- Humana (Albany, NY)
- …The focus of this role is Medicare Pharmacy and Part D. The Senior Compliance Professional will analyze business requirements, provide research and ... caring community and help us put health first** The Senior Compliance Professional ensures ...Compliance or Health Plan Operations + Familiarity with Medicare pharmacy laws or regulations **Additional Information** Interview Format… more
- CenterWell (Albany, NY)
- …part of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to identify and ... for business segments or the company at large. The Senior Strategy Advancement Professional work assignments involve...will be responsible for supporting the CenterWell ACO and Medicare payment model programs via the Center for … more
- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to identify and ... for business segments or the company at large. The Senior Strategy Advancement Professional work assignments involve...Humana's long term vision to achieve leading growth in Medicare and individual products. The MarketPoint strategy team was… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of ... Eligibility & Marketplace Integration (DEMI)** **Bureau of Program Compliance and Audit** **50% Onsite 50% Remote** **Duties:** The Bureau of Program Compliance … more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Senior Vendor Management Professional works as liaison between vendors and organization. The ... Senior Vendor Management Professional 's work assignments involve...liaison between vendors, internal business owners, contracting, risk, and compliance teams. As part of the Humana Military Contract… more
- Humana (Albany, NY)
- …of our caring community and help us put health first** The Senior Acquisition Integration Professional performs procurement related project management duties ... Advancement Lead under the Procurement Center for Enablement team. The Senior Acquisition Integration Professional work assignments involve moderately complex… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Senior Contract Management Professional evaluates, drafts, and negotiates contracts and other ... of goods and services for Humana, its subsidiaries and affiliates. The Senior Contract Management Professional work assignments involve moderately complex to… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Senior Enterprise Data Governance Professional is responsible for implementing, operating, and ... the necessity of data policies, and the impact of compliance in a clear and professional manner....to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Senior Learning Design Professional uses instructional design, cognitive psychology and adult ... knowledge or performance gap, followed by design, development, and delivery. The Senior Learning Design Professional work assignments involve moderately complex… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Senior Learning Design Professional uses instructional design, cognitive psychology and adult ... to determine the appropriate solution to a knowledge or performance gap. The Senior Learning Design Professional work assignments involve moderately complex to… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... data requires an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis… more
- Humana (Albany, NY)
- …help us put health first** We are seeking an accomplished and experienced Senior Strategy Advancement Professional to join the Conversational Experience Platform ... business issues and opportunities, including OKR creation and evaluation. The Senior Strategy Advancement Professional will exercise considerable latitude in… more
- Humana (Albany, NY)
- …consolidating the IT supply base, alongside run-the-business initiatives). The Senior Procurement Professional (Category Manager) generates and implements ... and manages the company's supply portfolio ensuring transparency of spending. The Senior Procurement Professional work assignments involve moderately complex to… more
- Humana (Albany, NY)
- …relationships with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of ... requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional , you...revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and… more
- Humana (Albany, NY)
- …Care business, where we empower agents to assist seniors in choosing our senior -focused primary care services. This role sits at the intersection of cutting-edge ... you will have the chance to work directly with Senior Leadership in the Growth Team. Your primary focus...Deployment. + Platform App Builder. + Health Cloud Accredited Professional . + Certified Data Cloud Consultant. + Healthcare Industry… more
- Humana (Albany, NY)
- …for a Marketing Research Project Manager to join the Market Research team as a Senior Market Research Professional working remote anywhere in the US. The goal of ... through the research + Vendor conducts data analysis and provide initial report _( Senior Market Research Professional works in conjunction with the vendor to… more
- Humana (Albany, NY)
- …recommendations. + Present complex analytical findings and model outputs to senior leaders and non-technical stakeholders, focusing on clear data storytelling. + ... ensure holistic and informed strategy development. + Maintain a deep understanding of Medicare Part D benefit design and regulatory changes to inform forecasting and… more
- Trinity Health (Albany, NY)
- …**Provides leadership and expertise in the areas of accreditation and regulatory compliance , quality and patient safety standards as it relates to associates, staff, ... implementation and evaluation of clinical process related to regulatory compliance . Leverages clinical information technology, process design, change management and… more
- Humana (Albany, NY)
- …first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more
- Evolent (Albany, NY)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Scope Analyst, Scope Management** The Specialty Scope Management team is made up ... to own the opportunity to make healthcare better. **Collaboration Opportunities:** The Senior Scope Analyst, Scope Management plays a crucial role in supporting the… more