- Elevance Health (Wilmington, DE)
- …for IM function at the business unit level and ensures operations ' effective achievement of objectives. . Coordinates project management across department ... **Director of Medicare Risk Adjustment Analytics and Reporting** **Location:** This...through training and effective organizational development practices. . Reports project status and progress to business unit… more
- St. Luke's University Health Network (Allentown, PA)
- … is responsible for managing and directing key operations and business -related projects. Leads and oversee multiple project strategic network initiatives ... align with network strategy. JOB DUTIES AND RESPONSIBILITIES: + Create detailed project plans, gather and document business requirements with intended outcomes,… more
- The Cigna Group (Philadelphia, PA)
- …staff and budget resources to meet changes corporate needs. Organizes and guides project operations through the use of methodologies accepted by the industry. ... Job Description **IT Project Management Senior Advisor** Provides counsel and advice...to end testing objectives. This individual will work with business , technology, and solution teams to develop artifacts that… more
- Mathematica (Trenton, NJ)
- …with knowledge of key organizations bringing value to the Innovation Center * Project leadership experience with the Center for Medicare and Medicaid Innovation ... a visionary, passionate leader to be the Director for business development and client relationship building for our work...relationship building for our work with the Centers for Medicare & Medicaid Services' (CMS), Center for Medicare… more
- The Cigna Group (Philadelphia, PA)
- …their strategic partnerships and how they can leverage them to execute on their business priorities + Work with the operations teams and other colleagues such ... to the enterprise. + Develop, nurture and deliver collaborative partnerships with vendors, operations teams, project control teams, and other internal teams. +… more
- Highmark Health (Trenton, NJ)
- …on the most complex issues in order to understand capability needs, gather project specifications, create business cases and cost sheet analysis, translate ... to required standards and all necessary approvals have been obtained throughout the project lifecycle. + Interface with the business areas, customers, partners,… more
- Prime Therapeutics (Trenton, NJ)
- …positions supporting Medicare , requires experience working in Medicare Operations . **Work Experience** Work Experience - Required: Business Analysis Work ... and drives every decision we make. **Job Posting Title** Data & Reporting Business Analyst - Louisiana Medicaid **Job Description Summary** Serves as liaison between… more
- Humana (Trenton, NJ)
- …directly to the Regional Vice President of Operations in support of the Medicare Advantage line of business . The Market Finance Lead supports all Market ... Works closely with internal stakeholders including Finance, Actuarial, Clinical, Medicare Risk Adjustment, Provider Contracting, and Provider Engagement internally +… more
- Humana (Trenton, NJ)
- … + Investigative and problem solving skills **Preferred Qualifications** + Background in Medicare , Medicaid and Commercial Group Business + Deep understanding of ... The Senior Vendor Management Professional (SVMP) is responsible for day-to-day operations and performance of Humana's vendor partnerships with a specific emphasis… more
- Humana (Trenton, NJ)
- …complete and also work closely with the Integrated Health Patient Experience operations team. The Senior Business Intelligence Engineer's assignments involve ... part of our caring community and help us put health first** The Senior Business Intelligence Engineer solves complex business problems and issues using data from… more
- Mathematica (Trenton, NJ)
- …developing data-driven solutions. This client-facing leadership role involves owning the project delivery and managing the relationship between the customer and ... Mathematica for a given project /engagement. The technology organizations in Health and Human Services...analytics and visualization products; and research and advisory. Includes operations and maintenance as well as innovating and enhancing… more
- Public Consulting Group (Trenton, NJ)
- …+ Strategy, Architecture, Planning, and Procurement + Business Enablement + Business Solutions + Project Assurance The Medicaid marketplace is changing, and ... (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and...as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined… more
- Penn Medicine (Philadelphia, PA)
- …of financial operations . + Accountable to maintain a system of internal/ business controls which are designed to provide reasonable assurance to Penn Medicine ... academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will… more
- Mathematica (Trenton, NJ)
- …pressing problems and improving operations , and a strong interest in our Medicaid project area. Managing consultants often work on more than one project at a ... on complex, fast-paced projects focused on Medicaid policy, oversight, and program operations * Developing and maintaining project schedules, staffing plans, and… more
- Humana (Trenton, NJ)
- …years of project leadership and consulting experience. + Health Care Business Domains - Medicare , Medicaid, Group, Specialty etc. **Additional Information** ... and help us put health first** The Senior Enterprise Architect translates business needs into technical systems solutions and architectural roadmaps. The Senior… more
- Humana (Trenton, NJ)
- …and acquisition activities. + Responsible for the management of multiple MSP operations supporting Humana business segments + Partner with Contingent Labor ... to the Associate Vice President of Source to Pay Operations you will manage a team of associates and...varying levels of the organization + Experience in developing project plans and presenting business cases to… more
- Humana (Trenton, NJ)
- …leadership, and external clinical vendors who aid in managing medical utilization for Medicare , Medicaid, and Commercial lines of business . + Master the ... programs to maximize revenue growth. Coordinates with other analytics, IT, and business areas across the organization to ensure work is completed with insights… more
- Humana (Trenton, NJ)
- …strategic direction to support broader team to identify and address business issues and opportunities. Provides organizational effectiveness, project management, ... role will play a critical role in supporting the operations and strategic direction of the Integrated Health growth...and events + Ability to create and deliver compelling business presentations. + Strong time management that allows for… more
- J&J Family of Companies (Titusville, NJ)
- …Analytics is responsible for being a trusted advisor across Commercial Strategy and Operations , Finance and the Strategic Customer Group. S/he will be focusing on ... through partnerships with finance and market access to inform business decisions. The Associate Director will be familiar with...partnerships in the context of resources, timing, and overall project goals. In addition, this individual will be a… more
- Prime Therapeutics (Trenton, NJ)
- …on client facing communications and initiatives in support of Prime's Commercial, Medicare , and Medicaid books of business ensuring specialty programs are ... to include developing, documenting, and maintaining key requirements and deliverables through project work plans; provide ongoing project status updates to… more