- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The State Technology Lead understands departmental and IT organizational strategy and ... understanding the priorities of all delivery for their assigned state , supporting the business goals of the Medicaid...remain organized and aligned with delivery goals. + Guides Medicaid Technology Solutions teams in developing technical… more
- New York State Civil Service (Hauppauge, NY)
- …a complete application online at ag.ny.gov/job-postings/attorneysThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) ... evidence to grand juries, and conduct evidentiary hearings and trials in New York state courts.The Medicaid program provides health coverage to millions of New… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Medicaid Data and Reporting Analyst integrates data from multiple sources to produce requested or ... required data elements. This role will support our Medicaid Clinical operations in multiple markets. This role manages recurring reporting, state reporting, and… more
- Humana (Hartford, CT)
- …department(s). The Associate Director, Procurement complies with federal and state regulatory guidelines. Reconciles purchases with invoices from vendors, validates ... complex technical and operational problems within department(s), and could lead multiple managers or highly specialized professional associates. Responsibilities +… more
- Humana (Hartford, CT)
- …caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness ... data changes on actuarial models, reporting tools, and financial results. Lead and manage data-related projects from scoping through post-production validation,… more
- Humana (Hartford, CT)
- …companies and in the development and implementation of IT integration plans. The Lead , M&A IT Integration drives end-to-end technology integration activities for ... Planning & Execution** + Conduct baseline assessments of people, processes, and technology across acquired clinics. + Build integration plans, tasks, milestones, and… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Lead , Technical Product Owner requires someone known for creative problem solving. This role solves ... that support quality measurement, reporting, and compliance. **Key responsibilities:** + ** Technology strategy and roadmap of Business and Data Products:** Define… more
- Humana (Hartford, CT)
- …when needed + Coordinates establishing connections to SFTP sites in collaboration with the State Technology Market Lead + Coordinates resolution of resolving ... of our caring community and help us put health first** The Technology Solution Implementation Professional delivers new technological solutions to meet business… more
- Humana (Hartford, CT)
- …available technology including hardware, software, databases, and peripherals. The Lead Solutions Architect works on problems of diverse scope and complexity ... **Become a part of our caring community and help us put health first** The Lead Solutions Architect works with user groups to solve business problems with… more
- Humana (Hartford, CT)
- …community and help us put health first** As an Enterprise Transformation Lead within Humana's Shared Services organization supporting the Insurance Segment, you will ... influence accountability, foster continual improvement, and align people, processes, and technology with organizational objectives. As a subject matter expert, you… more
- Humana (Hartford, CT)
- …and help us put health first** We are seeking a dynamic and strategic Lead Anaplan Architect to own and evolve our enterprise-wide Anaplan platform across both ... and HR business processes, and the ability to architect and lead end-to-end solutions-from business requirements through configuration, integration, security, and… more
- Humana (Hartford, CT)
- …part of our caring community and help us put health first** At Humana, a Lead Enterprise Architect is a seasoned IT professional who is a good listener, strategic ... business strategy and providing pragmatic ways to deliver through technology . This architect plays a crucial role in shaping...Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more
- Humana (Hartford, CT)
- …Segment team is an entrepreneurial, multi-functional team within Humana's Medicare and Medicaid business unit. The team is focused on driving industry leading ... this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making...Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more
- Humana (Hartford, CT)
- …our caring community and help us put health first** The Anaplan Implementation Lead delivers new technological solutions to meet business needs within a specified ... scope while aligned to enterprise objectives. The Anaplan Implementation Lead works on problems of diverse scope and complexity ranging from moderate to substantial.… more
- Humana (Hartford, CT)
- …efforts involving provider network processes and governance to support state specific network adequacy requirements. The Senior Network Optimization Professional ... network contracting governance, process development, and data governance for Ohio Medicaid , including contracting requirements and data integrity as required in the… more
- Public Consulting Group (Hartford, CT)
- …strategic goals to serve the public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and ... sector. To learn more, visit www.publicconsultinggroup.com . Collaborating with our Technology Consulting team, you will help organizations streamline operations and… more
- Humana (Hartford, CT)
- …additional license, if required. + No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements. + Excellent ... of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/… more
- CVS Health (Hartford, CT)
- …and every day. **Program Summary:** Join our Aetna care management team as we lead the way in providing exceptional care to dual eligible populations! You will have ... Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid . As a member of the care team, you will collaborate with members, the… more
- Boehringer Ingelheim (Ridgefield, CT)
- …of data in the various systems for reporting, ensure compliance with State and Federal Regulations; manage special projects; support customer audits and assist ... cultivate network by facilitating cross department communication and projects. + Lead team toward continuous improvement and/or process design through analysis of… more
- Humana (Hartford, CT)
- …Principal coordinates, implements, and manages oversight of the company's Medicare/ Medicaid Stars Program for aligned areas. The Stars Improvement Principal ... collaboration to maximize impact across all operational areas. + Lead and support the design, implementation, and optimization of...Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more