Jobs in Fredericksburg, VA

Drive formulary operations excellence by leading strategy implementation, ensuring compliance, and collaborating across teams to enhance healthcare outcomes and member experiences in a dynamic environ...

Drive Medicare Part D strategy and execution, transforming regulatory requirements into actionable product initiatives while leading cross-functional teams to enhance member experience and ensure comp...

Drive Payment Integrity initiatives by identifying trends, developing concepts, and optimizing audits to enhance healthcare cost savings. Collaborate across teams to implement actionable strategies an...

Join a team that's dedicated to enhancing healthcare quality through clinical expertise. As a leader, you'll navigate complex medical reviews, ensuring compliance and improving member experiences acro...

Join us to lead strategic cybersecurity initiatives that enhance security, reduce risk, and align with business goals. Collaborate across teams to ensure successful project delivery and drive impactfu...

Unlock your potential by leading strategic initiatives that enhance Medicaid enrollment and waiver processes. Collaborate across teams to drive operational efficiency, improve data integrity, and miti...

Shape the future of provider engagement by optimizing relationships, enhancing quality improvement, and driving value-based performance through strategic collaboration and data analysis...

Lead the enterprise governance framework for model and AI risk management. Enhance oversight of AI technologies and ensure compliance, transparency, and ethical use across the organization, collaborat...

Lead the charge in delivering Medicare Advantage products by translating strategic priorities into structured programs. Collaborate across teams to ensure timely, compliant execution while enhancing o...

Drive operational excellence in healthcare interoperability by managing FHIR APIs and partner onboarding. Collaborate with cross-functional teams to enhance API performance, support, and continuous im...

Pioneer the integration of comprehensive assessments and discharge planning to ensure coordinated, quality care for admitted members, enhancing health outcomes and optimizing member wellness through c...

Deliver strategic analytics support for pharmacy Prior Authorization processes. Collaborate with cross-functional teams to translate complex challenges into actionable insights, driving performance im...

Discover a rewarding opportunity to design impactful learning solutions, leveraging instructional design and adult learning theories. Collaborate with stakeholders to enhance training effectiveness an...

Shape the future of healthcare by providing legal counsel in Medicare Advantage, analyzing complex regulations, and guiding compliance strategies for optimal organizational impact...

Transform healthcare analytics by leading financial modeling and forecasting initiatives. Drive strategic decision-making through advanced SQL and analytical methodologies, while mentoring teams and i...

Lead the charge in shaping healthcare strategies that enhance Medicaid member well-being. Collaborate across teams to govern portfolio practices, ensuring alignment with strategic priorities and opera...

Innovate user experiences by designing intuitive digital solutions for pharmacy benefits. Collaborate with cross-functional teams to enhance member engagement and satisfaction, ensuring seamless navig...

Shape the future of IT integration by providing strategic leadership for M&A efforts, collaborating with executives, and ensuring successful technology integration across corporate transactions and gr...

Join us to lead the development and optimization of innovative clinical pharmacy products. Drive strategic initiatives, manage complex projects, and collaborate with cross-functional teams to enhance...

Join a team that's dedicated to evaluating healthcare services for compliance with clinical guidelines and regulatory standards, ensuring the quality and necessity of care for Medicare and Medicaid me...

Lead the development and implementation of innovative value-based payment models, enhancing provider relationships and operational support to achieve strategic goals in specialty Medicaid care...

Lead cross-functional readiness initiatives to ensure successful adoption of enterprise changes. Collaborate with stakeholders to develop strategies, assess impacts, and drive continuous improvement a...

Join our team to lead software and hardware product delivery, ensuring quality and performance. Collaborate with engineering and marketing teams to resolve complex issues and drive innovative solution...

Champion the execution of Medicare Advantage initiatives by collaborating with cross-functional teams to ensure timely delivery of analyses, documentation, and process improvements, while maintaining...

Transform strategic sourcing and category management to optimize spend, enhance supplier performance, and drive value across the organization. Collaborate with senior leaders to tackle complex challen...