- Humana (Dover, DE)
- …caring community and help us put health first** The Associate Vice President (AVP), Medicaid Data Strategy & Enablement, is responsible for leading the strategic ... Data Visualization and Business Intelligence (BI) Reporting team, transforming Medicaid data into actionable insights to support informed decision-making,… more
- Humana (Dover, DE)
- …of our caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and ... financial, and clinical teams to assess and determine optimal data solutions. Provide strategic recommendations on ...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- CVS Health (Dover, DE)
- …all with heart, each and every day. **Position Summary** - Maintains the Provider Data (demographic and contractual) for all network and non-network providers. ... other departments regarding database improvements. - Provides support for baseline provider data transactions that cannot be administered automatically through… more
- Humana (Dover, DE)
- …impact** **Required Qualifications** + Minimum of 2 years' professional experience in Medicaid data management, healthcare operations + Ability to monitor ... for ensuring the accurate and timely submission of encounter data to Medicaid , Medicare, and DSNP states,...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Dover, DE)
- …Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing ... Engineer will be primarily responsible for implementation, maintenance and support of Medicaid provider reimbursement for hospitals and facilities. They will… more
- Humana (Dover, DE)
- …of the care received by members in the KY, OH, VA, WI and IN Medicaid market populations. May provide cross-coverage for other state Medicaid markets. ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Dover, DE)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Public Consulting Group (Dover, DE)
- …agency and school district clients in their efforts related to special education, Medicaid reimbursement, data management and use. While a remote role, it ... and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000… more
- Humana (Dover, DE)
- …fraud, waste and abuse within the healthcare industry + Knowledge of the Medicare and Medicaid programs + Experience in data analysis + Must be passionate about ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Dover, DE)
- …Demonstrate ability to problem-solve complex coding issues + Experience with Medicare and Medicaid coding guidelines + Strong data entry and attention to detail ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Dover, DE)
- …into provider -friendly insights. + Lead the design and refinement of provider -facing data views (dashboards, insights, performance summaries) to ensure they ... provider workflows. + Work with product leads and data teams to prioritize enhancements that make insights easier...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Dover, DE)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Dover, DE)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... help us put health first** The Associate Director, Finance Data Management supports all aspects of configuration control, ...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Dover, DE)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... Pharmacy Digital Performance team is looking for a Senior Data Analyst to join us in transforming healthcare. In...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Dover, DE)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... first** We are looking for a highly capable Senior Data Scientist to support advanced AI initiatives focused on...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Dover, DE)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... healthcare through AI excellence. We are seeking a Principal Data Scientist to guide the strategic decisions and the...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Dover, DE)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... healthcare through AI excellence. We are seeking a Lead Data Scientist to guide the strategic decisions and the...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Dover, DE)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... healthcare through AI excellence. We are seeking a Lead Data Scientist to define and drive the new frontier...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Dover, DE)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... health first** Humana is seeking a Senior Responsible AI Data Scientist to champion the ethical development of artificial...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Dover, DE)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... healthcare through AI excellence. We are seeking a Lead Data Scientist to drive the safety, alignment, and ethical...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more