- 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
- LA Care Health Plan (Los Angeles, CA)
- … Advantage Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, ... support achievement of product and enterprise goals. The position works with management, business owners and other key stakeholders to develop and manage the product… more
- Banner Health (AZ)
- …other resource managers /change agents to identify opportunities for significant process enhancements. Recommends changes that impact strategic business ... over 1 million members who live across the Commercial, Medicare , and Medicaid population and multiple provider networks within...experience.** In this role, as a **Senior IT Solution Owner ** you will participate in defining the strategy and… more
- DCCA (Columbia, MD)
- Product Owner Location Columbia, MD Job Code 2345 # of Openings 1 Apply Now ... (https://phg.tbe.taleo.net/phg02/ats/careers/v2/applyRequisition?org=DCCAMD&cws=39&rid=2345) DCCA is a veteran-owned IT business specializing in providing innovative solutions to a variety… more
- CVS Health (Atlanta, GA)
- …+ 7-10 years or more of healthcare experience + At least 3 years of Product Owner , Scrum Master, and/or Business Analyst experience + At least 3 years of ... with Aetna, a CVS Health company. As a Product Owner for Interoperability, you will be responsible for leading...Knowledge of federal regulations and compliance requirements for government business + Process mapping and discovery experience… more
- 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
- Advanced Systems Design (Montgomery, AL)
- …+ Strong analytical and problem-solving skills. + Ability to perform business process analysis and contribute towards developing effective solutions. ... Advanced Systems Design is seeking a Business Analyst for our client located in Montgomery,...are met. + Monitor personnel changes and keep Functional Process Owner List updated on a regular… more
- The Cigna Group (St. Louis, MO)
- …oversight and surveillance processes for Health Plan grievances. + Acts as Business Owner for development and enhancement of grievance processes. Collaborates ... key operations accountabilities associated with all regulated lines of business including Medicare , Medicaid, and Marketplace (Exchange...with Technical Product Owner to develop business requirements. + Coordinate… more
- Medical Mutual of Ohio (Brooklyn, OH)
- … process . **Responsibilities** **Agilist I** + Mentors Scrum Master/Product Owner / Service Delivery Manager/Service Request Manager + Facilitate team ceremonies ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s… more
- LA Care Health Plan (Los Angeles, CA)
- …Manager works 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
- The Cigna Group (Morris Plains, NJ)
- …and performance guarantees are met. **Position Details:** + Serve as the Regulated Markets business owner for the Medicare Prescription Payment Plan (M3P) ... individual will be responsible for the development and management of the Medicare Prescription Payment Plan (M3P) product. They will ensure their capabilities are… more
- General Dynamics Information Technology (Fairfax, VA)
- …on a Sr./ Lead Salesforce Developer joining our team to support Centers for Medicare & Medicaid Services (CMS) activities. This position is 100% remote with work ... 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
- Healthfirst (Enfield, NY)
- …members, community leaders, owner hospitals, community partners, and current business partners. Must generate referrals to the Medicare Advantage and ... **Enrollment Process ** + Ensure prospective members are enrolled properly...+ Enter all information into an electronic book of business and supply supporting documentation to all new enrollees… more
- Molina Healthcare (Richmond, VA)
- …as a key partner with community outreach to achieve profitable growth. * Business owner of Member Stakeholder Experience team initiatives, including: member ... the operations of the health plan for the Medicaid , CHIP, Marketplace, MMP and Medicare lines of business . * Works with staff and senior management to develop… more
- ABBTECH Professional Resources, Inc. (VA)
- …as a **Senior/Lead Salesforce Developer (LWC/Aura)** supporting the **Centers for Medicare & Medicaid Services (CMS).** As a Senior/Lead Salesforce Developer, you ... 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
- Trinity Health (Livonia, MI)
- …entire contracting lifecycle including all contract maintenance activities. 12.Serve as business owner of Trinity Health's population health analytic platform ... criteria and frameworks to evaluate product opportunities in direct-to-employer, Medicare , Medicaid, and public and private healthcare insurance exchanges The… more
- Molina Healthcare (Cambridge, MA)
- …improve results of existing initiatives while also leading a continuous process of innovation to identify new initiatives to support Molina's relationships ... continuous improvements in the described areas. **Job Duties** * Primary owner of the strategic relationship with LTSS Coordination Organizations, including both… more
- Humana (Louisville, KY)
- …will need to demonstrate strategic, progressive thinking with a keen eye for improving business process and risk management and must be agile and comfortable in ... organization. The Internal Audit Director, Insurance Segment serves as the relationship owner for the identified business segment, leading Internal Audit's… more
- Waystar (Atlanta, GA)
- …+ 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
- CVS Health (Trenton, NJ)
- …Behavioral Health related programming, initiatives, and processes. This position is the business owner for both external and internal Behavioral Health related ... Care, and Evidenced Based Practices as dictated by the business needs of the plan. The Senior Clinical Strategist...Term Support Services), and FIDE (Fully Integrated Dual Eligibility-Medicaid Medicare ) + Coordinates across ICM, MLTSS, and FIDE NJ… more
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