• Data Science Lead Analyst ( Medicare

    The Cigna Group (Denver, CO)
    **Summary** The Data Scientist Lead Analyst will contribute to the Medicare Clinical and Customer strategy , performing research and analysis within the ... to improve clinical programs, customer value, growth, and retention for Cigna Medicare . This role will help us accomplish this through data science, strategic… more
    The Cigna Group (09/28/24)
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  • Business Analytics Lead Analyst…

    The Cigna Group (Denver, CO)
    **Summary** The Business Analytics Lead Analyst will be responsible for performing reporting and analysis within the Clinical & Data Science Analytics team for ... Medicare Strategic Analytics. Reporting to the Manager of Care...Reporting to the Manager of Care Management Analytics, the lead analyst will analyze healthcare claims and clinical outcomes… more
    The Cigna Group (10/25/24)
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  • Business Analytics Lead Analyst…

    The Cigna Group (Denver, CO)
    …Analyst will be an individual contributor responsible for supporting the analytics strategy for Medicare Health Services, performing research and analysis within ... the Clinical Analytics team. This role will help us accomplish this through data-driven analytics, strategic insights, and collaboration with our internal partners. In addition, this person will be responsible to identify opportunities for our clinical… more
    The Cigna Group (10/19/24)
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  • Actuarial Senior Manager - Medicare Pricing…

    The Cigna Group (Denver, CO)
    …success of CSB. **Responsibilities:** + Accountability for executing new business pricing strategy to drive profitable growth in the Medicare Supplement ... Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement… more
    The Cigna Group (09/14/24)
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  • AVP, Clinical Operations Cost of Care…

    Humana (Denver, CO)
    …to drive exploration and implementation of identified opportunities. The AVP will lead a multidisciplinary team that blends strategy , policy, clinical and ... caring community and help us put health first** The Associate VP, Strategy Advancement provides data-based strategic direction to identify and address business… more
    Humana (10/31/24)
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  • SVP, Home Solutions Strategy and Business…

    Humana (Denver, CO)
    …health and financial well-being of you and your family The SVP, Home Solutions Strategy and Business Development will drive the development and execution of the ... strategy and growth plan in Humana's Home Solutions organization....commercialization and partnerships to drive growth. The SVP will lead a multi-level organization of ~800 associates, with seven… more
    Humana (10/29/24)
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  • Lead Security Architect(remote)

    Humana (Denver, CO)
    …security architecture to ensure the enterprise can achieve the enterprise security strategy . The Lead Security Architect will work with stakeholders and ... of our caring community and help us put health first** The Lead Security Architect determines security architecture requirements by evaluating business strategies… more
    Humana (10/29/24)
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  • FP&A Lead , Medicaid Market

    Humana (Denver, CO)
    …community and help us put health first** The Financial Planning & Analysis Lead is a critical leadership role with market financial oversight over the Wisconsin ... information for strategic and operational decisions. The Financial Planning & Analysis Lead works on problems of diverse scope and complexity ranging from moderate… more
    Humana (11/01/24)
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  • Lead Google Cloud Solutions Engineer,…

    Humana (Denver, CO)
    …a part of our caring community and help us put health first** The Lead Cloud Solutions Engineer (Network) is responsible for the planning, design, and engineering of ... infrastructure and platforms related to cloud network & cloud computing. The Lead Cloud Solutions Engineer (Network) provides strategic advice and guidance to… more
    Humana (10/29/24)
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  • Lead Application Architect (Integrated…

    Humana (Denver, CO)
    …vision resonates with you, we would like to talk to you! The Lead Application Architect designs and develops IT applications architecture solutions to business ... problems in alignment with the enterprise architecture direction and standards. The Lead Application Architect works on problems of diverse scope and complexity… more
    Humana (10/29/24)
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  • Quality Improvement Program Lead (National…

    Humana (Denver, CO)
    …us put health first** Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the end to end ownership of Humana Healthy ... Quality associates throughout the line of business. The Quality Improvement Program Lead reports directly to the National Medicaid Quality Director. The Quality… more
    Humana (10/31/24)
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  • Lead Business Analyst, Implementation

    Evolent Health (Denver, CO)
    …Evolent's mission, they will play a pivotal role in delivering our value-based strategy with partners and contribute to dynamic initiatives that propel the growth of ... business experience in an HMO / PPO Claims, Medicaid, Medicare and / or managed care healthcare environment +...Act, HMO and managed care principles including Medicaid and Medicare regulation + Extensive experience with the System Design… more
    Evolent Health (10/16/24)
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  • VP, Behavioral Health Transformation

    Humana (Denver, CO)
    …it. The result is a better quality of life-not only for people with Medicare and Medicaid but also for families, military service personnel, and communities at ... large. Business Strategy Humana's strategy is centered on providing...health outcomes. The facts: * Over 35% of HUM's Medicare and Medicaid members have a BH diagnosis, including… more
    Humana (11/01/24)
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  • Audit & Reimbursement Sr

    Elevance Health (Denver, CO)
    …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
    Elevance Health (10/29/24)
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  • Financial Analysis and Modeling Advisor

    The Cigna Group (Denver, CO)
    …of stakeholders on setting our risk adjustment strategy . Reporting to the Medicare Advantage Revenue Finance lead , this position will work within both the ... The Financial Analysis and Modeling Advisor position within the Medicare Advantage Revenue Finance Team is an opportunity to...provide consultative advice to leadership on tracking the company's Medicare Revenue. This role will work with a series… more
    The Cigna Group (10/22/24)
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  • Principal, Capture Management

    Humana (Denver, CO)
    …the health of the communities it serves. The **Principal, Capture Management** will lead initiatives to develop and execute strategy to successfully position ... resources to achieve growth The **Principal, Capture Management** will lead initiatives to develop and execute strategy ...achievement + 5+ years' experience in a Medicaid or Medicare Managed Care Organization + 5+ years' experience in… more
    Humana (11/01/24)
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  • VP, Enterprise Data Governance & Protection.

    Humana (Denver, CO)
    …The role of the Vice President, Enterprise Data Governance & Protection is to lead Humana's data strategy including investments in acquisition and protection of ... approaches for data governance. She/he will be responsible for data protection strategy and execution to improve cyber breach resistance. She/he will be responsible… more
    Humana (10/29/24)
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  • The Associate Director, Medicaid Implementation…

    Humana (Denver, CO)
    …is seeking an Associate Director, Medicaid Implementation (Business Project Management) to lead within a specific defined business area (non-IT) within Humana. This ... Medicaid market. The Associate Director key roles and responsibilities include: + Lead a team of program managers supporting new Medicaid state contract… more
    Humana (10/29/24)
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  • Associate Director, Actuarial

    Humana (Denver, CO)
    …complex technical and operational problems within department(s), and could lead multiple managers or highly specialized professional associates. Responsibilities ... based relationships, reporting for expected provider performance, and supporting reporting and strategy associated to these areas. **Use your skills to make an… more
    Humana (10/31/24)
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  • Senior Marketing Business Intelligence Engineer

    Humana (Denver, CO)
    …each campaign + Works under the direction of the Technology, Measurement, & Optimization Lead to define the measurement strategy for the organization + Works ... Humana's Marketing organization is seeking a Senior Business Intelligence Engineer, Measurement Strategy & Marketing Performance to join the team. The Measurement … more
    Humana (11/01/24)
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