• Medicaid Lead , Technology

    Humana (Columbus, OH)
    …diverse scope and complexity ranging from moderate to substantial. **Role Description** The Medicaid Lead , Technology Solutions builds strategic ... caring community and help us put health first** The Lead , Technology Solutions devises an...IT strategy. **Responsibilities** + **This State Technology Lead role will exclusively cover the Ohio Medicaid more
    Humana (04/18/25)
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  • Capture Lead , Medicaid Health Plan…

    Humana (Columbus, OH)
    …a part of our caring community and help us put health first** The Capture Lead , Medicaid Health Plan Configuration and Member Strategy will lead initiatives ... frameworks to maximize ability of limited resources to achieve growth The **Capture Lead , Medicaid Plan Configuration and Member Strategy** will lead more
    Humana (07/03/25)
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  • Lead Technology Leader - Humana…

    Humana (Columbus, OH)
    **Become a part of our caring community and help us put health first** The Lead Technology Leader for Humana Military will support the technology planning ... a deep understanding of the healthcare industry and government regulations. The Lead Technology Leadership Progressional works with design engineering and test… more
    Humana (06/25/25)
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  • Lead AI Solutions Architect

    Humana (Columbus, OH)
    **Become a part of our caring community and help us put health first** The Lead Solutions Architect is an opportunity to join the Enterprise AI team within ... platforms, analytics, and agile development methodologies. We are seeking a talented Lead Solutions Architect with experience building generative AI systems in… more
    Humana (06/11/25)
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  • Lead Product Owner, MRM

    Humana (Columbus, OH)
    **Become a part of our caring community and help us put health first** The Lead Product Owner is responsible for conveying product vision and roadmap to an Agile ... by defining user stories and prioritizing product backlog. The Lead Product Owner works on problems of diverse scope...business owners and own the end-to-end delivery of technical solutions ensuring all parties involved are aligned with the… more
    Humana (07/02/25)
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  • Principal Solutions Architect - Humana…

    Humana (Columbus, OH)
    …health first** The Principal Solutions Architect in Humana Military will lead future technology strategy and support model for the Veterans Administration ... enterprise. **Key Responsibilities:** **Solution Design and Architecture** + Develop technology strategy and roadmaps + Lead the...Develop, buy, partner, or build options and recommendations for technology solutions + Ensure solutions more
    Humana (06/25/25)
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  • Analyst Case Management

    CVS Health (Columbus, OH)
    …are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital ... Summary** Join our Aetna care management team as we lead the way in providing exceptional care to dual...(DSNP) members, who are enrolled in both Medicare and Medicaid . As a member of the care team, you… more
    CVS Health (06/28/25)
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  • Senior Enterprise Architect, EA Practices

    Humana (Columbus, OH)
    …**Leadership in Coordination:** Experience in coordinating Q&A sessions with Security and Lead Architects to align technology strategies and address key ... overarching goals. In your role, you will have the opportunity to lead transformational projects that redefine our technological landscape. You will spearhead… more
    Humana (07/02/25)
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  • Manager, Risk Adjustment Analytics

    Datavant (Columbus, OH)
    …challenge of tackling some of healthcare's most complex problems with technology -forward solutions . Datavanters bring a diversity of professional, educational ... success will include a curiosity in creating efficient analytic solutions that utilize a wide array of technology...team. **What you will do** : + Set and lead the day-to-day work of their direct reports with… more
    Datavant (06/12/25)
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  • Member Service Specialist Remote Seasonal Position…

    Trinity Health (Columbus, OH)
    …different way of thinking and perceiving our world and that these differences often lead to innovative solutions . Our dedication to diversity includes a unified ... colleagues in a wide variety of professional roles including information technology , financial analysis, audit, provider relations and more. **About the job:**… more
    Trinity Health (06/07/25)
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  • Vice President Client Engagement - Large Plan…

    Prime Therapeutics (Columbus, OH)
    …across Prime by regularly evaluating and influencing people, processes, and technology that directly, or indirectly impact our client relationships; collaborate with ... marketplace to influence the development and deployment of competitive market solutions + Provide leadership and extended client teams, ensuring adequate… more
    Prime Therapeutics (07/02/25)
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  • Broker Relationship Manager

    Humana (Columbus, OH)
    …+ Strong organizational, interpersonal, communication and presentation skills + Ability to lead and train a team of sales associates, utilize technologytools and ... High level of self-motivation and the ability to accomplish goals independently + Technology savvy laptop computers, cell phones and the ability to navigate mobile… more
    Humana (06/17/25)
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  • Product Manager, Risk Adjustment Analytics…

    Datavant (Columbus, OH)
    …challenge of tackling some of healthcare's most complex problems with technology -forward solutions . Datavanters bring a diversity of professional, educational ... and execution of analytics capabilities that power Datavant's risk adjustment solutions . You'll drive the development of robust, scalable, and actionable analytics… more
    Datavant (06/06/25)
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  • IPA Coding Associate Director

    CenterWell (Columbus, OH)
    …effectiveness of the divisional teams through use of people, processes, and technology enablement (including Annual Proof of Documentation (APD) tool) + Responsible ... with MRA and IPA Strategy Leaders to identify and influence enhancements to technology to improve the medical coder experience. + Oversees coding operations by… more
    CenterWell (04/24/25)
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  • Senior Enterprise Transformation Professional

    Humana (Columbus, OH)
    …interdependencies and integration of interrelated projects, and sets strategies to lead program execution that delivers long-term business value. Begins to influence ... Bachelor's degree + 5 or more years of technical experience (experience managing technology projects and/or basic knowledge of IT projects/programs) + 5 or more… more
    Humana (07/03/25)
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  • Coordinator - Appeals & Grievances - MediGold…

    Trinity Health (Columbus, OH)
    …different way of thinking and perceiving our world and that these differences often lead to innovative solutions . Our dedication to diversity includes a unified ... colleagues in a wide variety of professional roles including information technology , financial analysis, audit, provider relations and more. **Position Purpose:** ​… more
    Trinity Health (06/11/25)
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