• Strategy Advancement Advisor

    Humana (Boise, ID)
    …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 (04/17/24)
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  • Strategy Advancement Advisor

    Humana (Boise, ID)
    …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 (04/19/24)
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  • Director, Strategy Advancement

    Humana (Boise, ID)
    …best practice implementation of project management , process improvement, change management , and learning and design capabilities + Provide leadership, ... The Director, Enterprise Transformation directs and oversees a team of project management , process improvement, change management , and learning and design… more
    Humana (04/20/24)
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  • Senior Strategy Advancement Professional…

    Humana (Boise, ID)
    …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 (04/12/24)
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  • Strategy Advancement Advisor

    Humana (Boise, ID)
    …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 (03/09/24)
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  • Value Based Programs Lead

    Humana (Boise, ID)
    …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 (04/18/24)
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  • Director Public Policy, State Affairs

    Humana (Boise, ID)
    …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 (02/15/24)
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  • Encounter Data Management Professional

    Humana (Boise, ID)
    …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 (04/12/24)
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  • Director, Interoperability Performance…

    Humana (Boise, ID)
    …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
    Humana (04/12/24)
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  • Product Management Lead

    Humana (Boise, ID)
    …directly with customers, business owners, industry organizations and solution management to ensure solutions deliver tangible business value. Responsibilities ... align outcomes to product roadmap, portfolio vision, and enterprise strategy . + Collaborate with the Product Owners of the...with the Product Owners of the delivery teams to provide accurate business context and ensure successful delivery. +… more
    Humana (04/20/24)
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  • Head, Trade and Channel Management

    Sanofi Group (Boise, ID)
    …to Net impact and supply chain efficiency. + Manage a team across channel strategy , and contracting, site activation, and account management to create and ... **Head of US Trade & Channel Management ** **Reports To: Head, Specialty Care, Market Access**...to inform effective customer strategies. + Lead the channel strategy function, defining distribution and negotiation strategy more
    Sanofi Group (04/19/24)
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  • HEDIS Senior Data and Reporting Professional

    Humana (Boise, ID)
    …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 (03/15/24)
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  • Senior Network Engineer - Cloud Solutions

    Humana (Boise, ID)
    …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 (03/20/24)
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  • Market Consultation/Partnership Professional

    Humana (Boise, ID)
    …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 (04/17/24)
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  • Senior Proposal Development Professional

    Humana (Boise, ID)
    …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 (04/17/24)
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  • Director, Specialty Clinical Solutions- PharmD/RPH…

    Prime Therapeutics (Boise, ID)
    …Summary** Responsible for support and development of Medical Pharmacy program strategy as part of the Medical Pharmacy Business Development team. Responsible ... to assume leadership of projects as assigned by VP, Medical Pharmacy Strategy . **Job Description** Job Profile Summary Responsible for support and development of… more
    Prime Therapeutics (04/12/24)
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  • Sr Dir Star Rating & Quality COE - Remote

    Prime Therapeutics (Boise, ID)
    …ratings and measurable results. + Develop a comprehensive Medicare Star Ratings and CAHPS strategy that meets the needs of clients to attract and retain members and ... product / program development for Prime's Government Programs book of business. Provide strategic consultation and solutions to our clients that delivers on client's… more
    Prime Therapeutics (03/30/24)
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  • Lead Technology Product Manager - Commercial Drug…

    Wolters Kluwer (Boise, ID)
    …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
    Wolters Kluwer (03/24/24)
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  • Lead Cloud Solutions Engineer - Network

    Humana (Boise, ID)
    …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
    Humana (03/16/24)
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  • Program Manager Risk Adjustment

    Highmark Health (Boise, ID)
    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
    Highmark Health (04/10/24)
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