• 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 Lead Analyst…

    The Cigna Group (Nashville, TN)
    **Job Description** Medicare Technology Operations - Data Measurement and Reporting Lead Analyst **Overview** Guides the team to deliver tasks in the Data ... 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 (11/13/24)
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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)
    …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 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 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 Strategy Advancement Professional…

    Humana (Nashville, TN)
    …to maximize ability of limited resources to achieve growth. ​ **The Senior Strategy Advancement Professional** will support initiatives to develop and execute ... assess, and translate state requirements into actionable go-to-market strategy. The Senior Strategy Advancement Professional will consult with growth partners to… more
    Humana (10/29/24)
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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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  • 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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  • AVP, Infrastructure Operations

    Humana (Nashville, TN)
    …Reduce risk, cost, and complexity due to end-of-life infrastructure. + As a senior technology operations leader, ensure high-performance by attracting, ... the public cloud. Reports to the VP of Infrastructure Operations within the CTO (Chief Technology organization)...similar field required. + 10+ years of experience leading Technology support, preferably in a senior healthcare… more
    Humana (10/29/24)
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  • Strategy Advancement Advisor

    Humana (Nashville, TN)
    …ROI + Create and maintain key business relationships on behalf of the Insurance Operations organization and its senior leaders + Create executive summaries and ... and help us put health first** The role works closely with Insurance Operations Leadership to help create and execute business and operational strategies for the… more
    Humana (11/13/24)
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  • Claims Technical Analyst, Sr.

    Prime Therapeutics (Nashville, TN)
    …make. **Job Posting Title** Claims Technical Analyst, Sr. **Job Description** The Senior Claims Technical Analyst is responsible for serving as the claims analysis ... resource for assigned operations teams. This role is responsible for performing complex...and Associate Analysts, along with leading process improvement and technology uplift efforts for department level applications. **Responsibilities** +… more
    Prime Therapeutics (10/01/24)
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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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  • Project Manager/Fire & EMS Consultant

    Public Consulting Group (Nashville, TN)
    …Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies ... part of a dynamic team along with peers and senior staff. The Fire/EMS Consultant will be responsible for...public safety consulting business line, and other Medicaid and Medicare related projects. This role will use knowledge of… more
    Public Consulting Group (10/11/24)
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  • Clinical Investigation Lead

    Humana (Nashville, TN)
    …Essentials** + 7+ years of experience in clinical strategy and/or HealthPlan operations + Professional clinical license (eg, MD, Registered Nurse or Pharmacist) or ... etc.), with evidence of deep understanding of healthcare data and health-systems operations + Excellent written and verbal communication skills, with ability to… more
    Humana (11/09/24)
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