- Iowa Department of Administrative Services (Des Moines, IA)
- …healthcare administration, (ie, leadership, management, and administration of public health systems , healthcare systems , hospitals, hospital networks, or ... who thrives while contributing to a fast paced and high-functioning team. Iowa's Medicaid Director must have demonstrated experience in healthcare , Medicaid … more
- State of Montana (Helena, MT)
- …a Medicaid data system such as Medicaid Management Information Systems (MMIS), or a similar high-level enterprise Medical claims interface. o Preference ... and Budget Analyst on development, tracking and projecting the divisions Medicaid budget expenditures. The Operations Research Section Supervisor assists the… more
- Humana (Indianapolis, IN)
- …application and/or solution architect or technical lead in large company spanning multiple enterprise systems . + 8 or more years design, development, and testing ... members? Are you customer obsessed with a business-centric outlook? At the Humana Enterprise Architecture unit, our mission is to deliver a perfect member experience… more
- Humana (Indianapolis, IN)
- …application and/or solution architect or technical lead in large company spanning multiple enterprise systems . + 8 or more years design, development, and testing ... you IT Professional obsessed with a business-centric outlook? At the Humana Enterprise Architecture unit, our mission is to deliver a perfect member/patient… more
- Humana (Indianapolis, IN)
- …background as a senior architect or technical lead on major IT projects involving multiple enterprise systems . + **Strategic Acumen:** At least five years in an ... Humana is on the lookout for a seasoned Senior Enterprise Architect who possesses a keen intellect, an inquisitive...forward but also make significant contributions to the broader healthcare industry. **Use your skills to make an impact**… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** Waystar is seeking a smart, technical and creative Enterprise Rules & Edits Analyst seeking a chance to grow their career and work with claim ... rules. This analytical, solution-oriented individual will report to a Director of Enterprise Rules & Edits and work closely with client support and technology… more
- State of Massachusetts (Quincy, MA)
- …EOHHS is seeking an experienced professional to lead and manage their Enterprise Data Management and Engineering (EDME) team as a *Deputy Director*. This ... with ACIOs, Program Directors, and the Assistant Secretary for Medicaid as required. The primary work location for this...optimal delivery of data and analytics solutions across the enterprise . * Enable creation of data pipelines and analytic… more
- Molina Healthcare (New York, NY)
- …Experience, Knowledge, Skills, and Abilities:** + 5+ years of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or ... on medical cost, utilization and revenue for multiple Molina Healthcare products. Understands and assess critical UM and CM...CM analyses + Extract and compile information from various systems to support executive decision-making + Mine and manage… more
- Prime Healthcare (Farmers Branch, TX)
- …basic navigation of systems as a minimum + Experience with Change Healthcare products (Relay Assurance) + Ability to work with large data sets, extremely ... Overview Prime Healthcare is an award-winning health system headquartered in...annually. It is one of the nation's leading health systems with nearly 50,000 employees and physicians. Fourteen of… more
- HCA Healthcare (Nashville, TN)
- …leading large, enterprise -scale projects or programs preferred + Healthcare , hospital systems , hospital, supply chain, workforce management, financial ... and programs to successful completion across multiple hospitals, business offices, or health systems , preferably in healthcare revenue cycle + Minimum of 5 years… more
- University of Miami (Hialeah, FL)
- …state and federal programs, inclusive of the Centers for Medicare and Medicaid Services. Maintains fluency of provider workflows across UHealth that influence ... of performance measures in relation to best practices for the healthcare service industry and internal business objectives. + Provides performance indicator… more
- Molina Healthcare (MI)
- …in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare setting, ideally with different provider types (eg, ... network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with… more
- HCA Healthcare (Wichita, KS)
- **Description** Introduction Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Coord Quality Perf Imp ... on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
- Molina Healthcare (Kearney, NE)
- …leadership of claims editing and recovery vendors aimed at managing overall healthcare costs). + Corporate Configuration of the QNXT system for all lines ... the quality of the provider payments; + Reducing G&A costs as part of the enterprise -wide efforts to meet or exceed budget targets and to consistently to reduce G&A… more
- University of Miami (Hialeah, FL)
- …state and federal programs, inclusive of the Centers for Medicare and Medicaid Services. Maintains fluency of provider workflows across UHealth that influence ... of performance measures in relation to best practices for the healthcare service industry and internal business objectives. + Provides performance indicator… more
- Humana (Indianapolis, IN)
- …integration activities between Salesforce CRM, the Snowflake cloud platform, and other enterprise systems + Manage secure, efficient data sharing solutions to ... be a strong communicator and collaborator working with stakeholders across multiple enterprise teams. The Senior Business Systems Analysis Professional will be… more
- State of Massachusetts (Quincy, MA)
- …skills, including experience with Agile methodologies. . Experience with large-scale healthcare systems , ensuring compliance with industry regulations and ... an IT Business/ Systems Analyst role, preferably with a focus on Pharmacy/ Healthcare claims processing, is required. Five (5) plus years of experience is… more
- Waystar (OR)
- …with managers, end users, and partners to ensure our company's end-to-end healthcare payments technology advantages are clearly understood. **WHAT YOU'LL DO** + ... demonstrates, in a detailed and technical manner, Waystar's end-to-end healthcare payments technology through formal certification protocols + Achieves annual… more
- Aveanna Healthcare (Atlanta, GA)
- …newly acquired companies into the organization's culture, processes, and systems /technology. Additionally, this role is responsible for executing large-scale ... enterprise -wide initiatives that align with the company's strategic initiatives....integration considerations. + Lead the integration of acquired company systems , processes, and personnel into the company's Target Operating… more
- CVS Health (Kenner, LA)
- …personal, convenient and affordable. **Position Summary** Aetna Better Health is Aetna's Medicaid managed care plan. Backed by over 30 years of experience managing ... with a broad array of health care needs, our Medicaid plans have demonstrated that getting the right help...health outcomes while integrating CVS assets to bring accessible healthcare to our members. Aetna Better Health of Louisiana… more