- Humana (Jackson, MS)
- …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 (Jackson, MS)
- …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 (Jackson, MS)
- …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 (Jackson, MS)
- …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 (Jackson, MS)
- …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 (Jackson, MS)
- …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 (Jackson, MS)
- …a part of our caring community and help us put health first** As the Lead , IT Portfolio Management, you'll be more than a steward of our financial resources-you'll ... it's about innovation. We value bold ideas and collaboration, and we're looking for a lead who is eager to explore new approaches, inspire others, and deliver on the… more
- Humana (Jackson, MS)
- …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 (Jackson, MS)
- …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 (Jackson, MS)
- …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 (Jackson, MS)
- …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 (Jackson, MS)
- …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
- Humana (Jackson, MS)
- …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
- Humana (Jackson, MS)
- …the enhanced track Medicare Shared Savings Program (MSSP) + Designs a strategy for the care coordination team to identify high risk patients + Communicate with ... (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus… more
- Highmark Health (Jackson, MS)
- …implementation, execution and continuous improvement of the STARs Provider field facing strategy to ensure the Organization meets its STARS targets as applicable in ... but are not limited to the overall field facing STARs Provider Strategy , supporting and developing technology and data strategies to support STARs performance,… more
- Humana (Jackson, MS)
- …rationalization and the business value defined by the business vision and strategy . + Lead Application modernization initiatives including rearchitecting legacy ... us put health first** Are you interested in leveraging technology and business strategy to deliver improved member experiences and health outcomes to Humana's 26… more
- HealthEdge Software Inc (Jackson, MS)
- …products (from basic to advanced features/functionality), payment methodologies/policies ( Medicare , Medicaid, and commercial), payment integrity, and healthcare plan ... payment integrity, and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration… more
- Mathematica (Jackson, MS)
- …include:* * As part of the AI Health Outcomes Challenge held by Centers for Medicare and Medicaid Services, members of this team developed a cloud data pipeline and ... to make predictions with a large multiyear sample of Medicare beneficiaries with detailed claims data about millions of...Building for Public Health Analysts in the Overdose Response Strategy , where the team designed, developed, and secured a… more
- Humana (Jackson, MS)
- …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
- CenterWell (Jackson, MS)
- …Director, High Risk Patient Management. Responsibilities will include: + Lead comprehensive clinical pharmacy service development, execution, and operations in ... clinical leadership (including Chief Medical Officer, Complex Care clinical strategy team, Clinical Excellence/Quality, and other areas), practice operations,… more