- Humana (Dover, DE)
- …provides data-driven strategic guidance to deliver a consistent and best-in-class Provider Engagement function. The Strategy Advancement Advisor enhances ... **Become a part of our caring community and help us put health first** The Strategy Advancement Advisor plays a crucial leadership role that… more
- Humana (Dover, DE)
- …caring community and help us put health first** Come join our IT Strategy team! We design and activate strategies to address healthcare opportunities and challenges ... and members. Our team operates at the evolving and mission-driven intersection of strategy , technology, and healthcare. This role offers you the chance to help lead… more
- Humana (Dover, DE)
- …will join the Experience Transformation Voice & Conversational Product Team and will provide technical, program and project management support to help manage the ... variable factors. This role will be responsible for providing business/ strategy alignment, initiative prioritization, operational readiness, project management ,… more
- Humana (Dover, DE)
- …of our caring community and help us put health first** The Strategy Advancement Advisor provides business intelligence and strategic planning support for business ... or the company at large. The Financial Planning and Analysis, Strategy Advancement requires an in-depth understanding of how organization capabilities interrelate… more
- Humana (Dover, DE)
- …help us put health first** The Value-Based Programs Lead supports successful value-based provider relationships with a focus on improving the provider experience ... 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
- Humana (Dover, DE)
- …analyze public policy, develop positions, and draft deliverables supporting Humana business strategy . + Monitor and analyze state Medicaid trends. Contribute ... will serve as an expert in state public payer, Medicaid and dual eligible public policy while working with...and analyses to support enterprise positions and priorities. + Provide regulatory guidance, general issue management and… more
- Humana (Dover, DE)
- …community and help us put health first** The Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation ... of encounter submissions to Medicaid /Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data and develops tools to… more
- Humana (Dover, DE)
- …Cost Benefit Analysis on new vendor partners in partnership with product teams. + Provide input into the broader interoperability strategy . + Lead and develop a ... us put health first** At Humana, we are leading the industry in payer-to- provider interoperability and driving better outcomes for our providers and members. In this… more
- Pearson (Dover, DE)
- …curriculum offerings. Our schools, Connections Academy and Pearson Online Academy, provide a best-in-class online learning environment for K-12 students to acquire ... service. This position will work with Pearson Virtual School management and educational leaders within the various states online...role includes direct supervision of a team of OT provider **s** , including when necessary direct clinical services… more
- Humana (Dover, DE)
- …innovation of data products to present, transform, and distribute Medicare and Medicaid product data to better serve our associates, members, and enterprise ... to best serve seniors and low-income individuals through our Medicare and Medicaid businesses. The Senior Product Owner, Digital Benefits Experience, will contribute… more
- Humana (Dover, DE)
- …primary function of the role is to develop organized analytics, reports and data management to support Quality Improvement within the Medicaid product line. + ... resources. + The Senior Data and Reporting Professional influences Quality Improvement strategy . + May create specifications for reports necessary for the quality … more
- Humana (Dover, DE)
- …network capacity and development plan projections. Begins to influence department's strategy . Makes decisions on moderately complex to more complex issues regarding ... network capacity and development plan projections. Begins to influence department's strategy . Makes decisions on moderately complex to more complex issues regarding… more
- Humana (Dover, DE)
- …Work with various stakeholders to build an enterprise alignment around technology strategy , standards, roadmaps, and terminology + Facilitate the creation of clear, ... concise and easy to access technology standards to provide engineering teams with tactical direction for achieving the enterprise tech strategy . + Clearly… more
- Humana (Dover, DE)
- …our caring community and help us put health first** The HQRI Provider Support Team (PST) Market Consultation/Partnership Professional 2 creates content and deploys ... training to provider facing associates on our market teams. The Market...with markets. This role understands department, segment, and organizational strategy and operating objectives, including their linkages to related… more
- Humana (Dover, DE)
- …necessary for final external delivery. Scope of work includes sales strategy collaboration, capture management , proposal development, submission, and follow-up ... The Senior Proposal Development Professional assumes a hybrid Project Management /Proposal Writing/Content Curation role on a consistent scale for mid-to-large… more
- Humana (Dover, DE)
- …Training programs may include, but not be limited to, Pre-Certification, Care Management , Utilization Management , and/or Compliance. + Plans, coordinates, and ... appropriate cases for training. + Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. +… more
- Humana (Dover, DE)
- …network capacity and development plan projections. Begins to influence department's strategy . Makes decisions on moderately complex to more complex issues regarding ... resiliency, availability, resource utilization and innovation. This person will provide cloud network design, engineering and administrative support of both… more
- Wolters Kluwer (Dover, DE)
- …data and solutions that support Payers, PBMs, Life Sciences and Medicare/ Medicaid programs. **Wolters Kluwer Health** is an established, fast-growing, and ... lifecycle model + Manage existing products for your product domain areas, provide data-driven decisions, prioritize new investments and tradeoffs and grow the… more
- Highmark Health (Dover, DE)
- … Provider facing or health system/practice experience + Vendor Management experience **SCOPE OF RESPONSIBILITY** Does this role supervise/manage other employees? ... groups to achieve a coordinated benefit. **ESSENTIAL RESPONSIBILITIES** + Work with management to assemble project teams and work groups to produce deliverables… more
- Humana (Dover, DE)
- …of our caring community and help us put health first** Humana's Clinical Strategy and Analytics (CS&A) Team is seeking a Research Scientist 2 (Remote). Healthcare ... members are living longer, often with more chronic conditions. The Clinical Strategy & Analytics team identifies opportunities and build solutions to improve… more