- Humana (St. Paul, MN)
- …of variable factors. Be a part of Membership & Plan Services (MPS) Product Management space with a focus on Medicaid Enrollment & Premium Reconciliation- Humana ... is going through. As part of the MPS Product Management team, the senior product manager will lead all...Manager plays a critical role in developing and managing Medicaid and Dual Eligible insurance products and services that… more
- Humana (St. Paul, MN)
- … partners and reducing unnecessary costs from the healthcare system. The Utilization Management Strategy Lead role works closely with internal and external ... business and the experiences we create for our members, provider partners & associates. We partner closely with our...value, and transforming ideas into action As the Utilization Management Strategy team, our mission sits at… more
- Humana (St. Paul, MN)
- …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 (St. Paul, MN)
- …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 (St. Paul, MN)
- …of our caring community and help us put health first** The Clinical Strategy and Practice Lead builds strategies for development, engagement, best clinical practices ... processes for clinical community within the enterprise. The Clinical Strategy and Practice Lead works on problems of diverse...**Use your skills to make an impact** + **Portfolio management ** - Assisting the leadership team to help ensure… more
- Humana (St. Paul, MN)
- …for an experienced candidate to drive our Clinical Artificial Intelligence (AI) Strategy focused on identifying, scoping, sizing, and prioritizing AI use cases. The ... ideal candidate will have a background in technology strategy , financial analysis, health plan operations, and a deep understanding of AI technologies. As an … more
- Humana (St. Paul, MN)
- …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 (St. Paul, MN)
- …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 (St. Paul, MN)
- …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
- The Cigna Group (Bloomington, MN)
- …for Coverage Review and Determinations for Medicare Part B and Part D, Medicaid , Marketplace or Healthcare Reform (HCR) and Commercial. This position will have ... of technical requirements to ensure ongoing compliance, Center for Medicare and Medicaid (CMS) Audit support and end-to-end ownership of Coverage Review letters,… more
- Organon & Co. (Minneapolis, MN)
- …collaborative Women's Health point of contact for Organon for the following: + State Medicaid & Managed Medicaid Plans + State FQHCs Administration and Policy ... + Group Purchasing Organizations (GPOs) not covered by RPAD. + Management Service Organization (MSO). + Independent Physicians Associations (IPAs). Discuss and… more
- Humana (St. Paul, MN)
- …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
- Sanofi Group (St. Paul, MN)
- …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
- Elevance Health (Mendota Heights, MN)
- …appropriate databases or other document management systems. + Handles Provider Contracting for Medicaid markets. **Minimum Requirements:** Requires Paralegal ... leading support staff and providing legal support services for multiple Medicaid states, enterprise-wide functions, and/or the most complex litigation through highly… more
- Pearson (St. Paul, MN)
- …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 (St. Paul, MN)
- …product management groups to obtain and exchange information + Provide clear, high standard of blameless, executive level/focused documentation - through problem ... and help us put health first** The Senior Problem, Incident and Event Management Engineer drives technical support teams to Root Cause Analysis post - recovery… more
- Humana (St. Paul, MN)
- …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 (St. Paul, MN)
- …caring community and help us put health first** The Senior Workforce Management Professional applies and integrates advanced and predictive analysis, people metrics ... insights for workforce decision-making (eg, staffing, learning and development, talent management , diversity and human resource compliance). The Senior Workforce … more
- Elevance Health (Mendota Heights, MN)
- …plan or a UM/benefits management firm. -Proven experience leading change management initiatives -Experience with Commercial, Medicaid , and Medicare lines of ... proud member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management leader in… more
- Humana (St. Paul, MN)
- …the perfect fit for our Enterprise Architecture team. Our mission is to align business strategy with technology strategy , and to harness the power of Data, AI, ... and ML, you will have a key role in connecting the business vision, the technology strategy , and the IT portfolio execution. You will help us optimize the use of our… more