartnerwithleadingFortune1000companiestodeliverinnovative,sca

Easy Apply

Full-time

70,000+

Project Manager with OCM

McLean, Virginia

•

Today

JOB TITLE: Project Manager with OCM JOB LOCATION: Remote WAGE RANGE*: 80 - 85/ hour JOB NUMBER: 000010 REQUIRED EXPERIENCE: Qualifications & Requirements Education: Bachelor's degree in Business Administration, Healthcare Management, or a related domain. PM Experience: 5 to 7+ years of rigorous project management experience utilizing formal project management structures (PMP certification heavily preferred). OCM Experience: Minimum 3 consecutive years of full-time dedication to managing o

Full-time

USD 80.00 - 85.00 per hour

Manager, Medicaid Data (T-MSIS) and Payment Model Implementation - Remote

Remote or Washington, District of Columbia

•

Today

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health op

Full-time

USD 112,700.00 - 193,200.00 per year

Full Stack Engineer (Node/React) - Remote USA

Remote or Reston, Virginia

•

11d ago

The Team Our Health Engineering Solutions (HES) team works side by side with customers to articulate a vision for success, and then make it happen. We know success doesn't happen by accident. It takes the right team of people, working together on the right solutions for the customer. We are looking for a seasoned Full Stack Engineer who will be a key driver to make this happen. Our team supports the vision to improve patient quality care and consumer decision-making by hospital providers across

Full-time

USD 98,614.00 - 202,850.00 per year

Senior Manager - Medical Consulting

Washington, District of Columbia

•

10d ago

Company: Marsh Description: We are seeking a highly skilled and motivated Delivery Leader to join our Federal Health Practice leadership team supporting a variety of Federal Health opportunities. This role requires a dynamic professional with strong thought leadership, excellent client delivery capabilities and deep subject matter expertise in a variety of publicly funded healthcare delivery systems. This person will participates in developing intellectual capital for the specialty area and wil

Full-time

USD 132,500.00 - 265,000.00 per year

Data Analyst I

Columbia, Maryland

•

Today

Job Type Full-time Description About Us: eSimplicity is a modern digital services company that partners with government agencies to improve the lives and protect the well-being of all Americans, from veterans and service members to children, families, and seniors. Our engineers, designers, and strategists cut through complexity to create intuitive products and services that equip federal agencies with solutions to courageously transform today for a better tomorrow. Responsibilities: Build a

Full-time

USD 51,600.00 - 65,000.00 per year

SAS Architect & System Administrator

Hybrid in McLean, Virginia

•

Today

Job Number: R0250958 SAS Architect & System Administrator The Opportunity: We are seeking an experienced Senior SAS Platform Architect & Administrator with a demonstrated track record supporting enterprise data and analytics environments. You will leverage your expertise with SAS platform administration, development, and analytics specific to healthcare and government data platforms. You'll apply expertise in managing and optimizing SAS environments, leveraging statistical models for healthcare,

Full-time

USD 62,000.00 - 141,000.00 per year

VP, Pharmacy Operations

Remote

•

10d ago

Reports to: Chief Executive Officer Employment Type: Full-time Work Arrangement: Fully remote in USA only Compensation: $200,000$240,000 About the RoleWe are seeking a strategic Vice President of Pharmacy Benefit Management (PBM) to build and lead our in-house PBM. Reporting directly to the CEO, this leader will oversee the transition from outsourced PBM services to an internally managed model, establishing the processes, infrastructure, and team needed for long-term success. Initially, the ro

Easy Apply

Full-time

Depends on Experience

Senior Data Analyst - Statistics

Remote

•

Today

Senior Data Analyst - Statistics Remote If you enjoy solving complex problems with data and statistics, this is an opportunity to make a meaningful impact. You'll analyze healthcare payment and medical review data, contribute to federal healthcare policy research, and work with a multidisciplinary team to deliver high-quality analytical solutions. Responsibilities: Integrate datasets tracking healthcare billing and payment, medical reviews, and related operations Construct summaries and analyses

Easy Apply

Full-time

80000 - 90000

Clinical Coordinator

Remote or Hybrid in Florida City, Florida

•

14d ago

Avanciers Incorporated is hiring a Clinical Coordinator for one of our clients. Role: Clinical CoordinatorLocation: Florida / Remote (as applicable)Experience: 15 years of clinical nursing experienceRequired License: Active, unrestricted Florida RN License or Compact RN LicenseJob Description:Reviews and investigates member and provider appeals involving clinical/medical necessity denials.Analyzes medical records, claims history, and clinical documentation against InterQual/MCG criteria to deter

Easy Apply

Contract

Depends on Experience

Clinical Data Analyst

Remote

•

30+d ago

Clinical Data Analyst Location:CentralFlorida;mustbewillingtotraveltoOrlandoorVillagesfromtimetotime(remote,butavailableforonsitemeetings) TemptoPermrole:20hoursaweektostart,convertstofulltime Key Responsibilities: Review any new Medicare patients from last 3 months Whethernewpatientisseenornot,thispersonwould:RevieweachnewpatientsHCCsReviewtheirADTsRevieweCW/PrismafordocumentsavailablefromhospitalsIfnewpatientisalreadyseen,thispersonwillalsodothefollowing:ReviewchartsanddiagnosticsSpecialistvis

Easy Apply

Contract

Senior DevOps Engineer

Columbia, Maryland

•

Today

Full-time

USD 106,300.00 - 136,600.00 per year

Chief Technology Officer, Health

Columbia, Maryland

•

Today

Full-time

USD 250,000.00 - 300,000.00 per year

Senior Product Owner

Remote

•

Today

Lead Enterprise Product Strategy and Shape the Future of Digital Healthcare Are you a strategic product leader ready to influence enterprise-wide transformation and drive meaningful business outcomes? Join Liberty Dental Plan as a Senior Product Owner and play a key role in shaping the vision, strategy, and success of critical digital products across the organization. About the Role As a Senior Product Owner, you will serve as the voice of the customer and a trusted advisor to senior leadership,

Easy Apply

Full-time

105,000 - 125,000

Business Systems Analyst

Remote

•

7d ago

Client: health insurance companyJob title:Business Systems AnalystLocation: 100% remote, working EST hoursDuration: 1 year contract + extensionsPay Rate: $52.97/hr W2 Required Skills: Agile experienceCloud-hosted application experience (ideally AWS)Medicare experienceJira/ConfluenceStrong experience creating user storiesStrong experience writing acceptance criteriaNice to Have Azure DevOps, GitHub ActionsUnderstanding of DevOps practices and helping manage cloud-based analytics pipelines and dep

Easy Apply

Contract

$52.97

Medicare jobs in McLean, VA, USA