• Senior Strategy Advancement…

    Humana (Richmond, VA)
    …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 (10/04/24)
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  • Audit & Reimbursement Senior - Appeals

    Elevance Health (Richmond, VA)
    …Services to transform federal health programs. The **Audit and Reimbursement Senior -Appeals** will support our Medicare Administrative Contract (MAC) with ... of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare...strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
    Elevance Health (09/28/24)
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  • Senior Process Improvement…

    Humana (Richmond, VA)
    …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 (10/05/24)
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  • Senior Vendor Management…

    Humana (Richmond, VA)
    …a part of our caring community and help us put health first** The Senior Vendor Management Professional works as liaison between vendors and organization. The ... Senior Vendor Management Professional work assignments involve...contractual issues and resolve discrepancies. Begins to influence department's strategy . Makes decisions on moderately complex to complex issues… more
    Humana (09/27/24)
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  • Senior Transition Pharmacy Claims…

    Humana (Richmond, VA)
    …a part of our caring community and help us put health first** The Senior Pharmacy Claims Professional adjudicates pharmacy claims and process pharmacy claims for ... payment. The Senior Pharmacy Claims Professional work assignments involve...and compliance and monitored regularly. Begin to influence department's strategy . Makes decisions on moderately complex to complex issues,… more
    Humana (09/06/24)
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  • Senior Enterprise Transformation…

    Humana (Richmond, VA)
    …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 (10/04/24)
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  • Senior Provider Education…

    Humana (Richmond, VA)
    …community and help us put health first** Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional to drive best in class provider ... Education team through collaboration across existing and new Medicaid markets. The Senior Medicaid Provider Education Professional will be an independent… more
    Humana (10/04/24)
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  • Senior Pharmacy Claims Professional

    Humana (Richmond, VA)
    …level by driving real impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional , you will play a pivotal role in resolving ... lead on building solutions that make a difference! The Senior Pharmacy Claims Professional analyzes and answers...and building new processes. + Begins to influence department's strategy . + Makes decisions on moderately complex to complex… more
    Humana (09/18/24)
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  • Senior Enterprise Architect

    Humana (Richmond, VA)
    …us put health first** Are you interested in leveraging technology and business strategy to deliver improved member experiences and health outcomes to Humana's 26 ... deliver a perfect member experience by bringing forth the alignment of business strategy to technology strategy , enabling the effective and efficient execution… more
    Humana (09/10/24)
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  • Government Health Actuary Senior Consultant

    Deloitte (Richmond, VA)
    …interested in working in a dynamic environment that offers opportunities for professional growth and new responsibilities? Are you interested in helping clients ... organizational performance. Work you'll do As a Government Health Actuary - Senior Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice,… more
    Deloitte (08/08/24)
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  • SVP, Home Solutions Strategy and Business…

    Humana (Richmond, VA)
    …that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of home health services, and ... we allow employees to invest in their personal and professional well-being, all from day one. The Home Solutions...of you and your family The SVP, Home Solutions Strategy and Business Development will drive the development and… more
    Humana (10/04/24)
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  • Senior Clinical Research Scientist

    Humana (Richmond, VA)
    …to improve clinical outcomes and lower costs for millions of Medicare Advantage beneficiaries leveraging data science & analytics, clinical expertise, strategic ... multi-disciplinary team, you will have the opportunity to work closely with strategy partners and clinicians to shape Humana's future enterprise clinical strategies… more
    Humana (10/04/24)
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  • Senior IT Portfolio Manager

    Humana (Richmond, VA)
    …a part of our caring community and help us put health first** The Senior Portfolio Management Professional collaborates with the business portfolio team to align ... the IT portfolio and demand. The Senior Portfolio Management Professional work assignments involve...as accurate as possible. Drive and influence IT Productivity strategy , proactively identify problems, align on priorities, and help… more
    Humana (10/05/24)
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  • Senior Project Manager

    Humana (Richmond, VA)
    **Become a part of our caring community and help us put health first** The Senior Project Manager manages all aspects of a project, from start to finish, so that it ... is completed on time and within budget. The Senior Project Manager work assignments involve moderately complex to complex issues where the analysis of situations or… more
    Humana (10/04/24)
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  • Business Information Analyst Senior - SQL

    Elevance Health (Richmond, 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. ... **Business Information Analyst Senior - SQL** **Location:** This position will work...+ SQL Server experience and/or knowledge strongly preferred. + Medicaid/ Medicare Encounters experience strongly preferred. + Edifecs experience strongly… more
    Elevance Health (10/01/24)
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  • Senior Enterprise Architect

    Humana (Richmond, VA)
    …our caring community and help us put health first** Humana is seeking a Senior Enterprise Architect who is smart, curious and loves the challenge of solving problems ... across the organization at multiple levels. **Join Our Trailblazing Team as a Senior Enterprise Architect** At Humana, we're not just building systems; we're shaping… more
    Humana (08/08/24)
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  • Senior Financial Analytics Prof - Reserving

    Humana (Richmond, VA)
    …a part of our caring community and help us put health first** The Senior Financial Analytics Professional manages data to support and influence decisions on ... operations, strategic planning and specific business performance issues. The Senior Financial Analytics Professional work assignments involve moderately… more
    Humana (09/26/24)
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  • Audit & Reimbursement Sr

    Elevance Health (Richmond, VA)
    …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare...strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
    Elevance Health (09/19/24)
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  • Workforce Management Professional II

    Humana (Richmond, VA)
    …caring community and help us put health first** The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and ... management, diversity and human resource compliance). The Workforce Management Professional 2 work assignments are varied and frequently require interpretation… more
    Humana (10/04/24)
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  • Reporting and Analytics Director - Cahps/Stars

    Elevance Health (Richmond, 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. ... - CAHPS/STARS** is responsible for high-priority analytical projects for the Medicare CAHPS Organization by leading the planning, direction, and management of… more
    Elevance Health (09/18/24)
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