- Mathematica (Honolulu, HI)
- …https://www.mathematica.org/career-opportunities/benefits-at-a-glance. Mathematica is looking for a highly organized Medicaid Project Associate to contribute ... and support the work of projects in the Federal Medicaid practice. As a part of a project team, the Associate will be responsible for coordinating and… more
- Humana (Honolulu, HI)
- …a part of our caring community and help us put health first** The Medicaid Actuary role is responsible for providing actuarial support for multiple states in ... are the specific day to day responsibilities of the Medicaid Actuary role: + Frequent analysis of actual experience...of technical experience + 2 or more years of project leadership experience **Scheduled Weekly Hours** 40 **Pay Range**… more
- Humana (Honolulu, HI)
- …of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex… more
- Highmark Health (Honolulu, HI)
- …underlying systems that support the respective business platforms for the Medicaid Business Unit market served by Highmark. Performs configuration change management ... the most complex issues in order to understand capability needs, gather project specifications, create business cases and cost sheet analysis, translate high-level… more
- Humana (Honolulu, HI)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Honolulu, HI)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Honolulu, HI)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Honolulu, HI)
- …Leads projects of high sensitivity/confidentiality + Report out SLA performance and project delivery to key stakeholder groups and prepare remediation plans when ... leadership on a weekly basis. + Leads continuous improvement initiatives for project management and delivery. + Has overall responsibility for service issue… more
- Humana (Honolulu, HI)
- …analytic solutions. The Stars program is the Centers for Medicare & Medicaid Services (CMS) five‐star quality rating system for measuring Medicare beneficiaries' ... improve the decision-making experience for stakeholders + 2 or more years of project leadership experience + Experience analyzing data to solve a wide variety of… more
- Humana (Honolulu, HI)
- …+ Master's Degree or higher in Computer Science or a related field + Associate or Professional level solution architecture certification in Azure, GCP and/or AWS. + ... in Enterprise Architecture repository tools like iServer + 2+ years of project leadership and consulting experience. + Health Care Business Domains - Medicare,… more
- Humana (Honolulu, HI)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... a law firm or in-house health care organization + Experience in Medicare, Medicaid , or similar regulatory work + Strong legal research, analytical, and writing/oral… more
- Humana (Honolulu, HI)
- …systems strategy and functional roadmap + Responsible for the life cycle of project from planning to implementation. To include but not limited to: integration, ... + Develop and maintain relationships between TA Leadership, HR Technology Partners, project team and key stakeholders + Responsible for effective vendor management… more
- Humana (Honolulu, HI)
- …scrubbing for outgoing mailings, problem solving issues for Dental providers, project management of process improvements/business initiatives, and SME on identifying ... work experience. + 3-5 years of technical experience (data analysis, IT project work, communication) + Experience with critical thinking and problem analysis and… more
- Humana (Honolulu, HI)
- …Qualifications** + 5 or more years of experience in IT, Process Improvement and/or Project Management + 3 or more years of experience leading special projects and ... to run large scale, highly visible programs with responsibility for multiple project teams + PMP Certification + Six Sigma or Equivalent certification **Additional… more
- Humana (Honolulu, HI)
- …+ Consults and guides application development teams throughout the entire project lifecycle from conceptual solution design through implementation. + Performs ... of technical experience, or equivalent, and 2-5 years of project /people leadership **Preferred Qualifications** **Additional Information** **Scheduled Weekly Hours**… more
- Humana (Honolulu, HI)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... Candidates located in or adjacent to Kentucky + Bachelor's degree or Associate Degree + Graduate degree and/or certifications (MBA, JD, MSN, Clinical Certifications,… more
- Humana (Honolulu, HI)
- …+ Experience in the Medicare Advantage bid process + 2+ years of project leadership experience + 3+ years of healthcare experience **Additional Information** Work at ... 10 Mbps is recommended to support Humana applications, per associate . + Wireless, Wired Cable or DSL connection is...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Honolulu, HI)
- …and Medical Records Category Lead will report directly to the Associate Director in Enterprise Procurement & Supplier Management (EPSM) supporting, developing, ... oversight. + Meticulous and critical thinker. + Experience in developing project plans and presenting business cases to Senior Leaders. **Preferred Qualifications**… more
- Humana (Honolulu, HI)
- …is committed to advancing the employment experience and vitality of the associate community. Through offerings anchored in a whole-person view of human well-being, ... supervision **Preferred Qualifications** + Stars experience/knowledge + SQL experience/knowledge + Project management + Power BI experience + AAPC or AHIMA coding… more
- Humana (Honolulu, HI)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. + Exercises considerable ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more