- Humana (Hartford, CT)
- …Based Services , Medicaid and Medicare integration, D-SNPs, and Self-Directed Services . The Capture Lead , Medicaid Clinical & Population Health ... clients and populations served in target growth markets. The Lead , Medicaid Clinical & Population Health Strategy,...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Hartford, CT)
- …caring community and help us put health first** Humana Healthy Horizons is seeking a Lead , Medicaid Provider Services Implementation, for new market ... implementation, operations, contract compliance, and federal contract application submissions. The Lead , Medicaid Provider Services Implementation role… more
- Public Consulting Group (Hartford, CT)
- …more, visit www.publicconsultinggroup.com . _Key responsibilities include:_ _Project Management_ + Lead the planning, execution, and monitoring of Medicaid ... + Identify new and emerging opportunities in growth industries related to Medicaid . _Leadership_ + Provide leadership, guidance, and mentorship to junior… more
- Public Consulting Group (Hartford, CT)
- …is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined modular certification (SMC) and ... achieve strategic goals to serve the public better. We provide the full spectrum of technology consulting services...Medicaid Consultant to join our team and help lead our growth efforts. Deep Medicaid experience… more
- Humana (Hartford, CT)
- …community and help us put health first** Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional to drive best in class provider ... internal processes and markets (as needed) to support the Medicaid Provider Education team through collaboration across...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Hartford, CT)
- …Optimization** : + Lead initiatives to streamline processes related to Medicaid services , reducing administrative burden, and enhancing service delivery. ... health first** The Medicaid Long-Term Supports and Services (LTSS) Process Improvement Lead analyzes and...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- CVS Health (Hartford, CT)
- …and exciting ways every day. Aetna is recruiting for an Executive Director, Medicaid Provider Experience Standardization who is responsible for ensuring the ... sends a personal message that how we deliver our services is just as important as what we deliver....standard. This leader is responsible for owning the organizational Medicaid Provider Experience Standardization strategy, end-to-end execution… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …security and well-being, and opportunity. Some of the high-impact services we provide include: + Access to healthcare through Medicaid and our Children's ... initiative to build better, more effective technology. This is an outstanding opportunity to lead the modernization of our service delivery platform and make a… more
- Humana (Hartford, CT)
- …health first? The DoD SkillBridge or Military Spouse Financial Planning & Analysis Lead Intern will utilize Humana's Medicaid training and mentorships and engage ... military experience and education to perform within the finance Medicaid segment. Financial Planning & Analysis Lead ...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Mathematica (Hartford, CT)
- …related to monitoring and improving the following Medicaid programs: Medicaid payment and financing policies (fee-for- service base and supplemental payments, ... managed care capitation rates, and state approaches to provider payment).** * Responsibilities: * * Participate actively and...will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff… more
- The Cigna Group (Bloomfield, CT)
- …connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. **About ... **Job Purpose/Description** The Legal Compliance Senior Director- Express Scripts Medicaid and Commercial is responsible for the development, implementation,… more
- CVS Health (Hartford, CT)
- …of internal corrective actions plans (iCAPs) at a national level across Aetna's Medicaid business. Additionally, the incumbent will lead and participate in other ... sends a personal message that how we deliver our services is just as important as what we deliver....supports the compliance program activities and deliverables of a Medicaid managed care organization. In partnership with and under… more
- Humana (Hartford, CT)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... , requested level of care, or requested site of service should be authorized, with all work occurring within...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- CVS Health (Hartford, CT)
- …proactive analysis/research around utilization and unit cost medical costs drivers for the assigned Medicaid Plans. * Lead and manage a team of colleagues with ... sends a personal message that how we deliver our services is just as important as what we deliver....Economics, Medical Expense Review, you will define, develop and provide information and analysis to drive the decision making… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Lead Product Manager - Provider Directory helps identify, validate, and implement improvements ... 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 (Hartford, CT)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... will own the transformation of how we work in Provider Process and Network Operations (PPNO). As an Associate...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- The Cigna Group (Bloomfield, CT)
- …applications + Technical/Functional expertise: Contracting, Negotiating, Practice Management, Provider Services , Financial Management, Project Management If ... types. + Partners closely with the Communication & Education Lead in Provider Engagement to ensure policies...obtained through a cable broadband or fiber optic internet service provider with speeds of at least… more
- CVS Health (Hartford, CT)
- …at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors (TM) ... team supporting CVS Health and Aetna's exciting and growing Medicaid business. Support CVS Health's financial integrity with sound...(IL, KS, MI, OK). Within this role, you'll: + Lead /manage Plan and analytical support to achieve operating plan… more
- Humana (Hartford, CT)
- …and service offerings. Assesses the compatibility and integration of products/ services proposed as standards in order to ensure an integrated architecture across ... provider PaaS and SaaS offerings (eg Azure Kubernetes Service , Application Service Environment, etc.) Data Center...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- The Cigna Group (Bloomfield, CT)
- …connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. **About ... The Regulated Markets Services team is responsible for ensuring the execution...associated with all regulated lines of business including Medicare, Medicaid , and Marketplace (Exchange / Health Care Reform). The… more