- Humana (Denver, CO)
- …with an emphasis on Medicare Advantage strategy development. As a Medicare Strategy Lead , you will deconstruct issues and challenges, perform ... largest health benefits organizations in the country. Location: remote The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This… more
- The Cigna Group (Denver, CO)
- **Summary** The Business Analytics Lead Analyst will be responsible for performing reporting and analysis within the Clinical & Data Science Analytics team for ... Medicare Strategic Analytics. Reporting to the Manager of Care...Reporting to the Manager of Care Management Analytics, the lead analyst will analyze healthcare claims and clinical outcomes… more
- Elevance Health (Denver, CO)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Anticipated End Date:** 2024-09-30 **Position Title:** Audit & Reimbursement III- Medicare Cost Report Appeals **Job Description:** **Audit & Reimbursement III- … more
- Humana (Denver, CO)
- …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
- The Cigna Group (Denver, CO)
- …success of CSB. **Responsibilities:** + Accountability for executing new business pricing strategy to drive profitable growth in the Medicare Supplement ... Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement… more
- Travelers Insurance Company (Denver, CO)
- …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
- The Cigna Group (Denver, CO)
- …to lead complex analytics projects and initiatives for Cigna's Medicare Advantage Risk Adjustment business. The Manager will work collaboratively with business ... Adjustment Analytics programs in support of the broader RA Business Strategy . **Responsibilities** + Lead a team of analytics professionals to develop and apply… more
- Humana (Denver, CO)
- …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 (Denver, CO)
- …of our caring community and help us put health first** The Strategy Advancement Advisor provides data-backed strategic direction to identify and address business ... issues and opportunities related to the high-needs Medicare Advantage (MA) and Special Needs Plan (SNP) populations that benefit from payer led clinical services.… more
- Humana (Denver, CO)
- …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 (Denver, CO)
- …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 (Denver, CO)
- …and help us put health first for our members, providers and ourselves. Desired Lead Associate to lead and manage the enterprise framework to facilitate and ... and clinical policy) as well as enterprise support teams (process, risk, strategy , delegate oversight teams and regulatory compliance). As needed, they facilitation… more
- Humana (Denver, CO)
- …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 (Denver, CO)
- …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 (Denver, CO)
- …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 (Denver, CO)
- …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 (Denver, CO)
- …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 (Denver, CO)
- …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
- The Cigna Group (Denver, CO)
- …of stakeholders on setting our risk adjustment strategy . Reporting to the Medicare Advantage Revenue Finance lead , this position will work within both the ... The Financial Analysis and Modeling Advisor position within the Medicare Advantage Revenue Finance Team is an opportunity to...provide consultative advice to leadership on tracking the company's Medicare Revenue. This role will work with a series… more
- Humana (Denver, CO)
- …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