- Humana (Hartford, CT)
- …The focus of this role is Medicare Pharmacy and Part D. The Senior Compliance Professional will analyze business requirements, provide research and ... caring community and help us put health first** The Senior Compliance Professional ensures ...Compliance or Health Plan Operations + Familiarity with Medicare pharmacy laws or regulations **Additional Information** Interview Format… more
- CenterWell (Hartford, CT)
- …part of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to identify and ... for business segments or the company at large. The Senior Strategy Advancement Professional work assignments involve...will be responsible for supporting the CenterWell ACO and Medicare payment model programs via the Center for … more
- Humana (Hartford, CT)
- …providing frameworks to maximize available resources to achieve growth. The ** Senior Professional Business Intelligence Engineer** is an experienced individual ... a proven track record of leveraging data to meet compliance requirements and define and drive business value. The... requirements and define and drive business value. The Senior Professional will partner across various multi-disciplinary… more
- Humana (Hartford, CT)
- …to support ongoing audit accuracy and compliance . In this role, the Senior Payment Integrity Professional will utilize technology and data mining to analyze ... caring community and help us put health first** The Senior Payment Integrity Professional is responsible for...business needs and define requirements to ensure compliance within the Medical Director Disputes Preparation space. The… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Senior Vendor Management Professional works as liaison between vendors and organization. The ... Senior Vendor Management Professional 's work assignments involve...liaison between vendors, internal business owners, contracting, risk, and compliance teams. As part of the Humana Military Contract… more
- Humana (Hartford, CT)
- …of our caring community and help us put health first** The Senior Acquisition Integration Professional performs procurement related project management duties ... Advancement Lead under the Procurement Center for Enablement team. The Senior Acquisition Integration Professional work assignments involve moderately complex… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Senior Contract Management Professional evaluates, drafts, and negotiates contracts and other ... of goods and services for Humana, its subsidiaries and affiliates. The Senior Contract Management Professional work assignments involve moderately complex to… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Senior Enterprise Data Governance Professional is responsible for implementing, operating, and ... the necessity of data policies, and the impact of compliance in a clear and professional manner....to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Humana (Hartford, CT)
- …help us put health first** Humana Healthy Horizons is looking for a Senior Learning Design Professional who will use instructional design, cognitive psychology ... to determine the appropriate solution to a knowledge or performance gap. The Senior Learning Design Professional work assignments involve moderately complex to… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Senior Learning Design Professional uses instructional design, cognitive psychology and adult ... to determine the appropriate solution to a knowledge or performance gap. The Senior Learning Design Professional work assignments involve moderately complex to… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... data requires an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis… more
- Humana (Hartford, CT)
- …help us put health first** We are seeking an accomplished and experienced Senior Strategy Advancement Professional to join the Conversational Experience Platform ... business issues and opportunities, including OKR creation and evaluation. The Senior Strategy Advancement Professional will exercise considerable latitude in… more
- Humana (Hartford, CT)
- …help us put health first** We are seeking a talented and motivated Senior Cognitive/Machine Learning Engineer to join our dynamic team. The traditional candidate ... machine learning and emerging generative AI technologies. As a Senior Cognitive/Machine Learning Engineer, you will play a key...related field) with a minimum of 5 years of professional experience; OR + Master's Degree in a similar… more
- Humana (Hartford, CT)
- …relationships with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of ... requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional , you...revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and… more
- Humana (Hartford, CT)
- …Care business, where we empower agents to assist seniors in choosing our senior -focused primary care services. This role sits at the intersection of cutting-edge ... you will have the chance to work directly with Senior Leadership in the Growth Team. Your primary focus...Deployment. + Platform App Builder. + Health Cloud Accredited Professional . + Certified Data Cloud Consultant. + Healthcare Industry… more
- CenterWell (Hartford, CT)
- …CenterWell Medical Group, a new virtual care delivery group within CenterWell Senior Primary Care, Humana's Primary Care Organization. This group will provide ... our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associates… more
- Fallon Health (Springfield, MA)
- …NaviCare program. + Participates in all community outreach activities, such as senior fairs, community events, and elder services professional association events ... area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth (Medicaid) and Medicare ...be made to tactical plans. + Manages their own professional development by seeking advice, training, and coaching from… more
- CenterWell (Hartford, CT)
- …complex care initiatives to drive quality and cost improvement for high-risk senior populations in full risk Medicare arrangements. This individual will ... Qualifications** + Bachelor's degree + 5-7 years progressively responsible professional experience in health-related strategy and operations positions, preferably in… more
- Humana (Hartford, CT)
- …recommendations. + Present complex analytical findings and model outputs to senior leaders and non-technical stakeholders, focusing on clear data storytelling. + ... ensure holistic and informed strategy development. + Maintain a deep understanding of Medicare Part D benefit design and regulatory changes to inform forecasting and… more
- Humana (Hartford, CT)
- …first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more