- Humana (Oklahoma City, OK)
- …our organization's standing within the Medicaid markets. **Complex Ad-Hoc Requests:** The Data and Reporting Professional 2 will address complex ad-hoc ... caring community and help us put health first** The Medicaid Data and Reporting Analyst...operating objectives, including their linkages to related areas. The Data and Reporting Professional 2… more
- Humana (Oklahoma City, OK)
- …a part of our caring community and help us put health first** The Medicaid Process Improvement Professional 2 is responsible for analyzing and evaluating the ... and regulatory standards. Assignments are varied and often require interpretation of Medicaid -specific policies and data . The role demands independent judgment… more
- Humana (Oklahoma City, OK)
- …of our caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and ... Requires strong project management skills to evaluate the downstream impacts of data changes on actuarial models, reporting tools, and financial results.… more
- Humana (Oklahoma City, OK)
- …and Medicaid program requirements to drive accurate and timely submissions. The Senior Data and Reporting Professional integrates data from multiple ... operations across multiple states. This role ensures compliance with state-specific Medicaid reporting implementations and requirements, will collaborate with… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** The Senior Data & Reporting Professional tests the overall network in each county of ... requires an in-depth evaluation of variable factors. The Senior Data & Reporting Professional begins...Adequacy requirements and process optimization, primarily focusing on the Medicaid line of business, with a deep understanding of… more
- Humana (Oklahoma City, OK)
- …contracting requirements and data integrity as required in the Ohio Medicaid Provider Agreement and internal reporting compliance. This role will support ... contracting governance, process development, and data governance Ohio Medicaid , including developing contracting requirements, internal reporting compliance… more
- Humana (Oklahoma City, OK)
- … requires an in-depth evaluation of variable factors. The Senior Workforce Management Professional plays a pivotal role in supporting Medicaid Inpatient and ... community and help us put health first** The Senior Workforce Management Professional applies and integrates advanced and predictive analysis, people metrics and … more
- Humana (Oklahoma City, OK)
- …model designs including analyzing provider performance, reporting , and scorecard/reconciliation reporting . + Understanding of Medicaid and/or Medicaid ... first** Humana Healthy Horizons is seeking a Senior Value-Based Programs professional who will support successful value-based provider relationships with a focus… more
- Humana (Oklahoma City, OK)
- …our caring community and help us put health first** The Senior Agency Management Professional provides support for handling and analyzing data that pertains to ... determination of the appropriate courses of action. The Senior Agency Management Professional provides support for handling and analyzing data that pertains… more
- Humana (Oklahoma City, OK)
- …caring community and help us put health first** The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and ... reporting to develop strategic and operational insights for workforce...management, diversity and human resource compliance). The Workforce Management Professional 2 work assignments are varied and frequently require… more
- Humana (Oklahoma City, OK)
- …and help us put health first** The IHWA Follow-up Senior Program Delivery Professional provides daily operational support to programs that impact members' lives by ... promoting preventive health activities. The IHWA Follow-up Senior Program Delivery Professional works on problems of diverse scope and complexity ranging from… more
- Humana (Oklahoma City, OK)
- …ranging from moderate to substantial. The Actuary, Analytics/Forecasting supports centralized reporting of external data sharing, oversees internal reporting ... The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and… more
- Humana (Oklahoma City, OK)
- …Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and ... operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and… more
- Humana (Oklahoma City, OK)
- …The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and ... operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and… more
- Humana (Oklahoma City, OK)
- …The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and ... operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and… more
- Humana (Oklahoma City, OK)
- …Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational ... decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence....used within our Individual Medicare Advantage pricing and internal reporting process. This includes: + Helping make and test… more
- Humana (Oklahoma City, OK)
- …The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and ... operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and… more
- Humana (Oklahoma City, OK)
- …and executing the risk adjustment strategy for each provider groups. + Analyzes data and reporting and provides educational sessions with providers aimed at ... make an impact** **Required Qualifications** + AAPC CPC (Certified Professional Coder) Certification + 2 or more years of...knowledge of MS Word, Excel and PowerPoint + Analyzing Data to drive process improvement + Experience with public… more
- Cardinal Health (Oklahoma City, OK)
- …investigations to resolve ethics and compliance issues. **Compliance Audit Manager** Reporting to the Compliance Director, this position supervises and manages ... compliance audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services. This position will… more
- Allied Universal (Oklahoma City, OK)
- …Desktop Inspectors and other PEO SVS operational staff for the execution and reporting of site visit inspection performance. + Professional attire, demeanor, and ... inspector will perform site visit inspection services for Medicare and Medicaid providers/suppliers in accordance with established requirements. The Inspector works… more