- Humana (Annapolis, MD)
- …caring community and help us put health first** Humana Healthy Horizons is seeking a Medicaid Implementation Senior Business Project Manager to manage a ... change management and project management are best suited for this role. The Medicaid Implementation Senior Business Project Manager will serve as a… more
- Prime Therapeutics (Annapolis, MD)
- … business (Employer Markets, Health Insurance Marketplace, Commercial, Medicare, Medicaid , Specialty) or with unique Prime contract requirements; drive the ... we make. **Job Posting Title** Health Plan Account Dir Sr - Remote **Job Description** The Sr ...advanced degree + Experience working within assigned line of business or market segment (Commercial, Medicare, Medicaid ,… more
- Humana (Annapolis, MD)
- …Medicaid products and capabilities to support the strategic direction and growth of the Medicaid and Duals lines of business . This is a unique opportunity for ... Care Organization **OR** 2+ years of experience in strategy consulting supporting Medicaid managed care organizations. + Experience in business development or… more
- Public Consulting Group (Annapolis, MD)
- …and Grants Management + Assessments and Feasibility Studies PCG is looking for a Senior Consultant in Medicaid policy and funding as it relates to children's ... Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health,...children's behavioral health services. PCG is looking for a Senior Consultant in Medicaid policy and funding… more
- Humana (Annapolis, MD)
- …community and help us put health first** Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional to drive best in class provider ... Provider Education team through collaboration across existing and new Medicaid markets. The Senior Medicaid ...create provider materials, has interpersonal skills to work across business segments, and must be highly organized. **Key Role… more
- Prime Therapeutics (Annapolis, MD)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr . Director, Pharmacy Network Management - Remote **Job Description** The Senior ... market leading pharmacy reimbursement methodologies that support all of Prime's business assuring coordination with performance standards and corporate goals. + Lead… more
- Public Consulting Group (Annapolis, MD)
- Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human ... and Responsibilities** + Oversees the activities of other analysts. + Develops business solutions through the constant modification of the existing business … more
- Humana (Annapolis, MD)
- …an in-depth evaluation of variable factors. The Senior Technology Implementation Professional gathers and documents business system and functional ... a part of our caring community and help us put health first** The Senior Technology Implementation Professional delivers new technological solutions to meet … more
- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Senior Business Systems Analysis Professional who is part of the System Optimization ... ensuring optimal performance and integration across the procurement landscape. The Senior Business Systems Analysis Professional performs analyses of systems,… more
- Humana (Annapolis, MD)
- …with a passion for wellness? Join Humana's Marketing Organization as a Senior Product Marketing Professional on the Wellness Member Marketing Team. Working remotely, ... This role is ideal for someone with a background in Medicare, Medicaid , or DSNP-focused marketing, aiming to deeply engage members in health-positive behaviors… more
- Humana (Annapolis, MD)
- …Time Zone.** The Senior Agile Coach guides agile practice and tool implementation for a business segment in alignment with the organizational agile ... Senior Agile Coach, you will guide the agile implementation strategy across an entire business segment,...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Annapolis, MD)
- …Coordinate business partner engagement with external regulators + Coordinate implementation and compliance with corrective action plans, as needed + Provide ... a part of our caring community and help us put health first** This Senior Compliance Professional role supports Humana's suite of Medicare and Commercial Dental and… more
- Humana (Annapolis, MD)
- …company's core businesses. This position will focus on change management, ensuring business groups are ready for implementation . Key Responsibilities: + ... of our caring community and help us put health first** The Senior Experience Strategy & Transformation Professional enhances the consumer experience by architecting… more
- HealthEdge Software Inc (Annapolis, MD)
- **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... in claims processing. The successful candidate will be responsible for taking a senior level role in analyzing claims data, as well as translating contract terms,… more
- Humana (Annapolis, MD)
- …a part of our caring community and help us put health first** The Senior Scrum Master facilitates and aligns across one or more teams including Product Owners, ... of like-minded Scrum Masters to accelerate Humana's agile transformation. Drives the implementation of various frameworks in order to focus on value, flow, quality,… more
- Prime Therapeutics (Annapolis, MD)
- …to develop detailed design specifications according to standards. **Job Description** The Business Analyst will support the Colorado Medicaid Pharmacy Benefits ... and requests for ad hoc reports to support sales, implementation , new product development, specials. + Queries data warehouse...to adjust focus **Reporting Structure** + Could report to Business Analyst Lead, Manager, Director, Sr Director,… more
- Humana (Annapolis, MD)
- …use of ServiceNow, JSM, or other platforms as necessary. + Collaborate with senior leadership to integrate ITSM into business process operations, ensure IT ... exceptional stability and performance for our IT infrastructure. Leads design, implementation , and optimization of ITSM processes for the cloud environment, DevOps,… more
- Humana (Annapolis, MD)
- …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 ... in their personal and professional well-being, all from day one. The Home Solutions business segment is comprised of two major brands - CenterWell Home Health (CWHH)… more
- Humana (Annapolis, MD)
- …that go into our annual Medicare bid process. You will also shape implementation considerations and work with business owners as appropriate to transition ... for Humana's Insurance Segment, which includes Medicare Advantage (Individual and Group), Medicaid , and Specialty businesses. You will partner with the senior … more
- Public Partnerships LLC (Annapolis, MD)
- …and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and ... to develop and enhance the products from concept to implementation to product go-live. + Research, Evaluate and Incorporate...strategies that deliver significant value to our customers and business . + Hold a high bar for execution and… more