- Humana (Trenton, NJ)
- **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
- New York State Civil Service (New York, NY)
- …a complete application online at ag.ny.gov/job-postings/attorneysThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) ... evidence to grand juries, and conduct evidentiary hearings and trials in New York state courts.The Medicaid program provides health coverage to millions of New… more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Medicaid Data and Reporting Analyst integrates data from multiple sources to produce requested or ... required data elements. This role will support our Medicaid Clinical operations in multiple markets. This role manages recurring reporting, state reporting, and… more
- Highmark Health (Trenton, NJ)
- …Business Solutions leadership in strategic activities to expand IT capabilities for Medicaid growth in the dental market by: Applying SME knowledge to analytical ... to identify business needs for growing and sustaining the Medicaid business. Apply SME knowledge and oversee multiple teams'...represent findings to stakeholders and own the outcome + Lead medium to large sized strategy work streams with… more
- The Cigna Group (Morris Plains, NJ)
- …dynamic Regulated Markets team as a Product Management Advisor, primarily supporting Medicaid and HealthCare Reform. This position sits within the Regulated Markets ... within Regulated Markets, focusing on claims processing and strategic initiatives. + Lead strategy, planning, and execution for assigned projects, partnering with IT… more
- New York State Civil Service (New York, NY)
- …who are seeking to expand their range of skills.The Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) seeks an experienced ... No Agency Attorney General, Office of the Title Attorney: Lead Complex Civil Fraud Investigations (3820) Occupational Category Legal...as well as litigate such matters in federal and state courts. The Medicaid program provides health… more
- Humana (Trenton, NJ)
- …of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid , and other health plans to millions. By integrating insurance with care ... role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of the company's...experience to join this team. As an Insurance Strategy Lead , you will directly contribute to high-impact strategy projects,… more
- Humana (Trenton, NJ)
- …and help us put health first** We are seeking a dynamic and strategic Lead Anaplan Architect to own and evolve our enterprise-wide Anaplan platform across both ... and HR business processes, and the ability to architect and lead end-to-end solutions-from business requirements through configuration, integration, security, and… more
- Humana (Trenton, NJ)
- …the evolving needs of our HR organization. You'll bring a deep understanding of HR technology trends and lead innovation across our systems to deliver a modern, ... is seeking a forward-thinking Associate Director for Human Resources Technology to join our HRIT leadership team. In this...ensure solutions meet end-user needs and strategic goals. + Lead a team of HRIT associates and contractors, driving… more
- Humana (Trenton, NJ)
- …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
- Public Consulting Group (Trenton, NJ)
- …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 (Trenton, NJ)
- …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 (Trenton, NJ)
- …strategies, and processes focused on enhancing provider knowledge of Medicare and Medicaid quality and risk-adjustment programs. They help ensure success in these ... and Improvement organization. They report to the National Medical Director and lead a diverse team driving education strategy and execution. The Director, Provider… more
- Humana (Trenton, NJ)
- …and our North Star architectural goals. + Engage in enterprise technology modernization initiatives, collaborating with application teams and IT stakeholders to ... domain architects, engineers, and leadership to document current and future state architectures, value streams, and domain capability models. + Rationalize digital… more
- Humana (Trenton, NJ)
- …Position Overview: The Director of Strategy Advancement for Associate Technology Experience (ATX) will provide visionary leadership across product, experience ... design, and insights functions to enhance the end-to-end technology experience for Humana associates. This role will drive strategic planning, execution, and… more
- Atlantic Health System (Morristown, NJ)
- …and corporate work experience, including prior experience with hospitals, Medicare and Medicaid , and federal and state healthcare regulatory issues, including ... fraud and abuse issues, HIPAA compliance, EMTALA, Medicare and Medicaid compliance, licensure issues, pay-to-play issues, corporate governance and regulatory… more
- Public Consulting Group (Trenton, NJ)
- …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 (Trenton, NJ)
- …chance to help lead and grow as we transform the information technology of healthcare. **Primary responsibilities** + Create a clear strategy for IT, and ... activate strategies to address healthcare opportunities and challenges with technology -enabled solutions. As an Advisor in our team, you'll...Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more
- New York eHealth Collaborative (New York, NY)
- …is a not-for-profit organization working in partnership with the New York State Department of Health to improve healthcare by collaboratively leading, connecting, ... and integrating health information exchange across the State . Founded in 2006 by healthcare leaders, NYeC works to help New York State achieve the Triple Aim of… more
- Humana (Trenton, NJ)
- …interrelate across department(s). The Associate Director; Software Renewals will lead the strategic oversight and execution of software renewal activities ... renewal strategies with business and IT priorities. **Key Responsibilities** + Lead the end-to-end software renewal lifecycle for enterprise applications and… more