- Humana (Nashville, TN)
- …interpretation and independent determination of the appropriate courses of action. The Finance Professional 2 will support Medicaid /Duals and continue ... caring community and help us put health first** The Finance Professional 2 analyzes and forecasts financial,...membership, and premium related data to provide reports to Medicaid Finance CFOs as well as assist… more
- CenterWell (Nashville, TN)
- …financial data driven methods to develop and influence drug strategies for the Medicaid lines of business. + Utilizes broad understanding of pharmacy, managed care, ... PBM, market and regulatory insights to support the development of Medicaid formulary and medical drug strategies to mitigate Humana's costs and trend while improving… more
- Humana (Nashville, TN)
- …from the data exchange between Humana and its trading partners, Medicare and Medicaid . The Senior Encounter Data Management Professional will work with ... and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation of… more
- Prime Therapeutics (Nashville, TN)
- …flows, process change and/or project management in supporting Compliance with Medicaid requirements. + Provide direct, or indirect leadership to other compliance ... + Advise internal clients regarding compliance with State and Federal Medicaid regulatory and contractual requirements + Provides leadership to the business… more
- Elevance Health (Nashville, TN)
- …Amerigroup, is a proud member of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services ... to Medicaid plans in partnership with blue cross blue shield...minimum of 10 years of experience in healthcare operations, finance , underwriting, actuary, network development, and/or sales; or any… more
- Elevance Health (Nashville, TN)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement II** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services).… more
- Humana (Nashville, TN)
- …& Clinical Innovation + Corporate Strategy & Transformation Office + Medicare & Medicaid Market Operations + Provider Relations & Network Performance + Marketing & ... Customer Engagement (including MarketPoint) + Finance , Accounting & Risk Management + Human Resources &...in a Master of Business (MBA) or other advanced professional degree (eg MPH, MD, JD, Ph.D.), with a… more
- Humana (Nashville, TN)
- …couple years' experience with stakeholder management (strategy/operations at a top-tier consulting/ professional services firm) or has a successful track record at a ... banking, private equity/venture backed scaling company, corporate/business unit strategy, or finance , + Strong problem-solving skills and the ability to perform… more
- Humana (Nashville, TN)
- …to detail and organizational skills. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions ... Work is managed and often guided by precedent and/or documented procedures/regulations/ professional standards with some interpretation. **Use your skills to make an… more
- Humana (Nashville, TN)
- …directly collaborate with various business partners including initiative owners and finance stakeholders. Candidates pursuing this role should be passionate about ... of Actuaries (ASA) designation + Meets eligibility requirements for Humana's Actuarial Professional Development Program (APDP) + MAAA + Strong communication skills +… more
- Humana (Nashville, TN)
- …within departments and could lead multiple managers or highly specialized professional associates. The Associate Director will own the following responsibilities: + ... to Business Administration, Information Systems, Data Science, Data Management, Finance , Economics, or related field **Additional Information** Requires some nights… more