- Somatus (Mclean, VA)
- …+ And more! The Sr. Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of the organization's Risk Adjustment ... including all aspects of the various methods of executing on an MRA strategy (eg prospective, retrospective, concurrent approaches). + Lead the risk adjustment… more
- Humana (Washington, DC)
- …Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments ... other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and/or Medicaid requirements, and will understand how… more
- Travelers Insurance Company (Washington, DC)
- …strategies for addressing and resolving various types of debt, including Medicare , to deliver positive financial outcomes. This role requires leveraging economic ... at industry related conferences and forums. **What Will You Do?** + Claim Strategy : + For specific national line of business initiatives develops and directs… more
- Humana (Washington, DC)
- …includes the following key responsibilities: + Develop product strategy for annual Medicare Advantage plan filings + Lead the expansion and support for ... record of driving operational performance improvement + Proven experience developing multi-product strategy at the market level or higher. + Excellent verbal and… more
- CareFirst (Washington, DC)
- …The Senior Public Policy Analyst monitors, evaluates, and provides recommendations on strategy and communications regarding federal and state public policy issues in ... The incumbent will have primary responsibility for issues related to Medicare / Medicare Advantage, prescription drugs, utilization management, and behavioral… more
- Humana (Washington, DC)
- …and Medicare integration, D-SNPs, and Self-Directed Services. The Capture Lead , Medicaid Clinical & Population Health Strategy key responsibilities include: ... and help us put health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy , to lead initiatives developing… more
- Humana (Arlington, VA)
- …to define and evaluate strategic objectives, measures, targets and, at times, lead enterprise-wide strategic initiatives. The Corporate Strategy Consultant will ... community and help us put health first** Job Description Summary Humana's Strategy Management Office partners with executives across the organization to further… more
- Humana (Washington, DC)
- …and help us put health first** Humana Healthy Horizons is seeking a Strategy Advancement Principal for Long Term Supports and Services (LTSS). The Strategy ... quality improvements, establishing long range goals, objectives, and plans. The Strategy Advancement, Principal is an experienced healthcare strategist with broad,… more
- Prime Therapeutics (Washington, DC)
- …cost saving opportunities; support rebate related product development and implementation + Lead and coordinate work for Prime's Medicare Center of Excellence, ... passion and drives every decision we make. **Job Posting Title** Trade Client Strategy Director - Remote **Job Description** The Trade Client Relations Director is… more
- Humana (Washington, DC)
- …of their portfolios to advance testing objectives and with architecture to drive test strategy . Lead will be knowledgeable on all aspects of disaster recovery ... part of our caring community and help us put health first** In the Lead , IT Disaster Recovery role, you'll spearhead our Disaster Recovery (DR) Testing Program,… more
- Humana (Washington, DC)
- …of our caring community and help us put health first** The Financial Planning & Analysis Lead will work as part of the IT Operations team within IT Finance under the ... this role you will need to understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. This role… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Lead Technical Product Manager is responsible for Humana's Unified API Catalog. This position plays ... as part of Humana's Enterprise API product team. The Lead Product Manager is accountable for the creation and...the creation and continuous evolution of Humana's API catalog strategy and guiding the enterprise toward adoption of a… more
- Humana (Washington, DC)
- …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 (Washington, DC)
- …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 (Washington, DC)
- …part of our caring community and help us put health first** At Humana, a Lead Enterprise Architect is a seasoned IT professional who is a good listener, strategic ... thinker and collaborator who is effective at understanding our business strategy and providing pragmatic ways to deliver through technology. This architect plays a… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Lead , IT Portfolio Management collaborates with the business portfolio team to align the IT ... portfolio and demand. The Lead , IT Portfolio Management works on problems of diverse...organizes and prioritizes projects and programs based on IT Strategy , strategic roadmap, available and prioritized budgets, changes schedules… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Lead , Copy Editor's focus is reviewing written content to ensure readability, edit for accuracy ... support to writers and Proposal Operations in a SharePoint environment. The Lead , Copy Editor contributes to the development of content for Medicaid Requests… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Lead Systems Engineer is responsible for the oversight of multiple systems and projects direction, ... _Our Department of Defense contract requires US citizenship for this position._ The Lead Systems Engineer at Humana is responsible for overseeing a variety of… more
- Abbott (Washington, DC)
- …division. As the Government Affairs Director for Corporate Reimbursement, you will develop, lead and execute the strategy , capabilities and action plans to ... support clinical, administrative and/or market development, health policy and publication strategy initiatives. + Lead Government Affairs initiatives to protect… more
- Humana (Washington, DC)
- …campaigns that engender preference and advocacy for Humana amongst agents + Lead strategy and content assets for Humana's proprietary sales portal ... your skills to make an impact** **Key Responsibilities** This incumbent will specifically lead the Sales Enablement and Engagement, Group Medicare and Group… more