- CenterWell (Nashville, TN)
- …our caring community and help us put health first** The Program Management Lead , Offshore Coding Operations conducts quality assurance audits of medical records ... Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead , Offshore Coding Operations works on problems of diverse scope… more
- Humana (Nashville, TN)
- …**Key Responsibilities:** + Develop and articulate a clear product vision and strategy for CenterWell Pharmacy's digital channels, aligning with organizational ... agnostic areas by identifying, prioritizing, and executing capabilities that expand CenterWell Pharmacy's reach beyond Humana membership. + Lead cross-functional… more
- CenterWell (Nashville, TN)
- …are seeking a Senior Product Owner - Clinical Referral and Specialty Care to lead strategy and execution for our referral management, payer prior authorization, ... and network performance. **Key Responsibilities** + Product Ownership: Own the strategy , roadmap, and delivery of external specialist referral management solutions,… more
- CenterWell (Nashville, TN)
- …(HCHB) platform. This role leads enterprise-wide authorization related operations supporting high-volume, multi-branch environments and ensures timely, compliant ... integrity and patient access. The Director partners closely with clinical leadership, operations , finance, compliance, and IT, and manages both onshore and offshore… more
- CenterWell (Nashville, TN)
- …a solid understanding of how organization capabilities interrelate across department(s). Lead a dynamic team of product management professionals dedicated to ... advancing clinical operations and technology solutions. Drive the strategic roadmap for...internal and external stakeholders, integrating their feedback into product strategy anddecisions. + Serve as the primary point of… more
- Humana (Nashville, TN)
- …caring community and help us put health first** We are looking for a dynamic Strategy & Operations Lead - Provider Practice Management to develop clinical ... full accountability from strategy to execution. The Strategy & Operations Lead -...and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Lead Solutions Architect provides architecture leadership for CenterWell Home Health programs ... documents NLP, RPA/automation, and interoperability patterns; steward pattern reuse across CenterWell when applicable. + **Governance & compliance:** Lead … more
- Humana (Nashville, TN)
- …and help us put health first** The Director of Finance Portfolio Management, Strategy , & Special Projects is a key leadership role responsible for shaping the ... definition and the approach to achieving it. + Establish and lead criteria and processes for initiative prioritization, facilitating decision-making with Finance… more
- Humana (Nashville, TN)
- …expertise on decisions and priorities regarding the enterprises overall Cloud Operations strategy , consumption, and optimization opportunities - understand Cost ... team could be the place for you! The Lead is an expert in 24/7 operations ...and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the… more
- Humana (Nashville, TN)
- …clinical integration models, and patient data requirements. The IT Vendor Management Lead partners closely with Clinical Operations , Population Health, Digital ... our caring community and help us put health first** The IT Vendor Management Lead - EMR, Clinical Care Delivery & Home Health Platforms supports strategic suppliers… more
- Humana (Nashville, TN)
- …caring community and help us put health first** The IT Vendor Management Lead - Network, Telecom & Call Center Platforms is responsible for managing mission-critical ... support the company's enterprise connectivity, unified communications, call center operations , and network resiliency. This role oversees large carrier agreements,… more
- Humana (Nashville, TN)
- …our caring community and help us put health first** The IT Vendor Management Lead - SaaS Platforms serves as the primary point of accountability for high-impact SaaS ... suppliers that enable core business operations across the organization. This role is responsible for...with high annual recurring revenue. The IT Vendor Management Lead ensures strong vendor governance, drives consumption and cost… more
- Humana (Nashville, TN)
- …senior-level leadership and decision-making in developing Humana's overall cloud operations strategy , governance framework, and optimization initiatives. + ... Operations is responsible for leading Humana's enterprise cloud strategy -focused on the design, implementation, and optimization of cloud compliance, operational… more
- Humana (Nashville, TN)
- … strategy and execution. **Key Responsibilities:** **Medical Economics:** + Lead medical cost analysis, premium analytics, and program effectiveness initiatives ... optimize medical cost management, drive program performance, and support compliant operations . This VP will partner with segment leaders and cross-functional teams… more
- Humana (Nashville, TN)
- …help us put health first** The Associate Director of IT Disaster Recovery will lead DR operations and governance for all application and infrastructure DR plan ... strategies are integrated into the overall IT and BC strategy + Provide training and awareness programs on DR...providing guidance on recovery activities and resource allocation + Lead post incident reviews to identify lessons learned and… more
- Humana (Nashville, TN)
- …leverage EA standard design patterns. * Collaboratively map business vision and strategy to value streams, business capabilities, and functions. * Work with segment ... innovation while reducing risk, complexity, and operational costs. * Lead application modernization initiatives, including the re-architecting of legacy mainframe,… more
- Humana (Nashville, TN)
- …Platform Developer (AJO), you will play a hands-on role in translating strategy into real-time journeys using Adobe Experience Platform (AEP) and Adobe Journey ... This role can be performed remotely from anywhere in the US You will lead all phases of the product lifecycle-from ideation to launch-by developing and optimizing… more
- Humana (Nashville, TN)
- …fostering continuous improvement and operational excellence. **Key Responsibilities:** + Lead the technology strategy for AEP readiness initiatives, ... put health first** The Senior Technology Solutions Professional devises an effective strategy for executing and delivering on IT business initiatives. The Senior… more
- Humana (Nashville, TN)
- …optimization, and integration of systems and solutions that support healthcare provider operations . This role serves as a key liaison between business stakeholders, ... IT, and provider operations , driving transformation initiatives that enhance provider experiences and streamline workflows. The Director requires deep expertise in… more