- Humana (Santa Fe, NM)
- **Become a part of our caring community and help us put health first** The State Technology Lead understands departmental and IT organizational strategy and ... understanding the priorities of all delivery for their assigned state , supporting the business goals of the Medicaid...remain organized and aligned with delivery goals. + Guides Medicaid Technology Solutions teams in developing technical… more
- Humana (Santa Fe, NM)
- …department(s). The Associate Director, Procurement complies with federal and state regulatory guidelines. Reconciles purchases with invoices from vendors, validates ... complex technical and operational problems within department(s), and could lead multiple managers or highly specialized professional associates. Responsibilities +… more
- Humana (Santa Fe, NM)
- …caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness ... data changes on actuarial models, reporting tools, and financial results. Lead and manage data-related projects from scoping through post-production validation,… more
- Humana (Santa Fe, NM)
- …that is frequently engaged to support efforts outside of Finance. The Technology Implementation Lead gathers and documents business system and functional ... strategy, application experience, project delivery, and governance between the corporate technology and business teams, primarily in support of enterprise Finance.… more
- Humana (Santa Fe, NM)
- …companies and in the development and implementation of IT integration plans. The Lead , M&A IT Integration drives end-to-end technology integration activities for ... Planning & Execution** + Conduct baseline assessments of people, processes, and technology across acquired clinics. + Build integration plans, tasks, milestones, and… more
- Humana (Santa Fe, NM)
- …a part of our caring community and help us put health first** The Lead , Technical Product Owner requires someone known for creative problem solving. This role solves ... that support quality measurement, reporting, and compliance. **Key responsibilities:** + ** Technology strategy and roadmap of Business and Data Products:** Define… more
- Humana (Santa Fe, NM)
- …when needed + Coordinates establishing connections to SFTP sites in collaboration with the State Technology Market Lead + Coordinates resolution of resolving ... of our caring community and help us put health first** The Technology Solution Implementation Professional delivers new technological solutions to meet business… more
- Humana (Santa Fe, NM)
- …available technology including hardware, software, databases, and peripherals. The Lead Solutions Architect works on problems of diverse scope and complexity ... **Become a part of our caring community and help us put health first** The Lead Solutions Architect works with user groups to solve business problems with… more
- Humana (Santa Fe, NM)
- …community and help us put health first** As an Enterprise Transformation Lead within Humana's Shared Services organization supporting the Insurance Segment, you will ... influence accountability, foster continual improvement, and align people, processes, and technology with organizational objectives. As a subject matter expert, you… more
- Humana (Santa Fe, NM)
- …and help us put health first** We are seeking a dynamic and strategic Lead Anaplan Architect to own and evolve our enterprise-wide Anaplan platform across both ... and HR business processes, and the ability to architect and lead end-to-end solutions-from business requirements through configuration, integration, security, and… more
- Humana (Santa Fe, NM)
- …Segment team is an entrepreneurial, multi-functional team within Humana's Medicare and Medicaid business unit. The team is focused on driving industry leading ... this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making...Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more
- Humana (Santa Fe, NM)
- …our caring community and help us put health first** The Anaplan Implementation Lead delivers new technological solutions to meet business needs within a specified ... scope while aligned to enterprise objectives. The Anaplan Implementation Lead works on problems of diverse scope and complexity ranging from moderate to substantial.… more
- Humana (Santa Fe, NM)
- …part of our caring community and help us put health first** At Humana, a Lead Enterprise Architect is a seasoned IT professional who is a good listener, strategic ... business strategy and providing pragmatic ways to deliver through technology . This architect plays a crucial role in shaping...Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more
- Humana (Santa Fe, NM)
- …help us put health first** The Strategy and Visualization team with Humana's Medicaid Business intelligence organization solves complex data and process gaps to help ... actionable operational insights. We support innovation and governance across Medicaid 's reporting ecosystem, ensuring that analytics, automation, and visualization… more
- Public Consulting Group (Santa Fe, NM)
- …strategic goals to serve the public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and ... sector. To learn more, visit www.publicconsultinggroup.com . Collaborating with our Technology Consulting team, you will help organizations streamline operations and… more
- Humana (Santa Fe, NM)
- …additional license, if required. + No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements. + Excellent ... of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/… more
- Humana (Santa Fe, NM)
- …between company records and the records of Center for Medicare and Medicaid Services. The Billing & Reconciliation Representative 2 performs varied activities and ... found during reconciliation, and provides appropriate plans that will lead to their resolution. + Provides exceptional customer service,...Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more
- Humana (Santa Fe, NM)
- …Principal coordinates, implements, and manages oversight of the company's Medicare/ Medicaid Stars Program for aligned areas. The Stars Improvement Principal ... collaboration to maximize impact across all operational areas. + Lead and support the design, implementation, and optimization of...Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more
- Public Consulting Group (Santa Fe, NM)
- …expected to become familiar with education leaders as well as the issues that state and local education agencies are grappling with. This candidate will be evaluated ... a consultative approach to understanding and solving complex problems faced by state and local education agencies. The successful candidate will be responsible for… more
- Sumitomo Pharma (Santa Fe, NM)
- …receive RETHYMIC in a timely manner. This person will deliver product, disease state and resource education to payers and policymakers to expand their understanding ... various payers (commercial and government payers to include FFS and Managed Medicaid ) and remove reimbursement barriers to treatment + Build and maintain strong… more