• Business Process Owner Senior

    USAA (Tampa, FL)
    …special! **The Opportunity** We are currently seeking a dedicated **Business Process Owner Senior ** that will support Medicare Supplement Claims for USAA Life ... Chief Claims & Fraud Officer and will work on Medicare Supplement Claims activities and ensure a flawless execution...the process. Supports alignment of process to overall experience strategy and vision. We offer a flexible work environment… more
    USAA (10/23/24)
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  • Senior Director, Medicare Risk…

    Somatus (Mclean, VA)
    …Sr. Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of the organization's Risk Adjustment Programs to optimize the ... coverage (medical, dental vision) + Flexible Paid Time Off (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting… more
    Somatus (10/09/24)
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  • Senior Strategy Advancement…

    Humana (Columbus, OH)
    …frameworks to maximize ability of limited resources to achieve growth. ​ **The Senior Strategy Advancement Professional ** will support initiatives to develop ... assess, and translate state requirements into actionable go-to-market strategy . The Senior Strategy Advancement Professional will consult with growth… more
    Humana (10/29/24)
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  • Senior Encounter Data Management…

    Humana (Frankfort, KY)
    …a part of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful ... will be responsible for trading partner analysis and error prevention. The Senior Encounter Data Management Professional ensures data integrity for claims… more
    Humana (10/29/24)
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  • Senior Compliance Professional

    Humana (Louisville, KY)
    …part of our caring community and help us put health first** The Senior Compliance Professional develops and implements compliance policies and procedures. ... Maintains relationships with government agencies. Begins to influence department's strategy . Makes decisions on moderately complex to complex issues regarding… more
    Humana (10/30/24)
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  • Senior Encounter Data Management…

    Humana (Oklahoma City, OK)
    …us put health first** Humana Healthy Horizons in Oklahoma is seeking a Senior Encounter Data Management Professional who develops business processes to ensure ... proudly serve. Are you Caring, Curious and Committed? If so, apply today! The Senior Encounter Data Management Professional : + Ensures data integrity for claims… more
    Humana (10/29/24)
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  • Senior Provider Engagement…

    Humana (Columbus, OH)
    …part of our caring community and help us put health first** The Senior Provider Engagement Professional develops and grows positive, long-term relationships with ... within the contracted working relationship with the health plan. The Senior Provider Engagement Professional work assignments involve moderately complex… more
    Humana (10/29/24)
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  • Senior EPSDT Quality Professional

    Humana (Oklahoma City, OK)
    …a part of our caring community and help us put health first** The Senior Quality Compliance Professional uses quality compliance and improvement tools and ... close gaps in care for Oklahoma Medicaid enrollees. The Senior Quality Compliance Professional has proven data...analyze and interpret healthcare data/information in order to develop strategy and build interventions to close gaps in care.… more
    Humana (10/29/24)
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  • Health Care Policy and Strategy Manager

    NORC (Chicago, IL)
    senior staff or demonstrate potential to conduct and interpret quantitative analyses with senior staff. The Health Care Policy and Strategy Manager will be ... policymakers, while improving Americans' health and quality of life. The Health Care Strategy (HCS) team consists of professional staff providing a broad range… more
    NORC (10/09/24)
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  • Senior Market Finance Professional

    Humana (Frankfort, KY)
    …a part of our caring community and help us put health first** The Senior Financial Planning and Analysis Professional analyzes and forecasts financial, economic, ... provide accurate and timely information for strategic and operational decisions. The Senior Financial Planning and Analysis Professional work assignments involve… more
    Humana (11/01/24)
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  • Senior Enterprise Transformation…

    Humana (Columbus, OH)
    …part of our caring community and help us put health first** The Senior Enterprise Transformation Professional plans, performs and implements process improvement ... initiatives such as Lean or Six Sigma. The Senior Enterprise Transformation Professional work assignments involve moderately complex to complex issues where the… more
    Humana (10/29/24)
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  • Senior Financial Analytics…

    Humana (Louisville, KY)
    …financial reporting, and provide actionable insights that drive business performance. The Senior Financial Analytics Professional manages data to support and ... operations, strategic planning and specific business performance issues. The Senior Financial Analytics Professional work assignments involve moderately… more
    Humana (10/29/24)
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  • Senior Manager, Compliance

    Point32Health (Canton, MA)
    …Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Compliance Senior Manager will report to the Government Programs Compliance Officer. ... laws and regulations related to the Government Programs Compliance Programs for Medicare and Duals products. This role involves guiding teams and processes while… more
    Point32Health (10/29/24)
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  • Senior Financial Reporting…

    Humana (Louisville, KY)
    …a part of our caring community and help us put health first** The Senior Financial Reporting Professional participates in the preparation of periodic financial ... statements in accordance with GAAP and SEC rules and regulations. The Senior Financial Reporting Professional work assignments involve moderately complex to… more
    Humana (10/29/24)
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  • Senior Market Finance Professional

    Humana (Columbus, OH)
    …a part of our caring community and help us put health first** The Senior Market Finance Professional collects, analyzes and reports on various market data ... to connect financial outcomes with operational effectiveness. The Senior Market Finance Professional work assignments involve moderately complex to complex… more
    Humana (10/31/24)
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  • Senior Technology Implementation…

    Humana (Columbus, OH)
    …part of our caring community and help us put health first** The Senior Technology Implementation Professional delivers new technological solutions to meet ... within a specified scope while aligned to enterprise objectives. The Senior Technology Implementation Professional work assignments involve moderately complex… more
    Humana (10/29/24)
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  • Pharmacy Point Of Sale Transition Claims…

    Humana (Columbus, OH)
    …a part of our caring community and help us put health first** The Senior Pharmacy Claims Operations Professional oversees the business processes and ensures ... accuracy for pharmacy point of sale transition adjudicated claims logic. The Senior Pharmacy Claims Operations Professional work assignments involve moderately… more
    Humana (10/29/24)
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  • Senior Acquisition Integration…

    Humana (Louisville, KY)
    …related to the integration of an acquired entity into the company. The Senior Acquisition Integration Professional work assignments involve moderately complex to ... or data requires an in-depth evaluation of variable factors. The Senior Acquisition Integration Consultant implements activities and projects associated with the… more
    Humana (10/29/24)
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  • Provider Network Senior Data Reporting…

    Humana (Columbus, OH)
    …warehouse queries and scripts. The Senior Data and Reporting Analyst / Professional + Begins to influence department's strategy + Integrates data from ... caring community and help us put health first** The Senior Data and Reporting Analyst / Professional ...recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years.… more
    Humana (10/31/24)
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  • Senior Director Clinical Programs - Remote

    Martin's Point Health Care (Portland, ME)
    …certified as a "Great Place to Work" since 2015. Position Summary The Senior Director Clinical Programs provides oversight and coordination of care management and ... activities, objectives, and analysis for the Martin's Point Health Plan. The Senior Director is responsible for Care Management design, implementation and operations… more
    Martin's Point Health Care (08/20/24)
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