- General Dynamics Information Technology (Fairfax, VA)
- …BI Full 6C (T4) **Job Family:** Software Engineering **Skills:** Agile Methodology,Atlassian JIRA,Leadership,Salesforce (Software),Scrum **Experience:** 5 + years of ... System Support and Oversight (FSSSO) team remotely to support the Centers for Medicare & Medicaid Services (CMS) activities. Work visa sponsorship will not be… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Under minimal ... for customers: members, employers, brokers, and providers. Works with business and agile teams to gather requirements and partner with User Experience Researchers to… more
- Convey Health Solutions (Fort Lauderdale, FL)
- Job Description Position Summary: The VP of Data Engineering and Operations will be driving the organization's deliverables and long-term strategy, with a strong ... emphasis on AI/ML engineering, data operations and delivery excellence. They will oversee the engineering...candidate will be responsible for leading both people and technology . Here are the major responsibilities to expect: +… more
- General Dynamics Information Technology (Fairfax, VA)
- …make a personal impact as a **Cloud ETL Developer** supporting _The_ _Centers for Medicare and Medicaid Services (CMS)._ GDIT plays a leading role in managing and ... for the CMS. We architect, implement, modernize, and provide operations support for a large data repository in the...interpersonal communication skills and works independently and within an agile team during all phase of the software development… more
- Humana (Madison, WI)
- …ensuring the accurate and timely submission of encounter data to Medicaid, Medicare , and DSNP states, while maintaining adherence to all regulatory requirements. The ... is responsible for ensuring the integrity and accuracy of Medicaid and Medicare encounter data across multiple trading partners. This role collaborates with Product… more
- Cognizant (Phoenix, AZ)
- …throughout the product lifecycle. * Serve as Product Owner in Agile ceremonies (backlog grooming, sprint planning, reviews, retrospectives), maintaining a ... and member onboarding for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA), ensuring compliance with CMS, ACA, and other regulatory… more
- AON (Fort Washington, PA)
- …Term Care (New York Life), Auto & Home (Liberty Mutual), and Medicare Supplement (Transamerica). Your responsibilities will include managing complex client matters ... in collaboration with the Legal, Operations , and Client Services teams. You will also be...with the AICPA. By modernizing platforms and leveraging cutting-edge technology , we aim to secure the long-term success of… more
- Humana (Oklahoma City, OK)
- …offers a unique opportunity to lead Humana's transformation at the intersection of operations , technology , and AI innovation. The Associate Director of Cloud ... Knowledge Management, promoting continuous improvement. + Foster collaboration across Humana's technology ecosystem to align cloud operations with business… more
- Humana (Jefferson City, MO)
- …guidelines and procedures to ensure consistency and compliance. * Advocate for our agile development approach and our North Star architectural goals. * Engage in ... enterprise technology modernization initiatives, collaborating with application teams and IT...validation of functional and non-functional aspects, and Day 2 operations . + Knowledge and experience with enterprise architecture pattern… more
- TEKsystems (Raleigh, NC)
- …30 years of experience partnering with the biopharmaceutical industry, we deliver agile , technology -enabled patient access solutions that help people start and ... * At least 1 year of experience in pharmacy call center operations , specialty pharmacy coordination, or healthcare customer service preferred Skills & Strengths… more
- Humana (Indianapolis, IN)
- …Framework (SAFe) and Lean Portfolio Management (LPM) + Direct experience in healthcare technology and provider operations + Proven track record in technical ... optimization, and integration of systems and solutions that support healthcare provider operations . This role serves as a key liaison between business stakeholders,… more
- Leidos (Baltimore, MD)
- …innovative individual to be a part of our team supporting Center for Medicare and Medicaid Services (CMS) in Baltimore, MD. The **Cloud Engineer** works closely ... public. You will deliver solutions that ultimately ensure that the functions of Medicare , Medicaid, and Marketplace are carried out for the US citizen and contribute… more
- GetWellNetwork, Inc. (Bethesda, MD)
- …use cases and outcomes. + Additional knowledge around payer-side healthcare operations , particularly in Medicaid/ Medicare , with expertise in provider enrollment ... Title: Healthcare Solution Architect Reporting to: VP, Client Operations Location/Travel: This position can be based remotely in the US, or based in our Bethesda, MD… more
- Cognizant (Salem, OR)
- …reporting requirements. . Act as a subject matter expert for healthcare operations and Salesforce capabilities. **Work model** We strive to provide flexibility ... **What you must have to be considered** . Bachelor's degree in Business, Information Technology , or related field. . 5+ years of experience as a Product Owner or… more
- Humana (Washington, DC)
- …activate strategies that address healthcare opportunities and challenges with technology -enabled and AI-enabled solutions. We operate at the evolving, mission-driven ... intersection of strategy, technology , and healthcare, enabling leaders to leverage modern ...controls) and enable **safe, compliant** deployment across care, service, operations , and finance. + Build **AI literacy** for leaders… more
- Leidos (Baltimore, MD)
- …is an exciting opportunity to use your experience helping the Center for Medicare and Medicaid (CMS) operate, maintain, modernize and transform its legacy system. ... Actively participating in planning sessions, requirements gathering activities, design sessions, Agile modeling sessions, and other events to support the CRM… more
- Waystar (Louisville, KY)
- …a Director, Product Management and work closely with User Experience team and Technology teams. The Sr. Product Manager will coordinate with key stakeholders in ... sales, marketing, design, development, and operations . This role will be charged with leading game...to facilitate, negotiate and persuade stakeholders + Flexible and agile ; able to rapidly adapt to changing situations and… more
- Sumitomo Pharma (Chattanooga, TN)
- …Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the US (Sumitomo Pharma America, Inc.), focused on addressing patient needs ... areas across a designated territory. The ideal candidate is results-oriented, agile , and thrives in a fast-paced environment, consistently aligning with our… more
- Waystar (Lehi, UT)
- …Director, Product Management and work closely with User Experience team and Technology teams. The Product Manager will lead cross departmental strategic product ... with key stakeholders in sales, marketing, design, development, and operations . This role will be charged with leading game...to facilitate, negotiate and persuade stakeholders + Flexible and agile ; able to rapidly adapt to changing situations and… more
- Waystar (Atlanta, GA)
- …improvement ("Kaizen") principles, and driving measurable impact across diverse teams and operations . This role will report to our EVP of digital information and ... progress, and value of AI-driven efficiency programs. + Foster a data-driven, agile , and innovative culture that embraces experimentation, learning, and iteration. +… more