- Humana (Honolulu, HI)
- …caring community and help us put health first** Humana Healthy Horizons is seeking a Medicaid Implementation Senior Business Project Manager to manage a ... change management and project management are best suited for this role. The Medicaid Implementation Senior Business Project Manager will serve as a… more
- Humana (Honolulu, HI)
- …Medicaid products and capabilities to support the strategic direction and growth of the Medicaid and Duals lines of business . This is a unique opportunity for ... Care Organization **OR** 2+ years of experience in strategy consulting supporting Medicaid managed care organizations. + Experience in business development or… more
- Public Consulting Group (Honolulu, HI)
- …and Grants Management + Assessments and Feasibility Studies PCG is looking for a Senior Consultant in Medicaid policy and funding as it relates to children's ... Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health,...children's behavioral health services. PCG is looking for a Senior Consultant in Medicaid policy and funding… more
- Humana (Honolulu, HI)
- …an in-depth evaluation of variable factors. The Senior Technology Implementation Professional gathers and documents business system and functional ... a part of our caring community and help us put health first** The Senior Technology Implementation Professional delivers new technological solutions to meet … more
- Humana (Honolulu, HI)
- **Become a part of our caring community and help us put health first** The Senior Business Systems Analysis Professional who is part of the System Optimization ... ensuring optimal performance and integration across the procurement landscape. The Senior Business Systems Analysis Professional performs analyses of systems,… more
- Humana (Honolulu, HI)
- …Coordinate business partner engagement with external regulators + Coordinate implementation and compliance with corrective action plans, as needed + Provide ... a part of our caring community and help us put health first** This Senior Compliance Professional role supports Humana's suite of Medicare and Commercial Dental and… more
- HealthEdge Software Inc (Honolulu, HI)
- **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... in claims processing. The successful candidate will be responsible for taking a senior level role in analyzing claims data, as well as translating contract terms,… more
- Humana (Honolulu, HI)
- **Become a part of our caring community and help us put health first** The Senior IT Product Owner (PO) role is responsible for managing and communicating the vision ... to the team to determine the HOW. The role drives value to the business by building and maintaining a product backlog in collaboration with stakeholder and delivery… more
- Humana (Honolulu, HI)
- …our caring community and help us put health first** The Service Fund Senior Value-Based Programs Analyst supports our Market and Provider partners through ensuring ... with the Market partners to ensure understanding and accuracy. The Senior Value-Based Programs Analyst work assignments involve moderately complex to complex… more
- Humana (Honolulu, HI)
- …experience. The individual in this role will lead Humana network infrastructure implementation for Google Cloud. The Lead Cloud Solutions Engineer (Network) performs ... to ensure an integrated architecture across interdependent technologies. Works with senior executives to develop and drive segment or enterprise-wide functional… more
- Highmark Health (Honolulu, HI)
- …carriers), topics (ex. technology, virtual health, industry trends), and lines of business (ex. ACA, commercial, Medicare Advantage, Medicaid ). The work can ... will support strategic initiatives and priorities for product development and implementation and/or market and competitive intelligence. Gather and analyze internal… more
- Humana (Honolulu, HI)
- …strong relationships with key stakeholders discussing financial performance and incorporate business insights into the financial models. + Implementation and ... seeking a Financial Analytics Lead. This individual will work across the business , and will be highly involved in reporting, planning, underwriting, strategic… more
- Magellan Health Services (Honolulu, HI)
- …supports the clinical vision for the health plan(s) for all lines of business ( Medicaid , Medicare, and Commercial) and implements programs to support this ... for over- and under-utilization. Assumes a leadership position relative to knowledge, implementation , training and supervision of the use of the medical necessity… more
- Highmark Health (Honolulu, HI)
- …integration into the overall Enterprise strategy through collaboration with Senior -level internal/external stakeholders. Ensures a high degree of development, ... development and completion of sales cycle (from model conception to implementation ) of VBR programs for key strategic accounts and/or initiatives.Support strategic… more
- Humana (Honolulu, HI)
- …us put health first** This Actuary role is a role within the Senior Products Actuarial Compliance team focused on special Medicare Advantage programs, including ... you will have a unique opportunity to provide guidance and collaborate with business partners and leadership on these growing and expanding programs. In addition to… more
- Humana (Honolulu, HI)
- …data management, data literacy and data quality. This individual will collaborate with senior stakeholders across Technology and all business units to influence ... budgets and processes) to ensure data capabilities are effectively integrated into business execution. + Provide expertise, consult and lead innovation, tap into new… more
- Public Consulting Group (Honolulu, HI)
- …(FSS) Center of Excellence. This individual will support the public safety consulting business line, and other Medicaid and Medicare related projects. This role ... Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health,...part of a dynamic team along with peers and senior staff. The Fire/EMS Consultant will be responsible for… more
- Conviva (Honolulu, HI)
- …and sharing presentations to multiple levels of audiences of stakeholders - ie senior executives in business and IT, architects, developers, etc. **Preferred ... OSA, IAST) for a portfolio of enterprise applications + Coordinate the implementation of policies, standards, and daily operations of Identity and Access Management… more
- Humana (Honolulu, HI)
- …Strategy Advancement provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and ... and process improvements 6) partner across enterprise to drive exploration and implementation of identified opportunities. The AVP will lead a multidisciplinary team… more
- Humana (Honolulu, HI)
- …and sharing presentations to multiple levels of audiences of stakeholders - ie senior executives in business and IT, architects, developers, etc. **Preferred ... The Lead Security Architect determines security architecture requirements by evaluating business strategies and requirements. The Lead Security Architect works on… more