- Mathematica (Boise, ID)
- …https://www.mathematica.org/career-opportunities/benefits-at-a-glance. Mathematica is looking for a highly organized Medicaid Project Associate to contribute ... and support the work of projects in the Federal Medicaid practice. As a part of a project team, the Associate will be responsible for coordinating and… more
- Humana (Boise, ID)
- …a part of our caring community and help us put health first** Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy ... Organization to support the strategic direction and growth of the Medicaid and Duals lines of business. This is a unique opportunity for a motivated individual to… more
- Humana (Boise, ID)
- …Director will be primarily focused and responsible for the operations of Inbound Medicaid Contact Centers serving members and providers. In this role, you will have ... across multiple lines. Primarily responsible for overseeing the day-to-day Medicaid contact center operations team responsible for addressing customer needs… more
- Humana (Boise, ID)
- …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 (Boise, ID)
- …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 (Boise, ID)
- …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 (Boise, ID)
- …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 (Boise, ID)
- …part of our caring community and help us put health first** The Associate Director, Privacy & Ethics monitors compliance in accordance with government regulations ... relating to the Health Insurance Portability and Accountability Act (HIPAA). The Associate Director, Privacy & Ethics requires a solid understanding of how… more
- Humana (Boise, ID)
- …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 (Boise, ID)
- …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 (Boise, ID)
- …as Dual Eligibles, Veterans, and other needs-based segments. The Medicare and Medicaid organization, Humana's largest, comprises over 80% of the company's total ... Management Team, and corporate, functional, and business unit leaders. Select project examples include (1) Development of Medicare Product strategies that are… more
- Humana (Boise, ID)
- …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 (Boise, ID)
- …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 (Boise, ID)
- …+ 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 (Boise, ID)
- …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
- CenterWell (Boise, ID)
- …on moderately complex to complex issues regarding the technical approach for project components and work without direction. The Senior Risk Professional will: + ... senior management, or regulatory agencies as required. + Ensures that project /department milestones/goals are met. + Contributes to annual and longer-range… more
- Humana (Boise, ID)
- …put health first** The Senior Learning Design Intern will utilize Humana's Medicaid training and engage formerly acquired skillsets from prior experience and ... on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. + Exercises considerable… more
- Humana (Boise, ID)
- …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 (Boise, ID)
- …+ 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
- Humana (Boise, ID)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... a law firm or in-house health care organization + Experience in Medicare, Medicaid , or similar regulatory work + Strong legal research, analytical, and writing/oral… more