- Humana (Albany, NY)
- …will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new states. The business … more
- Highmark Health (Albany, NY)
- …on cross-functional efforts, in this role the incumbent should also act as a business data subject matter expert hands on where possible, and guide, lead and educate ... to: involved in hiring and termination decisions, coaching and development , rewards and recognition, performance management and staff productivity.Plan, organize,… more
- Humana (Albany, NY)
- …value propositions, white papers and other advocacy materials which support state business development opportunities and operations . + Under direction ... to analyze public policy, develop positions, and draft deliverables supporting Humana business strategy. + Monitor and analyze state Medicaid trends. Contribute… more
- Humana (Albany, NY)
- …will be responsible for leading the beginning-to-end operational support of specialty Medicaid value based payment (VBP) models in alignment with segment strategy ... will be responsible for leading the beginning-to-end operational support of specialty Medicaid value based payment (VBP) models in alignment with segment strategy… more
- Pearson (Albany, NY)
- … outcomes. The OT Supervisor supports a variety of tasks to enable business operations across service lines. Projects and responsibilities are determined by ... And as a result, our category has seen explosive growth, and our business has experienced enormous increases in awareness and enrollments. This presents an… more
- Humana (Albany, NY)
- …+ Advanced certifications in software and/or process improvement + Experience with Medicaid + Experience in provider networks/provider operations + Advanced ... Adequacy tests the overall network in each county of operations to ensure the network is strong enough to...matching program + Network Resource Groups (NRGs) + Career development opportunities **Use your skills to make an impact**… more
- CDPHP (Albany, NY)
- …audit controls to ensure traceability. QUALIFICATIONS: + Minimum five (5) years configuration, business or IT operations , project management, or business ... system configuration, configuration design, preparing detailed specifications for the development of business configuration and testing, implementing… more
- Humana (Albany, NY)
- …on continuously improving consumer experiences. **Critical Skills** + Strong inclination to business operations and strategy with an ability to envision how ... The Senior Solutions Architect works with user groups to solve business problems with available technology including hardware, software, databases, and peripherals.… more
- Humana (Albany, NY)
- …with corporate development , IMO, and senior executives from IT and business . * Drive day-to-day execution of the cybersecurity remediation process within the ... diligence through integration efforts to Humana's IT M&A team, corporate development team and integration management office (IMO) on all growth opportunities… more
- Cardinal Health (Albany, NY)
- …legal advice and services in order to protect the organization's assets, operations and image. This function provides legal counsel related to commercial, corporate ... all company legal matters, manages outside counsel and manages legal operations . Commercial Transaction provides legal advice, counsel and services to domestic… more
- Humana (Albany, NY)
- …managing supplier performance and relationships and driving additional value for the business . This leader is also responsible for becoming a trusted advisor to ... stakeholders, ensuring strong alignment. Finally, this leader will partner with business leadership in Humana's segments to drive enterprise-wide value. + Develop… more
- Humana (Albany, NY)
- …and development of operational KPIs and metrics; + Disaster recovery/ business continuity integration; + Continuous knowledge and skills improvement; + WAN ... growth studies to determine impact on cloud network capacity and development plan projections. Begins to influence department's strategy. Makes decisions on… more
- Humana (Albany, NY)
- …directly into the Director of IT Procurement and will lead the development of category strategies, design sourcing plans, oversee negotiations, implement contracts, ... key functional leaders. This leader will also partner with business and sourcing leadership in Humana's business ...determining the best course of action. + Lead the development of category strategies based on sourcing profession best… more
- Humana (Albany, NY)
- …and development of new responsibilities to align with shifting business priorities **Develop, maintain, and monitor KPIs** + Work with enterprise partners ... support Provider Engagement, Quality/Stars, Interoperability, and Medicare Risk Adjustment (MRA) business levers. This role calls for a dynamic leader capable of… more
- St. Mary's Healthcare (Amsterdam, NY)
- …private carriers, to achieve the maximum financial return for the organization. Operations : Provides leadership in the day-to-day operations of risk management, ... assigned areas; guides subordinate leaders in the selection, hiring, training and development of staff. Consults with Human Resources to develop programs and… more
- Public Consulting Group (Albany, NY)
- …provide input for improvement by implementing relevant agile * Lead in business development activities and participate in proposal writing **Qualifications** ... Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies… more
- Humana (Albany, NY)
- …optimization and support of our mainframe platform which forms the backbone of our business operations . + Provide deep technical expertise on z/OS, JES2, JCL, ... and security of our critical mainframe systems that underpin our critical business applications. **Responsibilities:** + Lead and oversee the design, implementation,… more
- Elevance Health (Latham, NY)
- …assurance, investigative sufficiency, and case data management; and direction of day-to-day operations as assigned by management. + Through use of appropriate system ... regarding findings. + Assists management and provides recommendation in support of the development of policy and/or procedures to prevent loss of company assets. +… more
- Ellis Medicine (Schenectady, NY)
- …comply with evidence based practice. + Oversees and supervises Physician business relationships, including initiation, development , and monitoring of all ... progression of care. + Demonstrates the organization's commitment to sound ethical business practices as directed by the Corporate Compliance Office and approved by… more
- Humana (Albany, NY)
- …responsibility for multiple project teams + Possess a solid understanding of operations , technology, communications and processes + Six Sigma certification + ITIL ... charity matching program + Network Resource Groups (NRGs) + Career development opportunities Work-At-Home Requirements To ensure Home or Hybrid Home/Office… more