- Humana (Honolulu, HI)
- …a part of our caring community and help us put health first** The Medicaid Data Management Lead supports all aspects of configuration control, data management, and ... deficiency reporting. The Medicaid Data Management Lead works on problems of diverse...or more of leadership experience + 3 years + project management experience + Proficiency in compiling, analyzing, and… more
- Humana (Honolulu, HI)
- …a part of our caring community and help us put health first** The Medicaid Actuary role is responsible for providing actuarial support for multiple states in ... are the specific day to day responsibilities of the Medicaid Actuary role: + Frequent analysis of actual experience...of technical experience + 2 or more years of project leadership experience **Scheduled Weekly Hours** 40 **Pay Range**… more
- Humana (Honolulu, HI)
- …a part of our caring community and help us put health first** The Associate Actuary role is a role within the Insurance Products Actuarial Medicare Advantage ... ad hoc projects and analysis to help enhance Part D accuracy. The Associate Actuary, Pricing work assignments involve moderately complex to complex issues where the… more
- Humana (Honolulu, HI)
- …of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex… more
- Humana (Honolulu, HI)
- …a part of our caring community and help us put health first** The Associate VP, IT Portfolio Management collaborates with the business portfolio team to align the ... IT portfolio and demand. The Associate VP, IT Portfolio Management requires a in-depth understanding...large scale, highly visible programs with responsibility for multiple project teams **Scheduled Weekly Hours** 40 **Pay Range** The… more
- Humana (Honolulu, HI)
- …a part of our caring community and help us put health first** An Associate Actuary on the Medicare Financial Planning & Analysis Team will be responsible ... A foundation in Medicare and/or Corporate Finance is preferred. The Associate Actuary, Analytics/Forecasting ensures data integrity by developing and executing… more
- Highmark Health (Honolulu, HI)
- …underlying systems that support the respective business platforms for the Medicaid Business Unit market served by Highmark. Performs configuration change management ... the most complex issues in order to understand capability needs, gather project specifications, create business cases and cost sheet analysis, translate high-level… more
- Humana (Honolulu, HI)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Honolulu, HI)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Honolulu, HI)
- …+ Engage with the producers and the Center for Medicare and Medicaid Services/Department of Insurance regulations specific to them if there are concerns ... the general ledger. + Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance regulations to establish required appointment fees… more
- Humana (Honolulu, HI)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Honolulu, HI)
- …analytic solutions. The Stars program is the Centers for Medicare & Medicaid Services (CMS) five‐star quality rating system for measuring Medicare beneficiaries' ... improve the decision-making experience for stakeholders + 2 or more years of project leadership experience + Experience analyzing data to solve a wide variety of… more
- Humana (Honolulu, HI)
- …+ Master's Degree or higher in Computer Science or a related field + Associate or Professional level solution architecture certification in Azure, GCP and/or AWS. + ... in Enterprise Architecture repository tools like iServer + 2+ years of project leadership and consulting experience. + Health Care Business Domains - Medicare,… more
- Public Partnerships LLC (Honolulu, HI)
- …and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and ... and Nginx. + Engage with Customers and stakeholders in all phases of project life cycle - requirements gathering, solution design reviews, development, testing, UAT,… more
- Humana (Honolulu, HI)
- …customer and other key stakeholders. **Key Actions & Role Responsibilities** **_(per each project )_** + Determine the key business questions to be answered + Scope ... Gain approvals and alignment on research instruments including legal and compliance + Project manage the vendor through the research + Vendor conducts data analysis… more
- Humana (Honolulu, HI)
- …requests for proposals (RFPs)/request for renewals (RFRs) including full-scale project management, written narratives, and production necessary for final external ... multiple activities + Experience with public sector contract review + Project Management experience + Group Medicare experience is preferred **Additional… more
- Humana (Honolulu, HI)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Honolulu, HI)
- …tools like Databricks and/or Power Platform + 2 - 5 years of project leadership experience + Experience developing and executing transition strategic plans, and ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Honolulu, HI)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Honolulu, HI)
- …with EMR implementations, interoperability and leading EMR vendors preferred + Prior project lead experience + Must be passionate about contributing to an ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more