Remote Policy Governance Analyst: Medicaid UM Reporting
Humana
Humana Inc. seeks a Policy Governance Professional to manage Medicaid Utilization Management reporting across markets, coordinating calendars, validation, and deliverables.
You will collaborate with operational, clinical, quality, and governance teams to drive timely, accurate evaluations and recommendations. Responsibilities include compiling summaries for committees, maintaining audit-ready documentation, and supporting governance activities while enabling policy lifecycle processes and
#J-18808-Ljbffr- ...Humana Inc. seeks a Policy Governance Professional to manage end-to-end Medicaid UM Rates and Timeliness evaluation across applicable markets, coordinating data... ...quality, and compliance teams to ensure accurate reporting and governance alignment. Reporting to the Policy...Remote work
- ...Humana Inc. seeks a Policy Governance Professional to manage the Medicaid Utilization Management Rates and Timeliness evaluation and reporting process across applicable markets, including both physical... ...actions, and supporting additional UM-related governance activities. #J-...Remote work
- ...To lead Medicaid policy analysis for a high-visibility state program, the full-time remote Medicaid Policy Analyst will interpret program rules, develop analytic logic, and create data... ...BI tools for building dashboards and reports, as well as creating executive-ready presentations...Remote workFull time
- ...SafeGuard Services (SGS), a Peraton subsidiary, seeks a skilled policy analyst to research and interpret federal and state Medicaid regulations for the northeastern jurisdiction and related initiatives. You will serve as the subject matter expert and collaborate with the...Remote work
$86.8k - $198k
...and Artificial Intelligence Policy and Governance AnalystThe Opportunity:For an... ...Policy Governance Analyst for the Navy, you’ll use your... ...executive briefings, status reports, and meeting materialsSecret... ...cameras on during meetings.Remote: If this position is listed...Remote workFull timeContract workPart timeWork at officeLocal area- ...Gainwell Technologies is seeking a Senior Medicaid Business Analyst (Configuration & Policy) to translate state and federal Medicaid policy into product features and configurations. You will support domain delivery end-to-end, collaborating with Domain Lead, Technical...Remote work
$69.4k - $99.2k
...Gainwell Technologies is seeking a Senior Medicaid Business Analyst to translate state and federal Medicaid policy into product features, system configuration, and design... ..., and collaboration with client teams; fully remote options available and compensation range $69,40...Remote work- ...Humana Inc. is seeking a Policy Governance Professional to manage end-to-end Medicaid UM Rates and Timeliness evaluation across markets, reporting to the Policy Governance Lead. You will coordinate schedules, validate data, and collaborate with operational and clinical...Remote work
- Gainwell Technologies is seeking a Senior Medicaid Business Analyst (Configuration & Policy) to translate state and federal Medicaid policy into product features... ..., validating configurations, and supporting SIT/UAT. Remote work options are available from most US locations,...Remote job
- ...Healthcare Data Analytics team is seeking a Healthcare Data Analyst to support Medicaid Finance & Policy projects. You will work with claims data across... ..., and ability to communicate technical results. It is remote with preference for candidates in the United States....Remote work
- ...Humana Inc. is seeking a Policy Governance Professional to manage end-to-end Medicaid Utilization Management (UM) Rates and Timeliness evaluation and reporting across markets. Reporting to the Policy Governance Lead, you will coordinate data validation, analyze trends...Remote work
- ...Supporting the A.I. and Tech Director, the full-time A.I. and Technology Policy Analyst will conduct research, produce policy communications, and manage programming related to A.I. accountability and governance in a hybrid work environment. Key responsibilities: Conduct...Remote workFull time
- ...Selene Finance LP is seeking a P&P Analyst to support policy and procedure governance for mortgage servicing. This remote, part-time role focuses on developing, reviewing, and maintaining documentation across servicing functions. The ideal candidate has a bachelor's degree...Remote workPart time
$49.93k - $97.36k
...teams and supporting governance committees where applicable... .... Self-organized reporting to ensure health plans... ...including real-time policy changes. Self-motivated... ...independently in a remote environment.... ...Centers for Medicare & Medicaid Services (CMS) and the...Remote workWork experience placementWork at office- ...Aptive Resources is seeking a Management Analyst to support the VA ORD ISRM team on AI governance, policy development, and staff training. The role emphasizes translating... ...goals. The position is full-time and fully remote, requiring strong organizational skills,...Remote workFull time
- ...Sr. Payer Policy AnalystAt Labcorp, you are part of... ...The Senior Payer Policy Analyst is responsible for... ...pertaining to payer policy for Government and Commercial payers.... ...proposals, and reporting internally as required... ...., CCLA, PLUGS, AECS, Medicaid Review boards, ICD-10...Remote workMinimum wagePart timeFor contractorsWork experience placementCasual workReliefMonday to FridayFlexible hoursShift work
$76.54k - $152.01k
...Purpose: The Senior Public Policy Analyst monitors, evaluates, and provides... ...the public policy and government affairs (PPGA) team effectively... ...for issues related to Medicaid. Essential Functions Serving... ...does not have direct reports but is expected to assist in...Work experience placementImmediate start- ...Job Description EDW Senior Medicaid SME (Federal Reporting, Policy & Data Strategy) Remote (Must Reside in the Continental... ...outcomes to executive leadership and government stakeholders Identify data... ...strategies Mentor analysts, developers, and business teams...Remote workPermanent employmentContract work
- ...Cadence is a clinical AI company hiring a Compliance Analyst to own policy governance, SOPs, and risk follow-up across care delivery operations. You will work with the Chief Compliance Officer, policy owners, and business teams to close gaps and keep documentation audit...Remote work
- ...Description The Childcare Policy Analyst is part of the Vanderbilt... ...within the Public Options and Governance workstream this role is responsible... ...framework. This position reports to the Director of Public... ...is necessary . Remote work can be considered on a...Remote workFull timeLocal area
- Humana is seeking a Compliance Professional (Medicaid State Reporting) to ensure regulatory alignment for Medicaid state reporting. The role involves... ...evolving reporting requirements. The position is remote within the United States and requires expertise in compliance...Remote job
- Health & Human Services Commission in Austin seeks a Nurse IV Women’s Health Nurse Policy Analyst to perform advanced policy analysis for Medicaid women’s health benefits. The role emphasizes literature reviews, synthesis for policy development, and collaboration across...Remote workDay shift
$85k - $110k
...partner is looking for an IBR Policy and Content Development Analyst based in the United... ...solutions. This fully remote opportunity is ideal for... ...updates. Interpret government and regional policies: Research... ...-specific Medicare and Medicaid provider manuals,...Remote workWork at officeFlexible hours- ...Solutions (CPS) Team, the Audit Policy Analyst, Post-Acute Services serves... ...therapy claims across government and commercial lines of business... ...-specific commercial and Medicaid payer policy, including home... ...workflows independently and in a remote environment, delivering...Remote workDaily paidContract workWork at officeLocal area
- ...seeking a dedicated professional to support Medicaid utilization management policy governance and compliance. You will own NCQA reporting and governance processes and collaborate... ...analytical, and coordination skills, with remote work options and a comprehensive benefits...Remote job
$62k - $141k
Training Policy and Programs Analyst, MidThe Opportunity:As a Defense Mission Professional, you will serve... ...Staff regarding policy and statutory reporting requirements linked to Joint training... ...their cameras on during meetings.Remote: If this position is listed as remote...Remote workFull timeContract workPart timeLocal area- tango in Phoenix, AZ seeks a UM Clinical Support Specialist to support Utilization Management through data collection, reporting, and administrative tasks. You will help maintain logs, develop reports, and assist reviewers with obtaining clinical information while supporting...Remote job
- ...globe.Job Title: Public Policy & Incentives... ...with consideration for remote candidates located in the... ...Public Policy & Incentives Analyst supports Jabil’s global public policy, government affairs, and economic development... ...commitments, monitor reporting deadlines and...Remote workWork at officeLocal areaWorldwide
- ...ZoomInfo is seeking a highly motivated Policy Analyst to join our Government & Regulatory Affairs team. You will track, analyze, and report on legislation and regulations affecting... ...roles and a BA/BS are required. US-based remote work option available. #J-18808-Ljbffr...Remote work
- ...Chapin Hall is seeking an experienced Policy Analyst to join our Policy Team in Chicago, IL, reporting to a Senior Policy Analyst. The role emphasizes Motivational... ...our Family First portfolio. You will work in a remote-friendly environment with periodic in-person...Remote work
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