- Elevance Health (Norfolk, VA)
- …designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. ... **Risk Adjustment Advanced Analyst Senior ** **Location: This position will work a hybrid...They are how we achieve our strategy , power our business outcomes and drive our shared… more
- Molina Healthcare (Columbus, OH)
- …with senior leadership, determines the annual implementation of Molina's Medicare Advantage product strategic plan. + Has oversight over Molina's Medicare ... **Job Summary** As the leader for Molina's Medicare Advantage product (Non-Dual), this position has P&L,... Advantage product (Non-Dual), this position has P&L, business strategy , sales distribution and provider network responsibility for all… more
- Elevance Health (Columbus, OH)
- …designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. ... **Director of Medicare Risk Adjustment Analytics and Reporting** **Location:** Alternate...+ Reports project status and progress to business unit senior management. + Ensures accuracy and timeliness of output… more
- Guidehouse (Mclean, VA)
- …Project members are provided the opportunity to interact with our clients' senior management and enhance their skills in the areas of technical competency, ... meet with upper management to reflect on your personal and professional development, and socialize with your fellow interns during outings/activities. As… more
- Medical Mutual of Ohio (OH)
- …health and quality of life. **Corporate Strategy Analyst III** The Corporate Strategy team works closely with senior leaders across the organization to ... insights, conducts comprehensive analyses, and delivers actionable recommendations to senior leadership. **Lead Corporate Strategy Analyst** The Corporate… more
- 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 (Albany, NY)
- …highest priority strategy projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Consultant, you will deconstruct issues ... the majority of its earnings. Team members partner with senior leaders of the business unit, and more broadly...unit leaders. Select project examples include (1) Optimization of Medicare enrollment growth strategy , such as balancing… more
- Humana (Columbia, SC)
- …part of our caring community and help us put health first** The Senior Community Management Professional cultivates the organization's social community through ... community advocacy programs and active engagement with community members. The Senior Community Management Professional work assignments involve moderately… more
- Humana (Columbus, OH)
- …guidance where needed. Follows established guidelines/procedures. **Job Responsibilities:** The Senior Compliance Professional serves as a regulatory compliance ... caring community and help us put health first** The Sr. Compliance Professional ensures compliance with governmental requirements for clinics across both federal and… more
- 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 (Columbus, OH)
- …a part of our caring community and help us put health first** The Senior Policy Administration Professional creates, reviews, and maintains catalog of company ... policies and procedures. The Senior Policy Administration Professional oversees and maintains...governing company processes and practices. Begins to influence department's strategy . Makes decisions on moderately complex to complex issues… more
- Humana (Columbus, OH)
- …key relationships with business stakeholders. **The Senior Market Finance Professional :** + Begins to influence department's strategy . + Makes decisions ... caring community and help us put health first** The Senior Market Finance Professional collects, analyzes and...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Senior Process Improvement Professional analyzes and measures the effectiveness of existing ... develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments involve moderately… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Senior Data and Reporting Professional generates ad hoc reports and regular datasets ... using system tools and database or data warehouse queries and scripts. The Senior Data and Reporting Professional work assignments involve moderately complex to… more
- Humana (Arlington, VA)
- …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 (Columbus, OH)
- …of our caring community and help us put health first** The MarketPoint Senior Compliance Professional ensures compliance with governmental requirements. The ... Senior Compliance Professional work assignments involve moderately complex to complex issues...implements compliance policies and procedures. Begins to influence department's strategy . Makes decisions on moderately complex to complex issues… more
- Humana (Miramar, FL)
- …part of our caring community and help us put health first** The Senior Learning Facilitation Professional conducts or facilitates training courses for ... organization employees or external audiences. The Senior Learning Facilitation Professional work assignments are varied and frequently require interpretation and… more
- Humana (Columbus, OH)
- …by driving meaningful impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional , you will play a crucial role in resolving ... development of solutions that make a meaningful difference The Senior Pharmacy Claims Professional will play a...to enhance operational efficiency. + Begins to influence department's strategy . + Makes decisions on moderately complex to complex… more
- Cleveland Clinic (Cleveland, OH)
- …career with one of the most respected healthcare organizations in the world. The Senior Director of Professional Billing Operations is a new enterprise position, ... world class patient billing experience. Leads successful and compliant professional insured insurance billing, follow-up, denials management and prevention.… more
- Humana (Columbus, OH)
- …us put health first** Are you interested in leveraging technology and business strategy to deliver improved member & patient experiences and health outcomes? Are you ... IT Professional obsessed with a business-centric outlook? At the Humana...member/patient experience by bringing forth the alignment of business strategy to technology strategy , enabling the effective… more