Remote Lead Medicaid Pharmacy Forecasting with AI
Humana Inc
- Remote job
Humana Inc. is seeking a Lead Informaticist, Medicaid Pharmacy Forecasting to own the drug- and market-level utilization forecast for Medicaid states. You will design the forecasting framework, build and maintain models in Databricks, and translate results into executive-ready narratives across cross-functional teams. The role requires 5+ years in quantitative analytics with 3+ years in forecasting, plus strong Python/PySpark/SQL skills. #J-18808-Ljbffr Humana Inc
$117.6k - $161.7k
...our caring community The Lead Informaticist, Medicaid Pharmacy Forecasting owns the drug- and market... ...hands-on quantitative role with significant cross-... ...is expected to leverage AI agents and modern coding... ...Travel: While this is a remote position, occasional travel...Remote workWeekly payFull timeTemporary workWork at officeWork from homeHome officeShift work$117.6k - $161.7k
Role Description The Lead Informaticist, Medicaid Pharmacy Forecasting owns the drug- and market-level utilization forecast... ...is a hands-on quantitative role with significant cross-functional visibility... ...and is expected to leverage AI agents and modern coding tools to accelerate...SuggestedFull timeTemporary workWork from home- Humana, Inc. is seeking a Lead Informaticist, Medicaid Pharmacy Forecasting to own drug- and market-level utilization forecasts for Medicaid states Humana supports... ...-based, leveraging Python, PySpark, SQL, and AI tools to design methodologies, build models, run scenarios...Suggested
- ...Government Pricing to provide advanced analytical support for Medicaid pharmacy programs. Candidates should have at least 5 years of... ...benefits and a supportive work environment. Remote work is available, with some limitations based on location. #J-18808-Ljbffr Navitus...Remote job
$88.9k - $150k
Role Description The Regional Medicaid Lead is a senior leadership role... ...Working in close partnership with the School Based Services (SBS... ...~Financial Management and Forecasting ~Lead regional financial planning... ...25-50%. ~This position is remote with travel/onsite...Remote workFull timeLocal areaShift work- ...startup is looking for a Payer Authorization Operations Manager based in Denver, Colorado. This role involves leading the authorization operations for Colorado's Medicaid programs, ensuring compliance and seamless service for vulnerable populations. The ideal candidate will...Remote work
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$120k - $140k
...Modern Campus is seeking an AI Revenue Automation & Intelligence Lead to help Revenue... ...opportunities. ~Support forecasting, pipeline initiatives, attribution... ...into action. ~Partner with Sales, Marketing,... ...between $120,000-$140,000. ~Remote first workplace! ~...Remote workFull time$110k - $135k
...seeking a Health and Pharmacy Analytics Lead to join the Benefits... ...This role works closely with UVA's healthcare data... ..., utilization forecasting) using available plan... ...technologies, including AI-enabled tools, to enhance... ...designated as fully remote and may be performed...Remote workFull time- Role Description The Medicaid Team Lead is primarily responsible for overseeing cases and people... ...supports the Specialists on their cases and with client escalations, when appropriate.... ...~Experience working in a fully remote environment, using cloud based productivity...Remote workFull time
$48.3k - $69k
Gainwell Technologies is hiring a Provider Publications / Communications Lead to manage provider-facing communications supporting Medicaid operations. This remote role involves coordinating with teams to ensure accuracy in publications and educating providers about regulatory...Remote job$116k - $216k
...is primarily responsible for leading the development and validation... ...and retaining data Coordinate with data stewards and anticipate needs... ...standards and best practices; forecast future modeling tools /... ...emailing ****@*****.***. #LI-Remote #J-18808-Ljbffr Key BankRemote workWork at officeWork from homeFlexible hours$67.9k - $199.14k
...management by leveraging analytical expertise to forecast demand and optimize staffing. This position can be remote or hybrid depending on the candidate's location.... ...range for this role is $67,900 - $199,144 along with a comprehensive benefits package. #J-18808-Ljbffr...Remote work- ...Together is hiring an Associate Director/Director for Medicaid Entitlement & Coverage Strategy. This role is crucial for leading GRT's response to federal Medicaid changes and... ...skills, and a degree in a related field. Full remote work is available, excluding certain states....Remote job
$67.9k - $199.14k
...expertise and experience in workforce management to forecast demand and improve operational efficiency.... ...and strong communication skills to collaborate with senior leadership. This position offers flexibility for remote or hybrid work arrangements in the US and a competitive...Remote work- Lumen is seeking a Lead Project Cost Control to guide project controls with the PM team, ensuring deliverables stay on budget... ...across multiple projects from a remote US location. Responsibilities... ..., cost and cash flow reporting, forecasting, and managing schedules with...Remote job
$88.9k - $150k
...Consulting Group in Charlotte, NC is seeking a Regional Medicaid Lead responsible for program oversight and strategic... ...degree and possess at least five years of experience with Medicaid programs. This position is remote with travel required 25-50% of the time. Competitive...Remote job- Public Consulting Group is seeking a Regional Medicaid Lead for the Southeast Region, accountable for the operational performance and strategic... ...-based Medicaid programs. The role involves collaborating with stakeholders to ensure high-quality delivery and identifying...Remote job
- Humana Inc. is seeking a Strategic Project Manager to drive structure, visibility, and momentum for Medicaid Capture Management and Growth Office priorities. The role translates complex cross‑functional work into clear plans, aligned teams, and actionable insights, while...Remote jobWork at office
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$115.2k - $158.4k
Humana is seeking a Compliance Lead to ensure regulatory compliance for South Carolina's Medicaid contract. The role involves analyzing business requirements,... ...compliance or managed care. This position is a remote role, with occasional travel to Humana's offices required...Remote jobContract work- ...Product Content Professional to create member enrollment content, with a focus on welcome kits. You will partner with SMEs, develop... ...contract requirements. The role emphasizes content accuracy for Medicaid products, collaboration with Print and Web teams, and strong communication...Remote jobContract work
- ...involves strategic oversight of workforce management, including forecasting, capacity planning, and resource optimization. Ideal... ...to influence leadership. This position allows for remote or hybrid work, with a competitive compensation package and comprehensive benefits...Remote work
- Upstart is seeking a Principal Credit Analytics professional to lead key functions in credit forecasting and valuation. This role emphasizes driving impactful analytics, partnering with various teams to align on metrics, and scaling analytics infrastructure to ensure efficient...Remote job
- A leading healthcare consulting firm in the United States is seeking an Actuarial Analytics Manager to oversee Medicaid and Medicare programs. In this role, you will lead the analysis of capitation... .... This position offers full remote flexibility and a comprehensive benefits...Remote job
- ...workflows for medical services. This remote position requires strong... ...and leadership skills, with a minimum of 5 years in prior... ...authorisation approvals, and managing AI-generated content evaluations.... ...with Medicare Advantage and Medicaid requirements and proficiency in...Remote jobContract work
- .... is seeking a highly organized Program Manager to drive Medicaid/Medicare quality improvement across states, leading data-driven strategies and coordinating vendor partnerships for home screening kits and remote monitoring programs. You will align cross-functional teams...Remote work
- Humana Inc is looking for a Compliance Lead to ensure compliance with governmental requirements for the Medicaid business. You will work with internal and external stakeholders to minimize compliance risks and maintain strong relationships with regulatory bodies. Your responsibilities...Remote job
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