- Humana (Raleigh, NC)
- …campaigns that engender preference and advocacy for Humana amongst agents + Lead strategy and content assets for Humana's proprietary sales portal ... your skills to make an impact** **Key Responsibilities** This incumbent will specifically lead the Sales Enablement and Engagement, Group Medicare and Group… more
- Humana (Raleigh, NC)
- …us put health first** Humana Healthy Horizons in Virginia is seeking a Strategy Advancement Advisor (FIDE SNP) who will provide data-based strategic direction to ... for business segments or the company at large. The Strategy Advancement Advisor (FIDE SNP) works on problems of...Support the Medicaid Virginia market leadership team with specific Medicare operational impacts such as Open Enrollment and Annual… more
- Humana (Raleigh, NC)
- …caring community and help us put health first** Come join our IT Strategy team! We design and activate strategies to address healthcare opportunities and challenges ... team operates at the evolving and mission-driven intersection of strategy , technology, and healthcare. This role offers you the...healthcare. This role offers you the chance to help lead and grow as we transform the information technology… more
- Humana (Raleigh, NC)
- …leader to join our team as the Provider Reconciliation Program (PRP) Lead within the Healthcare Quality Reporting and Improvement (HQRI) organization. HQRI ... Stars team centralizes quality improvement and governance processes targeting Humana's Medicare Advantage members while also managing compliant data submissions to… more
- Humana (Raleigh, NC)
- …minimum of 25% travel and at times, short notice travel. ** The Lead Technology Support Specialist enables a reliable technology experience for Humana's senior ... leaders (C-suite, SVPs, etc.) and their staff members. The Lead Technology Support Specialist maintains, repairs, and troubleshoots desktop hardware, software… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Lead , SIEM & Detection Engineer position is responsible for SIEM engineering, alerting and ... detection strategy team for Humana systems. This role works closely...as well as other enterprise information security teams. The ** Lead , S** **IEM & Detection Engineer** role is responsible… more
- Humana (Raleigh, NC)
- …the enhanced track Medicare Shared Savings Program (MSSP) + Designs a strategy for the care coordination team to identify high risk patients + Communicate with ... (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus… more
- Mathematica (Raleigh, NC)
- …and other partners to maintain and further this commitment. *Primary Responsibilities:* * Lead strategy development and execution for our work with assigned ... development and client relationship building for our work with the Centers for Medicare & Medicaid Services' (CMS), Center for Medicare and Medicaid Innovation,… more
- Humana (Raleigh, NC)
- …assigned health plan and/or specialty companies relative to Medicare /Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and ... that assigned health plans are meeting or exceeding corporate Medicare /Medicaid/TRICARE/Employer Group performance benchmarks. Maintains relationships with regulators within… more
- Mathematica (Raleigh, NC)
- …include:* * As part of the AI Health Outcomes Challenge held by Centers for Medicare and Medicaid Services, members of this team developed a cloud data pipeline and ... to make predictions with a large multiyear sample of Medicare beneficiaries with detailed claims data about millions of...Building for Public Health Analysts in the Overdose Response Strategy , where the team designed, developed, and secured a… more
- CenterWell (Raleigh, NC)
- …Director, High Risk Patient Management. Responsibilities will include: + Lead comprehensive clinical pharmacy service development, execution, and operations in ... clinical leadership (including Chief Medical Officer, Complex Care clinical strategy team, Clinical Excellence/Quality, and other areas), practice operations,… more
- Humana (Raleigh, NC)
- …help us put health first** Humana is seeking an experienced management professional to lead the Pharmacy Stars team. In this role, the selected candidate will be ... responsible for the strategy , opportunity evaluation, planning oversight, coordinating the development and...positive performance of medication adherence, statin use, polypharmacy, and Medicare Plan Finder measures for Pharmacy by influencing both… more
- Humana (Raleigh, NC)
- …work stream tasks/milestones + Look for enhancements to the messaging to achieve the strategy /goal + Structure, plan and lead design sessions + Collaborate with ... line of business by leading journeys, campaigns, or communications with business strategy and consults on marketing and communication delivery strategy . **Key… more
- Humana (Raleigh, NC)
- …Work with various stakeholders to build an enterprise alignment around technology strategy , standards, roadmaps, and terminology + Facilitate the creation of clear, ... provide engineering teams with tactical direction for achieving the enterprise tech strategy . + Clearly communicate and evangelize the value associated with adhering… more
- American Institutes for Research (Chapel Hill, NC)
- …experience with federal agencies, including but not limited to the Centers for Medicare and Medicaid Services (CMS). Candidates hired for the position may work ... beyond legal compliance to its full integration in our strategy , operations, and work environment. At AIR, we define...and implementation of quality measures for Federal programs. + Lead the development of measure specifications. + Lead… more
- Prime Therapeutics (Chapel Hill, NC)
- …the management of all client specific clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug ... all provider and member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to the… more
- Humana (Raleigh, NC)
- …and Supplier Management functions. **Key Responsibilities/Accountabilities:** + Lead /Manage technical implementations focused on continuous process improvement, ... objectives, approach, resources, schedules, and goals. + Proven ability to lead , facilitate, prioritize, negotiate, problem solve, and inspire team members in… more
- Humana (Raleigh, NC)
- …management and measurement, and process-driven systems requirements. Job Responsibilities: + Lead and develop assigned recruiting systems strategy and functional ... candidate and recruiter technology processes. Working autonomously, driving department strategy with benchmarking, business process analysis and re-engineering, change… more
- Mathematica (Raleigh, NC)
- …using point-and-click tools. *Responsibilities:* * Own the Salesforce product vision, strategy , and roadmap, maintaining stakeholder and client alignment. * Provide ... of Salesforce solutions. * Collaborate with the Project Task Lead on budget, timelines, and scope, manage licenses and...work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts… more
- Humana (Raleigh, NC)
- …to join the Retail Marketing team working remote anywhere in the US You will lead and develop a team of 5 marketing professionals that lead the implementation ... and market leader journeys and 'jobs to be done' and drive technology strategy and communication strategies that differentiate Humana across the experience + Sales… more