• Business Process Owner I…

    USAA (Phoenix, AZ)
    …**The Opportunity** We are currently seeking a talented ** Business Process Owner I** that will support Medicare Supplement Claims for USAA Life Company ... business partners supporting our Medicare Supplement Claims. As business process owner , the employee will lead planning for complex processes… more
    USAA (05/08/24)
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  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …: The Medicare MAP Advisor- Will promote and sale MAP and Medicare Line of Business , maintains relationships, services our existing customers and secures ... LHCSA's + Develops and nurtures relationship with prospective members, community leaders, owner hospitals, community partners and current business partners. +… more
    Centers Plan for Healthy Living (04/30/24)
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  • Product Solutions Manager II ( Medicare )

    LA Care Health Plan (Los Angeles, CA)
    Product Solutions Manager II ( Medicare ) Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... support achievement of product and enterprise goals. The position work with management, business owners and other key stakeholders to develop and manage the product… more
    LA Care Health Plan (04/18/24)
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  • Manager, Product Lifecycle - Medicare

    CareFirst (Baltimore, MD)
    …facilitation of multidisciplinary product development or product implementation teams. Serve as business owner , point person and consensus builder for marketing, ... and membership in line with growth objectives, in the Medicare Advantage Bid process annually, the cost...of the company. **ESSENTIAL FUNCTIONS:** + Manages market segment business and action plans in line with company direction… more
    CareFirst (03/21/24)
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  • Sr Product Owner

    Humana (Columbus, OH)
    …of our caring community and help us put health first** The Senior Product Owner is responsible for conveying product vision and roadmap to an Agile delivery team ... by defining user stories and prioritizing product backlog. The Senior Product Owner work assignments involve moderately complex to complex issues where the analysis… more
    Humana (05/21/24)
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  • Product Owner

    Development InfoStructure (Arlington, VA)
    …and interfaces and come up with requirement documentation. Able to perform end-to-end business process analysis to identify gaps and come up with improvements. ... Overview Development InfoStructure (Devis) is seeking a skilled full time, remote Product Owner for a proposal position, contingent upon contract award to join our… more
    Development InfoStructure (05/08/24)
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  • Information Management Business Analyst

    Medical Mutual of Ohio (OH)
    …with all business stakeholders serving as liaison between technical team and the business owner to provide data source insights and recommendations for new ... with all business stakeholders serving as liaison between technical team and the business owner to provide data source insights and recommendations for new … more
    Medical Mutual of Ohio (05/25/24)
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  • Licensed Benefits Advisor (Field Based)

    Centers Plan for Healthy Living (Bronx, NY)
    …+ Develops and nurtures relationship with prospective members, community leaders, owner hospitals, community partners and current business partners. + ... all equipment issued by Centers Plans for Healthy Living Advantage Care Medicare HMO Plan. Enrollment application process + Ensures prospective members… more
    Centers Plan for Healthy Living (04/30/24)
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  • FDR Compliance Analyst (Remote)

    Commonwealth Care Alliance (Boston, MA)
    …Attend with department staff, communicating key compliance requirements and hearing out business owner concerns + Communicate research requests to Compliance's ... MS entities. + Provides support for quarterly FDR MS business owner group meeting, including but not...as needed to assist departments with regulatory projects and process implementation + Support business units in… more
    Commonwealth Care Alliance (03/30/24)
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  • Complete Care Specialist - Bilingual (Spanish,…

    Healthfirst (Enfield, NY)
    …members, community leaders, owner hospitals, community partners, and current business partners. Must generate referrals to the Medicare Advantage and ... is responsible fordeveloping and maintaining relationships, leads, and new business using consultative selling/marketing. This role serves as thekey player… more
    Healthfirst (05/24/24)
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  • Enterprise Shared Services Program Manager II…

    LA Care Health Plan (Los Angeles, CA)
    …will work collaboratively with leadership, management and other stakeholders including Business Owner (s), Investment Review Board, intake and program/project ... training, testing, and implementation plans and schedules are followed. Meets with Business Owner (s) and Project Managers/teams on a regular basis, weekly… more
    LA Care Health Plan (04/27/24)
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  • Senior Analyst, Financial Planning and Analysis

    CVS Health (Phoenix, AZ)
    …analysis and recommendations in support of management's evaluation of strategic and business initiatives. This role supports the Medicare Advantage product, ... care more personal, convenient and affordable. Position Summary Support Aetna Medicare 's ability to achieve its financial and strategic goals through effective… more
    CVS Health (05/02/24)
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  • Advisory Services/Project Management Analyst…

    Mathematica (Chicago, IL)
    …projects related to value-based care and healthcare policy, including Federal Medicare and Medicaid policy, using a blend of management, organizational, technical ... performance, scope creep, and staffing. Lead retrospective activities to Identify process improvements to elevate project performance. * Draft clear and concise… more
    Mathematica (05/05/24)
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  • Sr. Lead Salesforce Developer (Lwc & Aura…

    General Dynamics Information Technology (Fairfax, VA)
    …as a **Senior/Lead Salesforce Developer (LWC/** **Aura)** supporting the **Centers for Medicare & Medicaid Services (CMS).** GDIT is your place to make meaningful ... Search language (SOQL and SOSL). + Support the Product Owner in gathering requirements by providing solution options and...SOQL, and SOSL etc. + Lead the complete development process from requirement analysis to deployment. + Review and… more
    General Dynamics Information Technology (05/21/24)
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  • US Employer Portfolio Leader - Hybrid - Cigna…

    The Cigna Group (Bloomfield, CT)
    …representing US Employer Portfolio in the portfolio submission and management process , including intake, business case refinement/validation, and prioritization ... requirements are met + Represents US Employer in the Enterprise portfolio process ; developing, submitting and presenting portfolio required business cases and… more
    The Cigna Group (05/09/24)
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  • Provider Programs Strategy Lead

    Humana (Louisville, KY)
    …presented by ongoing regulatory changes. In addition, the role will serve as owner of additional strategic areas of focus and advise on continued efforts to ... will need to demonstrate the following attributes: * Strong understanding of the Medicare Advantage payment model and value based care * Thought leader able to… more
    Humana (05/17/24)
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  • Executive Director, Strategic and National…

    Arvinas (New Haven, CT)
    …Brand Planning process , able to translate brand disease state and business drivers into payer programs. + Lead strategy development, design, and implementation ... ER+/HER2- breast cancer. Arvinas, as part of its overall business strategy, selectively assesses opportunities for potential collaboration, license, marketing… more
    Arvinas (05/14/24)
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  • Advanced Application Engineer

    Waystar (Louisville, KY)
    …+ Unit tests all changes on development, and then works with the appropriate Business and/or Technology Owner (s) to ensure that the developed solution meets the ... are responsible for working with the Technology and the Business teams to design, build, and implement amazing web...teams to design, build, and implement amazing web and process applications. These Team Members are also charged with… more
    Waystar (05/17/24)
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  • Product Manager

    Development InfoStructure (Arlington, VA)
    …and interfaces and come up with requirement documentation. Able to perform end-to-end business process analysis to identify gaps and come up with improvements. ... of product objectives, goals, and metrics. + Analyze and understand complex business and engineering challenges, identify solutions to improve products, services and… more
    Development InfoStructure (05/08/24)
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  • Sr Systems Analyst

    Sharp HealthCare (San Diego, CA)
    …internal and external to IS. Includes various stakeholder roles, for example, process owner , approver, resource, team member, or interested party.Portrays ... will be working on Sharp Healthplan's premium billing module for commercial, Medicare , and Covered California lines of business .** **Required Qualifications** +… more
    Sharp HealthCare (05/03/24)
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