- Amazon (San Francisco, CA)
- …Program Leadership: - Lead initiatives to improve the quality of care delivered for Senior Health, as measured by HEDIS, Medicare Advantage Stars, ACO REACH, and ... Description We are seeking an experienced Clinical Quality Manager for Senior Health to join Amazon One Medical. Reporting directly to the National Leader for… more
- Elevance Health (Grand Prairie, TX)
- ** Medicare Risk Adjustment Advanced Analyst Senior ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... and adaptable workplace. Alternate locations may be considered. The ** Medicare Risk Adjustment Advanced Analyst Senior ** is...strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- CVS Health (Columbus, OH)
- …Medicare knowledge **Education** . Bachelor's degree preferred/specialized training/relevant professional qualification **Pay Range** The typical pay range for ... with heart, each and every day. **Position Summary** Contributes to the Medicare Dental product portfolio, conducting market analysis and driving new product… more
- Humana (Louisville, KY)
- **Become a part of our caring community and help us put health first** The Senior Real Estate Strategy Professional recommends, plans, and executes site ... building and grounds maintenance, and facility expansion or improvement projects. The Senior Space Planning & Strategy Professional work assignments… more
- Humana (Frankfort, KY)
- …of our caring community and help us put health first** The CenterWell Strategy Senior Consultant provides data-based strategic direction to support broader team ... or data requires an in-depth evaluation of variable factors. As a CenterWell Strategy Senior Consultant, you will support the central CenterWell Strategy… more
- Organon & Co. (Plymouth Meeting, PA)
- …a highly skilled and experienced professional to join our team as the Senior Specialist of Contract and Reimbursement Strategy . This role is essential in ... in facility and healthcare provider reimbursements by payer type, including commercial, Medicare , and Medicaid. The role will also support the development of a… more
- Molina Healthcare (San Antonio, TX)
- …functional field of knowledge although they may have technical team members. Senior Program Management professional . Responsible for overall governance across ... gaps and barriers in implementation and compliance to AVP, VP and senior management + Consultative role, develops business case methodologies for programs, develops… more
- WTW (Fort Lee, NJ)
- …and know that our people are always the source of our success. **The Video Strategy Senior Manager** will serve as the strategic and operational leader of ... leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage, Medicare Supplement and Life & Supplemental… more
- CVS Health (Lansing, MI)
- …and every day. **Position Summary** The Sr Manager, Behavioral Health Partner Innovation Strategy will report to strategy & product within Aetna's Mental ... be responsible for coordinating across various functional partners to support the strategy and execution of new and existing strategic partnerships. This includes… more
- Humana (Charleston, WV)
- …between Humana and its trading partners, Medicare and Medicaid. The Senior Encounter Data Management Professional will work with department leadership, ... a part of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful… more
- Humana (Indianapolis, IN)
- …an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional , you will deconstruct issues and challenges, ... company's total revenue and earnings. Team members partner with senior leaders of the business unit, and more broadly...initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy , leading the development… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Senior Financial Analytics Professional manages data to support and influence decisions on ... operations, strategic planning and specific business performance issues. The Senior Financial Analytics Professional work assignments involve moderately… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Senior Consumer Service Operations Professional is responsible for the daily activities across ... multiple service functions area. The Senior Consumer Service Operations Professional work assignments involve moderately complex to complex issues where the… more
- Elevance Health (St. Louis, MO)
- …Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare...strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Humana (Boston, MA)
- …interventions. Location: remote or if near Louisville hybrid The Program Delivery Senior Professional is responsible for overseeing the successful definition and ... Assessment of Healthcare Providers & Systems) team is looking for a Senior Program Delivery Professional to strategically identify, develop, and implement… more
- Humana (Louisville, KY)
- …a part of our caring community and help us put health first** The Senior Financial Planning and Analysis Professional analyzes and forecasts financial, economic, ... provide accurate and timely information for strategic and operational decisions. The Senior Financial Planning and Analysis Professional work assignments involve… more
- Humana (Lansing, MI)
- …a part of our caring community and help us put health first** The Senior Data and Reporting Professional (Medicaid - Michigan) generates ad-hoc reports and ... queries and scripts supporting Humana's Michigan Medicaid plan network optimization. The Senior Data and Reporting Professional integrates data from multiple… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Senior Data and Reporting Professional generates ad hoc reports and regular datasets ... using system tools and database or data warehouse queries and scripts. The Senior Data and Reporting Professional work assignments involve moderately complex to… more
- Humana (Nashville, TN)
- …part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... Health contracts and agreements within the Virginia Medicaid space. The Senior Provider Contracting Professional work assignments involve moderately complex… more
- Humana (Indianapolis, IN)
- …a part of our caring community and help us put health first** The Senior Quality Compliance Professional completes annual quality reviews and research. The ... Senior Quality Compliance Professional work assignments involve moderately complex to complex issues...data in supplemental data base. Begins to influence department's strategy . Makes decisions on moderately complex to complex issues… more