Senior Healthcare PM: Claims, Medicaid & CMS Programs
GTECH Corporation
GTECH LLC in Richmond, Virginia, is seeking a Sr. Project Manager with at least 8 years of experience in healthcare specifically involving Claims and Medicaid. The role includes driving APDs, ensuring good standing with CMS, and managing relationships with stakeholders and vendors. The successful candidate will possess strong communication and organizational skills and must be able to act with urgency on deadlines. Experience with MS Azure and PMP certification are preferred but not required. #J-18808-Ljbffr
- ..., Risk, Compliance, and Senior Leaders, and take ownership... ..., Legal, Compliance, Claims, and Accounting teams... ...expertise in loss mitigation programs, including modifications... ...Mortgage Servicer (CMS) or FHA DE Certification... ...Date 05/14/2026, 08:20 PM Degree Level High School...CmsSeniorClaimsFull timeWork at officeLocal areaMonday to FridayShift work
$82.5k - $209.5k
...drive Oracle Health’s healthcare payer strategy in... ..., including claims adjudication, prior... ...value-based care programs. Strong understanding... ...engaging with senior leaders and executive... ...organizations, Medicaid managed care organizations... .... Knowledge of CMS Interoperability...CmsClaimsContract workTemporary workFlexible hours$102.96k - $185.33k
...enterprise risk adjustment programs, including prospective and... ...with Centers for Medicare & Medicaid Services (CMS) requirements, and supporting... ...and retrospective, claims, vendor quality, and audits... ...preferred. MBA or MHA in Healthcare Administration preferred....CmsClaimsTemporary workWork experience placementWork at officeLocal area2 days per week1 day per week- ...Centers for Medicare and Medicaid Services to transform federal health programs. The Audit and... ...and Medicaid Services (CMS) division of the Department... ...analysis within a growing healthcare industry. This position... ...Audit & Reimbursement Senior _Location: _ This role...CmsSeniorFull timeContract workTemporary workInterim roleWork at officeLocal area1 day per week
- ...6-30 Position Title: Senior Healthcare Analyst Job Description:... ...demonstrating value of palliative care program to clients Build, test,... .... Specifically healthcare claims analyses and population... ...postings active through 11:59:59 PM on the day before the listed...SeniorClaimsTemporary workWork at officeLocal area2 days per week1 day per week
$100k - $110k
...A Healthcare Solutions Company seeks a highly skilled Systems Analyst in Richmond, VA, with deep experience in healthcare claims processing and Medicaid Management Information System (MMIS). The role involves conducting impact analysis, leading advanced testing analysis...SeniorClaims- ...respected providers of hospital and healthcare services, Universal Health... ...a dynamic and talented . The Medicaid Billing Specialist is... ...electronically and manually processed claims to third party payers in... ...SoFi Student Loan Refinancing Program Career development...ClaimsWork at office
$94k - $160k
...Prime Therapeutics is hiring a Senior Program Manager to lead and execute core programs in Richmond... ...Responsible for driving compliance with CMS interoperability mandates and ensuring... ...or Business, 5 years of experience in healthcare settings, and 1 year of project management...CmsSeniorRemote work$74.7k - $187k
...Product Manager to drive the expansion of Oracle's healthcare claims adjudication platform for the United States market.... ...Qualifications Experience with commercial, Medicare, Medicaid, or government healthcare programs. Familiarity with healthcare claims standards and...SeniorClaimsTemporary workFlexible hours- ...Federal Healthcare Risk Management Nurse (DHA CQM Program) Fully Remote-United States Job Type Full-time Description... ...and monitoring, processing of tort claim information, death and disability... ...available between 8:00 am to 5:00 pm EST Monday through Friday. This...ClaimsFull timeContract workFor contractorsWork at officeLocal areaRemote workMonday to Friday
$249.97k - $388.13k
...Senior Director, Global Medical Safety physician (psychedelics), leads and supports safety... ...and regulatory aspects of programs. Participates in inspection and audit... ...other application processing fee, even if claimed you will be reimbursed, this is not Otsuka...CmsSeniorClaimsTemporary workLocal areaFlexible hours- ...recognized as one of the Best Places to Work in Healthcare by Modern Healthcare. Founded in... .... Position Summar y The Senior Project Executive is required to take a... ...additional work reque stsSupervises the programming and planning efforts of the selected archite...CmsSeniorContract workWork at office
$60.8k - $82.9k
...utilized for billing and claims management. Identify... ...systems align with CMS, HIPAA, and payer requirements... ...years of experience in healthcare revenue cycle and EDI,... ...with Medicare/Medicaid billing processes specific... ...the largest provider of senior-focused primary care, a...CmsClaimsBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome office- ...Position Title Senior Healthcare Analyst Position Details Anticipated End Date: 2026-06-30. Location... ...the value of palliative care programs to clients. Builds, tests, and validates... ...analytics required; specifically healthcare claims analyses and population health strongly...SeniorClaimsWork at officeLocal area2 days per week1 day per week
$94k - $160k
...Program Manager Sr - Remote At Prime Therapeutics (Prime), we... ...with us. Job Description The Senior Program Manager is... ...the Centers for Medicare & Medicaid Services (CMS) and ensuring organizational... ...years of work experience in healthcare, PBM, specialty pharmacy, or...CmsSeniorWork experience placementWork at officeLocal areaRemote workVisa sponsorshipWork visa$75 - $125 per hour
...the nation to enhance their preparedness programs; create more resilient and sustainable communities... ...aligned with efforts to strengthen rural healthcare systems by improving operational... ...federal and state funding priorities (e.g., CMS, HRSA) into actionable program designs...CmsContract workFor contractorsLocal area$84.48k - $126.72k
...Group Underwriter Senior Location: This role requires associates... ...sales, administration and claims to assess the rating and administrative... ..., incentive and recognition programs, equity stock purchase and 40... ...and communities – and making healthcare simpler. We are a Fortune 25...SeniorClaimsTemporary workWork experience placementWork at officeLocal area2 days per week1 day per week- ...Overview Required Skills: Healthcare, claims, Medical aid Client recently awarded... ...incumbent, Conduent. This PM resource will be involved in... ...milestones with the vendor, CMS Certifications and updates, ensuring... ...specifically with Claims and Medicaid experience. Top Desired...CmsClaims
$75 - $125 per hour
...the nation to enhance their preparedness programs; create more resilient and sustainable communities... ...workforce development in rural healthcare settings. This role will support the design... ...and state funding priorities (e.g., CMS, HRSA) into practical workforce solutions...CmsContract workFor contractorsLocal area$90k - $125k
...the nation to enhance their preparedness programs; create more resilient and sustainable communities... ...Based Opportunity for an upcoming rural healthcare workforce initiative. Engagement is... ...or cooperative agreements involving CMS, HRSA, HHS, or similar agencies ~ Demonstrated...CmsContract workTemporary workLocal areaFlexible hours- ...A leading company is seeking a Systems Analyst specialized in healthcare claims processing. This role requires in-depth knowledge of MMIS or similar systems, strong Teradata skills, and a background in UAT and SIT testing. The candidate will manage testing phases and defect...SeniorClaims
- ...regulatory requirements, experience with CMS and state regulatory and... ...Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider... ...growth. Be a part of an excellent healthcare organization that cares about our...CmsPermanent employmentFull timeTemporary workWork at officeRemote workShift work1 day per week
- ...is hiring for a Manual Testing position in Richmond, VA, requiring 3 days onsite and 2 days remote. Candidates with in-depth Healthcare Claims expertise and testing leadership skills are preferred. The role focuses on manual testing and includes performing complex analyses...SeniorClaimsRemote work
- ...enthusiastic full-time AR Billing Specialist Senior to perform all aspects of the revenue... ...and other tasks related to medical billing claims for the practice. Job Responsibilities... ...is preferred. 401(k) Employee assistance program Flexible spending accounts Employee referral...CmsSeniorClaimsFull timeWork at officeFlexible hours
- ...Richmond, VA is seeking a skilled Manual Tester for a long-term contract. The ideal candidate will have extensive experience in healthcare claims processing, particularly with MMIS systems. Key responsibilities include conducting impact analysis, overseeing system testing...SeniorClaimsLong term contractLocal area
$86.96k - $150.01k
...Account Service Manager Senior Virtual : This role enables associates... ...written inquiries, resolving claims, benefit and enrollment... ..., incentive and recognition programs, equity stock purchase and 40... ...and communities - and making healthcare simpler. We are a Fortune 25...SeniorClaimsFull timeTemporary workWork experience placementWork at officeLocal area1 day per week$109.2k - $223.4k
...Job Description Oracle is seeking a US-based Senior Principal Energy Program Manager, reporting to the Vice President of Infrastructure Capacity... ...and making carbon reduction and renewable energy claims: Global Reporting Initiative (GRI), Science-based Targets...SeniorClaimsContract workTemporary workFor contractorsFlexible hours- ...the strategy for the retail and wholesale healthcare portfolio. Provides leadership,... ...authority levelsCollaborate with actuarial, claims, product developments, IT, operations and... ...and at work.We offer competitive benefit programs that help meet our diverse and changing...SeniorClaimsFull timeLocal areaWork from home
$91.4k - $187k
...Oracle Health is transforming healthcare through intelligent,... ...seeking a highly motivated Senior Product Manager to lead product... ...Experience with prior authorization, claims management, eligibility... ...communities through our volunteer programs. We’re committed to...SeniorClaimsTemporary workWorldwideFlexible hours$25.48 - $60.63 per hour
...Our mission? To create a human-centric healthcare experience powered by unified global data... ...inventory tracking, healthplan design, and claims resolution. Career Level - IC2... ...their communities through our volunteer programs. We're committed to including people...SeniorClaimsHourly payTemporary workWork experience placementLocal areaRelocationFlexible hours
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