- 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
- 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
- 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 (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 (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 (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 (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 (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
- 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
- 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 (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 (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
- 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
- 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 (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 (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 (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 (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 (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
- 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