• Medicare Technology

    The Cigna Group (Nashville, TN)
    The Medicare Technology Operations organization is looking for experienced, innovative and motivated leaders with strong technology engineering and cloud ... cost accountability across applications and project teams. + Build partnerships with Medicare programs and operations , and collaborate to prioritize, design, and… more
    The Cigna Group (11/13/24)
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  • Data Measurement and Reporting Senior

    The Cigna Group (Nashville, TN)
    **Job Description** Medicare Technology Operations - Data Measurement and Reporting Senior Analyst **Overview** Guides the team to deliver tasks in the ... important role in the development and support of key data-related deliverables within the Medicare Technology Operations team, including but not limited to,… more
    The Cigna Group (11/16/24)
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  • Medicare Technology

    The Cigna Group (Nashville, TN)
    The Disaster Recovery Coordinator will be one of the faces of the Medicare Tech Ops (MTO) BCP/DR team and oversee the MTO datacenter recovery effort using a BCP ... plans, as well as annual recovery plan exercises. The Senior DR Coordinator will work closely with critical application...Minimum of Five (5) years working in IT or technology department in a technical capacity. + Minimum of… more
    The Cigna Group (11/14/24)
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  • Medicare Technology

    The Cigna Group (Nashville, TN)
    …important role in the development and support of key data-related deliverables within the Medicare Technology Operations team, including but not limited to, ... implementation phase of data-related solutions for small projects under the guidance of senior team members. Takes lead in DB design decisions to support reporting… more
    The Cigna Group (11/16/24)
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  • Medicare Technology

    The Cigna Group (Nashville, TN)
    …driving to root cause on complex issues + Comfort with interfacing with senior management level, including presenting critical problems at daily and weekly review ... with senior management + Experience leading and completing projects timely and effectively. + Working experience using ServiceNow preferred + Excellent written and… more
    The Cigna Group (11/14/24)
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  • Medicare Provider Data Quality…

    The Cigna Group (Nashville, TN)
    …and usage of each element. The team will work with multiple stakeholders across Medicare operations , as defined by the Dedicated Medicare Operating Model ... Functions and Responsibilities** + Coordinate and partner with the key Medicare operations teams, including claims,enrollment, fulfillment, network operations more
    The Cigna Group (11/16/24)
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  • Medicare Healthcare Internal Consultant…

    Vanderbilt University Medical Center (Nashville, TN)
    …Prepares data for inclusion in presentations on strategic requirements to senior leadership related to implementations of systematic and procedural changes to ... the assembly of documentation and data to support analytical reporting to senior business operational leaders and physician leadership regarding: + Audit results to… more
    Vanderbilt University Medical Center (11/07/24)
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  • Medicare Broker Sales Manager, Licensed…

    The Cigna Group (Nashville, TN)
    …proficient with data analytics . Knowledge of marketing strategy, value proposition and senior market . Adherence to CMS Medicare Marketing Guidelines and ... about the role:** **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and broker… more
    The Cigna Group (11/07/24)
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  • Systems Analysis Senior Advisor (Fhir SME)

    The Cigna Group (Nashville, TN)
    The Systems Analysis Senior Advisor is a member of the Agile Team and a conduit between the Agile Team and the business. This individual is responsible for defining ... story prioritization in accordance with the Manager's priority requests. The Systems Analysis Senior Advisor also reviews the quality of the product that the Team… more
    The Cigna Group (10/22/24)
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  • Senior Business Intelligence Engineer

    Humana (Nashville, TN)
    …of our caring community and help us put health first** The Humana Enterprise Operations Enablement (EOE) - CPSS Data & Analytics - BI (Business Intelligence) team is ... team focused on data, data visualization and data science supporting Humana's Service Operations . The team is focused on converting data to actionable insights for… more
    Humana (10/29/24)
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  • Senior Data and Reporting Professional

    Humana (Nashville, TN)
    …a part of our caring community and help us put health first** The Senior Data and Reporting Professional generates ad hoc reports and regular datasets or report ... system tools and database or data warehouse queries and scripts. The Senior Data and Reporting Professional work assignments involve moderately complex to complex… more
    Humana (11/16/24)
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  • Senior Software Engineer-Splunk

    Humana (Nashville, TN)
    …industries (Healthcare, Banking, Cybersecurity) **Additional Information** Solid understanding of operations , technology , communications and processes Must be ... Enterprise Observability engineering team is looking for a well versed and experienced Senior Software Engineer-Splunk. As a Senior Engineer, you should be… more
    Humana (11/01/24)
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  • Senior Cloud Security Engineer(remote)

    Humana (Nashville, TN)
    …a part of our caring community and help us put health first** The Senior Cloud Security Engineer ensures that cybersecurity policies are engineered and deployed in ... and approaches to assignments. **Join our team as a Senior Cloud Network Security Engineer!** We are looking for...**Prisma portal** based on least privilege roles, and provide operations training and support, as needed. + Participate in… more
    Humana (11/06/24)
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  • Senior Market Finance Professional…

    Humana (Nashville, TN)
    …a part of our caring community and help us put health first** The Senior Market Finance Professional collects, analyzes and reports on various market data to connect ... financial outcomes with operational effectiveness. The Senior Market Finance Professional work assignments involve moderately complex to complex issues where the… more
    Humana (10/31/24)
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  • Senior Business Systems Analysis…

    Humana (Nashville, TN)
    …of our caring community and help us put health first** Job Description Summary Technology is what will help us create a more integrated healthcare experience for our ... services across Humana. We are in search of a Senior Business Systems Analysis Professional to be a liaison...Business Systems Analysis Professional to be a liaison between operations and IT and assist in making decisions on… more
    Humana (11/15/24)
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  • Medical Claims FP&A Senior Manager

    The Cigna Group (Nashville, TN)
    The Medical Claims FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and paid ... but not limited to FP&A centralization, Market Finance, Product, Pricing, Reserving, Operations , and external Audit Firms. Given the close partnership between this… more
    The Cigna Group (10/22/24)
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  • Accounts Receivable/Payable Manager Onshore…

    Conviva (Nashville, TN)
    …and help us put health first** The Revenue Cycle Manager (Onshore Operations ) oversees the onshore team responsible for the comprehensive management of revenue ... Payment Posting Auditors who work to ensure accurate financial operations and proper payment posting. The manager is also...for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making… more
    Conviva (11/16/24)
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  • Manager, Encounter Data Management

    Humana (Nashville, TN)
    …ensure successful submission and reconciliation of encounter submissions to Medicaid/ Medicare . Ensures encounter submissions meet or exceed all compliance standards ... data, and develops tools to enhance the encounter acceptance rate by Medicaid/ Medicare . Looks for long term improvements of encounter submission processes. Decisions… more
    Humana (11/16/24)
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  • Associate Director, Security Architecture(remote)

    Conviva (Nashville, TN)
    …applications + Coordinate the implementation of policies, standards, and daily operations of Identity and Access Management Program + Facilitate the creation ... of clear, concise, and easy to access technology standards to provide engineering teams with tactical direction...to multiple levels of audiences of stakeholders - ie senior executives in business and IT, architects, developers, etc.… more
    Conviva (11/14/24)
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  • Financial Analytics Lead

    Humana (Nashville, TN)
    …performance of business and growth strategies. The position will work directly with senior management, including the Segment President, Senior Leaders, and SVPs, ... - KPI's/OKR's. + Present analysis and engage in in strategic discussions with senior management. **Use your skills to make an impact** **Required Qualifications:** +… more
    Humana (10/29/24)
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