- Centers Plan for Healthy Living (Staten Island, NY)
- …: The Medicare MAP Advisor- Will promote and sale MAP and Medicare Line of Business , maintains relationships, services our existing customers and secures ... LHCSA's + Develops and nurtures relationship with prospective members, community leaders, owner hospitals, community partners and current business partners. +… more
- Healthfirst (NY)
- …saved. + Reviews the Disclaimer Bank and communicates disclaimer updates to the business owner . + Works collaboratively with Regulatory Affairs Managers and ... approvals of material reviews in HPMS. + Actively participates in the annual Medicare Go to Market process , including working with internal stakeholders on… more
- Humana (Dover, DE)
- …of our caring community and help us put health first** The Senior Product Owner (Medicaid) is responsible for conveying product vision and roadmap to an Agile ... by defining user stories and prioritizing product backlog. The Senior Product Owner work assignments involve moderately complex to complex issues where the analysis… more
- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Senior Product Owner is responsible for conveying product vision and roadmap to an Agile delivery team ... by defining user stories and prioritizing product backlog. The Senior Product Owner work assignments involve moderately complex to complex issues where the analysis… more
- Humana (Baton Rouge, LA)
- …part of our caring community and help us put health first** The Lead Product Owner is responsible for conveying product vision and roadmap to an Agile delivery team ... user stories and prioritizing product backlog. The Lead Product Owner works on problems of diverse scope and complexity...(EST) hours **Virtual Pre-Screen** As part of our hiring process for this opportunity, we will be using an… more
- Molina Healthcare (Albany, NY)
- …* Demonstrated skill in root-cause triage that routes each complaint to the correct business owner on first touch. 2. Resolution Quality & Compliance Mastery * ... CTM work * Demonstrated success leading joint roadmaps for process upgrades and new CMS requirements-e.g., CTM file-exchange or...best practices and embed them across multiple lines of business * Comfortable building business cases and… more
- Humana (Louisville, KY)
- …impact the business / members + Deliver meaningful analysis that drives the business forward + Provide input to process improvement + Provide support to ... caring community and help us put health first** The Senior Technical Product Owner is responsible for defining and delivering on the roadmap for the optimization,… more
- RVO Health (New York, NY)
- **AT A GLANCE** RVO Health is looking for a Senior Product Manager - Medicare to play a key role in shaping innovative multi-channel customer journeys and enhancing ... KPIs, implement enhancements, and drive continuous improvements. + Create and present business updates and demo materials for internal and external stakeholders. +… more
- Centers Plan for Healthy Living (Brooklyn, NY)
- …+ Develops and nurtures relationship with prospective members, community leaders, owner hospitals, community partners and current business partners. + ... all equipment issued by Centers Plans for Healthy Living Advantage Care Medicare HMO Plan. Enrollment application process + Ensures prospective members… more
- Humana (Columbus, OH)
- …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...is a joint venture among three stakeholders: Humana (majority owner ), Main Line Health System, and Jefferson Health System.… more
- LA Care Health Plan (Los Angeles, CA)
- …ensure alignment with project goal(s). Coordinate cross-project activities. Partners with Business Owner (s) to develop communications plan, test plan, training ... key performance indicator (KPI) metrics and reports for all three lines of business (Commercial, Medicare and Medi-Cal). The Program Manager II standardizes… more
- Prime Therapeutics (Indianapolis, IN)
- …fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business ... Development Life Cycle (SDLC) methodology employed by Prime and partnering with the business , IT, and other project stakeholders to elicit, define, and document the… more
- Prime Therapeutics (Richmond, VA)
- …of business (Employer Markets, Health Insurance Marketplace (HIM), Commercial, Medicare , and Medicaid). This individual is the primary relationship and contract ... owner for their assigned account/s and oversees a cross-functional...account management team, including representation across all lines of business , and key departments such as clinical, trade, and… more
- The Cigna Group (St. Louis, MO)
- …the capabilities they own. **Position Details:** + Serve as the Regulated Markets business owner for specific capabilities + Lead large initiatives for Regulated ... **Product Management Senior Advisor - Medicare Solutions, Express Scripts** **Description of Position:** + The Product Management Senior Advisor provides leadership… more
- CVS Health (Olympia, WA)
- …candidate may reside anywhere in US** **Position Summary** The Manager (109), Product Owner (PO) is responsible for leading the Medicare innovation product ... Vision, Strategy, and Roadmaps (10%) + Develop a deep understanding of the Medicare innovation strategy and initiatives + Provides clarity of the product vision,… more
- Alight (IN)
- … Owner (s) to manage and prioritize the product backlog. + Liaisons between Business Product Owner (s) and Technology Development team(s). + Leads business ... Alight. Learn more at careers.alight.com (https://careers.alight.com/us/en) . Alight is hiring a Business Technical Analyst / Scrum Master to join our Retiree Health… more
- CVS Health (Frankfort, KY)
- …an IT team. This role will be responsible for: + Serving as the business owner for eligibility processes across special programs, ensuring alignment with ... and business justifications. + Supporting departmental goals of maintaining process controls, adhering to benefit and program policies and procedures, and ensure… more
- General Dynamics Information Technology (Fairfax, VA)
- …depends on a Sr. Salesforce Developer joining our team to support Centers for Medicare & Medicaid Services (CMS) activities. This position is 100% remote with work ... Search language (SOQL and SOSL). + Support the Product Owner in gathering requirements by providing solution options and...SOQL, and SOSL etc. + Lead the complete development process from requirement analysis to deployment. + Review and… more
- Highmark Health (Pittsburgh, PA)
- …and results-oriented Director, Sales Solution Architect for enGen healthcare technology business . This critical role will generate growth through sales and ... in Presales: Serve as the technical lead in the presales process , guiding the development of compelling proposals, customized demonstrations, and persuasive… more
- Waystar (Atlanta, GA)
- …+ Unit tests all changes on development, and then works with the appropriate Business and/or Technology Owner (s) to ensure that the developed solution meets the ... are responsible for working with the Technology and the Business teams to design, build, and implement amazing web...teams to design, build, and implement amazing web and process applications. These Team Members are also charged with… more