- Humana (Pierre, SD)
- **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 (Pierre, SD)
- …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 (Pierre, SD)
- …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 (Pierre, SD)
- …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 (Pierre, SD)
- …community and help us put health first** The Encounter Data Management Lead supports the Encounter Data Management team within the Healthcare Quality Reporting ... for ensuring the accurate and timely submission of encounter data to Medicaid , Medicare, and DSNP states, while maintaining adherence to all regulatory requirements.… more
- Humana (Pierre, SD)
- …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 (Pierre, SD)
- …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 (Pierre, SD)
- …a part of our caring community and help us put health first** The Lead , Data Quality/Integrity understands end-to-end master data processes and flows and uses that ... knowledge to design and implement master data management solutions. The Lead , Data Quality/Integrity works on problems of diverse scope and complexity ranging from… more
- Humana (Pierre, SD)
- …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 (Pierre, SD)
- …Responsibilities** : + Responsible for end to end market support for assigned Medicaid markets to ensure markets achieve their VBP contract requirements and market ... VBP models or changes to existing VBP models + Coordinate internally with Medicaid VBP model design, contracting, and operations and analytics teams to prepare for… more
- Public Consulting Group (Pierre, SD)
- …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 (Pierre, SD)
- …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 (Pierre, SD)
- …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 (Pierre, SD)
- …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
- Humana (Pierre, SD)
- …a role in defining/implementing cloud architecture, mentoring team members on cloud technology and working with our enterprise groups to implement proper standards. ... to make an impact** **Required Responsibilities:** + **Experience as a Lead Solutions Architect involving large scale cloud contact center experience solutions… more
- Sumitomo Pharma (Pierre, SD)
- …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
- Cardinal Health (Pierre, SD)
- …get life-changing therapies to patients who need them-faster** Are you ready to lead change at the forefront of healthcare innovation in patient access and support? ... and performance indicators to ensure long-term success. . Identify risks and lead proactive mitigation strategies to keep business and AI transformation momentum… more
- Humana (Pierre, SD)
- …with cross-functional teams to advance business goals and support modern technology initiatives. **Job Description Summary:** Humana is seeking a seasoned NoSQL ... with cross-functional teams to advance business objectives and support modern technology initiatives. **What you'll do:** Design, implement, and optimize NoSQL… more
- Humana (Pierre, SD)
- …+ Must be able to travel up to 50% of the time + Ability to lead a team of sales associates and train them in successful sales techniques, educational presentation ... skills, utilizing technology tools as well as building relationships with communities...and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability… more
- Humana (Pierre, SD)
- …efficiency across the organization. You will collaborate with business and technology stakeholders to deliver high-impact projects and support Humana's strategic AI ... conception to completion. + Proficient in Agile/Scrum methodologies; experience performing lead engineer duties within agile teams. + Solid understanding of… more