- Centene Corporation (Jefferson City, MO)
- …quality standards including design documents, test plans, training materials, and operations documentation. + Create and communicate project milestone documents, ... defined requirements and meet company strategic objectives. + Manage the full project life cycle including requirements gathering, creation of project plans… more
- CVS Health (Boston, MA)
- …team focused on enhancing pricing accuracy, optimizing bid strategies, and supporting Medicare operations through advanced analytics and actuarial insights. Key ... We are seeking a strategic and technically proficient leader to oversee Medicare data science initiatives supporting actuarial analytics and pricing. The ideal… more
- Molina Healthcare (Sterling Heights, MI)
- …a general role in which employees work with multiple types of business data. May be internal operations -focused or external client-focused. ... **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data (SQL and...task and workflow analysis. + Subject matter expert of Medicare and Healthcare enrollment 834 files. + Interpret customer… more
- Centene Corporation (Austin, TX)
- …+ Drive large scale projects by coordinating the work of one or more project managers/ business analysts who are managing the individual workgroups ( Operations ... , Finance, Benefit Operations , etc.) involved in the project . + Create meaningful dashboards for executive level update and project status. Work with teams… more
- CNO Financial Group (Carmel, IN)
- …decisiveness, and the ability to quickly learn and adapt to complex operations . + Proven problem-solving abilities to address project implementation challenges ... senior account representatives and department management to develop sales operations processes. Serve as the primary point of contact...**What will set you apart:** + Master's degree in business or finance. + 3 years of Medicare… more
- Amazon (San Francisco, CA)
- …safely and respectfully with others, exhibit trustworthiness and professionalism, and safeguard business operations and the Company's reputation. Pursuant to the ... quality performance for One Medical Seniors throughout the country, focusing on Medicare Advantage Stars and ACO REACH programs, driving excellence in healthcare… more
- Molina Healthcare (Layton, UT)
- …vendor operations , ensuring alignment with the impacted stakeholders and business goals + Partners with Finance to manage vendor budgets, forecast funding ... (along with other Core Ops areas of responsibilities) within Medicare and Medicaid. Role is predicated on building relationships...+ Articulates the goals and objectives of Molina Healthcare business units to vendors supporting operations of… more
- Humana (Lansing, MI)
- …for our Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Michigan Medicare - Medicaid health plan. The individual leverages a broad understanding of ... accreditation, and certification requirements. This position will coordinate day-to-day pharmacy operations directly with the plan Chief Executive Officer and Chief… more
- Centene Corporation (Raleigh, NC)
- …and Executive reporting related to responsibilities of the team and compliance of business operations for which you oversee + Educates, encourages, and assists ... and management of department overseeing compliance with regulations and laws related to Medicare line of business , which includes implementation of elements of… more
- UPMC (Pittsburgh, PA)
- … project teams' deliverables, such as market profiles/assessments, presentations, business plans, etc. + Translate teams' discussions and decisions into effective ... with business unit activities. + Manage projects from inception ( business planning) through implementation (start-up operations ). + Complete projects in… more
- Molina Healthcare (Boise, ID)
- …The Operational/Regulatory Oversight Analyst works with health plans and operations departments to assess, oversee, and recommend business ... The Analyst develops and performs audits and oversight functions involving business -critical operations and vendor outsourcing arrangements for the company.… more
- Molina Healthcare (Iowa City, IA)
- …Degree **Preferred Experience** + 4 years' experience in healthcare and/or health plan operations + Project management To all current Molina employees: If you ... **JOB DESCRIPTION** **Job Summary** Leads business process improvement initiatives that result in operational...improvement efforts. Will lead re-engineering team and act as project manager in some cases. + Develops training curriculum… more
- MetroLink (Los Angeles, CA)
- …projects, eg Design-Build, CM/GC Knowledge, Skills, and Abilities Knowledge of: + Railroad operations and corporate business practices, as well as the railroad ... Senior Railroad Civil Engineer ( Project Manager) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4824881) Apply Senior Railroad Civil Engineer (… more
- Walmart (Bentonville, AR)
- …working with cross-functional teams **Minimum Qualifications ** Two years' experience in project management, business , operations or related area OR ... and analyzing data to inform team on issues including Medicare , payee, insurance, systems, and financial compliance issues. +...four years' experience in project management, business , operations , or… more
- Bristol Myers Squibb (Washington, DC)
- …cross-portfolio work related to the Inflation Reduction Act (IRA) in the US Medicare business . The successful candidate will work cross functionally with ... . **Summary:** We are currently seeking a Director, IRA Project Management to join the US Pricing, Analytics and...our portfolio. This will involve interfacing with our Pricing Operations team. In addition the role will lead our… more
- Waystar (Lehi, UT)
- …position are expected to have or develop a specific knowledge of Waystar's business , industry, and operations , including an intimate understanding of healthcare ... **ABOUT THIS POSITION** The Strategic Project Manager is responsible for the successful implementation of Waystar solutions by leading the team and the client … more
- Waystar (Duluth, GA)
- …achievement of project estimated revenue prior to transition of the business account. **WHAT YOU'LL DO** + Ability to comprehend Data Dictionaries, file ... + Define project scope, goals and deliverables that support operational business goals + Effectively communicate project expectations with client, project… more
- Centene Corporation (Austin, TX)
- …standards including design documents, test plans, training materials, and operations documentation **Education/Experience:** Bachelor's degree in Business ... US. Ideal candidate will have a strong background in Medicare , Medicaid, and/or Dual Eligible Special Needs Plans (D-SNP)....and meet company strategic objectives. + Manage the full project life cycle including requirements gathering, creation of … more
- HonorHealth (AZ)
- …position's competencies include project management, clinical trial operations , coding/billing compliance, Medicare coverage analysis/budgeting, contracting, ... basic finance and accounting principles. The successful Senior Clinical Trial Operations Specialist will lead and coordinate the activities of a multidisciplinary… more
- General Dynamics Information Technology (Fairfax, VA)
- …Obtain:** None **Public Trust/Other Required:** Other **Job Family:** Business Operations **Skills:** CMS,Consultative Approach,Information Technology ... joining our team remotely to support the Centers for Medicare and Medicaid Services (CMS). Work visa sponsorship will...Director supporting CMS, you will be trusted to manage project schedules and tasks for operations team… more