- Humana (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …community and help us put health first** Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional to drive best in class provider ... Provider Education team through collaboration across existing and new Medicaid markets. The Senior Medicaid ...create provider materials, has interpersonal skills to work across business segments, and must be highly organized. **Key Role… more
- CVS Health (Harrisburg, PA)
- …week. Schedule will be Monday-Friday 8am - 5pm, based on the needs of the business , hours may vary. No weekends, no holidays and no on call requirement. This ... the residents we serve, retention and expansion of existing business , and are the key point of contacts for...direction of the Executive Director, Clinical Quality LTC, the Senior Manager will have the opportunity to impact our… more
- Public Consulting Group (Harrisburg, PA)
- Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human ... and Responsibilities** + Oversees the activities of other analysts. + Develops business solutions through the constant modification of the existing business … more
- Humana (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …scope while aligned to enterprise objectives. 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 (Harrisburg, PA)
- **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 (Harrisburg, PA)
- …with a passion for wellness? Join Humana's Marketing Organization as a Senior Product Marketing Professional on the Wellness Member Marketing Team. Working remotely, ... This role is ideal for someone with a background in Medicare, Medicaid , or DSNP-focused marketing, aiming to deeply engage members in health-positive behaviors… more
- Humana (Harrisburg, PA)
- …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
- Humana (Harrisburg, PA)
- …company's core businesses. This position will focus on change management, ensuring business groups are ready for implementation . Key Responsibilities: + ... of our caring community and help us put health first** The Senior Experience Strategy & Transformation Professional enhances the consumer experience by architecting… more
- HealthEdge Software Inc (Harrisburg, PA)
- **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 (Harrisburg, PA)
- …use of ServiceNow, JSM, or other platforms as necessary. + Collaborate with senior leadership to integrate ITSM into business process operations, ensure IT ... exceptional stability and performance for our IT infrastructure. Leads design, implementation , and optimization of ITSM processes for the cloud environment, DevOps,… more
- Consulate Health Care (Mifflin, PA)
- Business Office | Posted 30-Sep-2024 (EST) | Mifflin, PA, USA | Locust Grove Retirement Village | Full Time **Looking for qualified Business Office Managers to ... join our team!** We are searching for a ** Business Office Manager** to join our community that is...Our Learning Management System offers over 1,500 courses for senior care, health and human services industry. **Use it… more
- CVS Health (Harrisburg, PA)
- …of the strategic and operational business plan for the business segment's clinical operations, inbound/outbound call queue, implementation , and/or plan ... personal, convenient and affordable. **Position Summary** Aetna Better Health is Aetna's Medicaid managed care plan. Backed by over 30 years of experience managing… more
- Organon & Co. (Plymouth Meeting, PA)
- …collaborative Women's Health point of contact for Organon for the following: + State Medicaid & Managed Medicaid Plans + State FQHCs Administration and Policy ... as it relates to any state legislation or public policy that may impact the business . + Large and Medium Regional and Local Commercial Payers not covered by RPAD. +… more
- Humana (Harrisburg, PA)
- …that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of home health services, and ... in their personal and professional well-being, all from day one. The Home Solutions business segment is comprised of two major brands - CenterWell Home Health (CWHH)… more
- Highmark Health (Pittsburgh, PA)
- …activities essential to Government Market Growth in support of Medicaid membership and margin goals. Strategy Partners provide analytical/strategic-thinking and ... Highmark, (2) prioritize potential opportunities and (4) support development of business cases to facilitate decision to move forward with opportunities. Strategy… more
- Kepro (Harrisburg, PA)
- …needs. You will be responsible for solutioning, designing, and supporting the implementation of new business capabilities and technologies to enhance ... solutioning, designing and bridging the business and technology to fulfil the business needs. Solution Architect supports implementation of new business … more