- Humana (Trenton, NJ)
- …thinking capable of providing frameworks to maximize available resources to achieve growth The Medicaid Senior Insurance Product Manager plays a critical ... the needs of Humana's customers while aligning with its business objectives. The ** Medicaid Senior Insurance Product Manager** plays a critical role in… more
- CVS Health (Blue Bell, PA)
- …actuarial team supporting CVS Health and Aetna's exciting and growing Medicaid business. Support CVS Health's financial integrity with sound reserving and ... risk management practices as well as product designs that meet customer needs and pricing that...be leading Actuarial market support for the Southeast region's Medicaid contracts (KY, LA, OHRISE, WV, & VA). Within… more
- Humana (Trenton, NJ)
- …and help us put health first** Humana's Marketing Organization is looking for a Senior Product Marketer that has prior experience focused on Medicare, ... Medicaid and/or DSNP Members around Health and Well-being initiatives...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc.… more
- Humana (Trenton, NJ)
- …us put health first** Humana's Corporate Marketing organization is looking for a Senior Product Owner that is Salesforce Marketing Cloud Email Specialist ... just may be the role for you! As the Senior Product Owner, you will support Humana's...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc.… more
- HealthEdge Software Inc (Trenton, NJ)
- **Overview** **Position** **Overview:** As a Senior Product Manager, within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... add significant value to our customers. Working directly with customers, other product owners, agile engineering teams, and internal functions you will create… more
- AmeriHealth Caritas (Newtown Square, PA)
- …legal, regulatory, and compliance issues, to mitigate risks associated with the company's Medicaid product lines + Identifying business and legal risks and ... ensure compliance with related requirements + Dealing with state Medicaid and insurance departments/regulators + Drafting and...negotiating provider and vendor contracts that support the company's Medicaid product lines + Keeping up to… more
- Humana (Trenton, NJ)
- …reports and data management to support the market's Quality team within the Medicaid product line. Integrates data from multiple sources to produce requested ... 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… more
- Deloitte (Philadelphia, PA)
- …Actuary - Senior Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice, you will assist Deloitte Managers, Senior Managers, and ... health plan/ insurance company experience + 1 years' experience with Medicaid managed care capitation rate development and/or fee-for-service rate development +… more
- Humana (Trenton, NJ)
- …Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Senior Technology Leadership Professional ... situations or data requires an in-depth evaluation of variable factors. The Senior Technology Leadership Professional works with design engineering and test team to… more
- AmeriHealth Caritas (Newtown Square, PA)
- …modeling experience. + Strong preference for experience in a large, multi-market, multi- product health insurance company, including Medicaid financial ... ** Senior Vice President Financial Planning & Analysis** Location:...Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day… more
- Humana (Trenton, NJ)
- …utilize to reduce administrative cost and improve the customer's experience. The Senior Business Intelligence Engineer position will be supporting BI work for our ... Medicare organizations. The ** Senior Business Intelligence Engineer** : + Develops and maintains...interactive reports using Power BI, Qlik, Tableau and/or similar product + Intermediate skills in Power Apps and Power… more
- Humana (Trenton, NJ)
- …our caring community and help us put health first** Humana is seeking a Senior Economist to lead the development and management of advanced econometric models to ... forecast and understand drug utilization trends and costs. As a Senior Economist, you will use open-source programming languages (R or Python) in Databricks to… more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Senior Software Engineer solves complex business problems and issues using data from internal and ... incorporates principles of Scrum Agile, dedicated Partnership Leaders, and collective Product Ownership to deliver integrated risk adjustment (RA) and quality… more
- Humana (Trenton, NJ)
- …of Care (cost) & Effectiveness of Care (quality). Humana is seeking a Senior Informaticist on the Physician Performance Analytics team that leverages their advanced ... performance and rating metrics (claims, measures, conditions, specialties, etc.), product offerings, and analytics-based approaches which produce meaningful results… more
- Humana (Trenton, NJ)
- …Contract Requires US Citizenship for this Position. Job Description Summary The Senior Database Administrator is a key player in managing and maintaining both ... team. + Interact with internal customers including Developers, Data Engineers, Product Owners, etc., providing consultation on database changes, best practices, and… more
- CVS Health (Trenton, NJ)
- …to various internal departments (eg, specialty pharmacy services, clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. ... (PA) and/or medical necessity appeals for commercial clients, governmental (Medicare/ Medicaid ) programs and individual client requested coverage determinations or… more
- Humana (Trenton, NJ)
- …delivery experience and technical expertise across multiple platforms and will have senior level leadership experience in a complex corporate environment. They will ... technology strategy and execution for the rationalization of the Insurance IT portfolio of systems. + Partner closely with... IT portfolio of systems. + Partner closely with product owners and product managers, strategy teams,… more
- Humana (Trenton, NJ)
- …experience across the PPNO lifecycle. The ideal candidate has led product teams, project management, strategy and possibly technology teams. **Responsibilities:** + ... the provider experience across PPNO + Bring extremely strong product management and technical skills to bear as we...greatest developments. + Play a critical role in influencing senior leadership on the future-state. + Work closely with… more
- AmeriHealth Caritas (Newtown Square, PA)
- …address the changing needs of the participants. + Identify State and/or product -specific priorities and determine the appropriate strategic approach that will drive ... Administration or related field + 5 plus years operational experience in Medicaid /Medicare/LTSS + 10 or more years experience of: + Progressive responsibility in… more
- Humana (Trenton, NJ)
- …and education to participate in all aspects of software or hardware product delivery and performance. The Technology Leadership Intern analyzes and measures the ... **Participation Includes:** + Performs various engineering tests to verify and validate product designs. + Supports product evaluation and qualification on… more