- Humana (Harrisburg, PA)
- …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 (Philadelphia, PA)
- …all Medicare businesses being managed + Support Product & Strategy leadership team to develop key business strategies, including providing competitive landscape ... Medigap, SHL, as well as companion products in the Medicare portfolio. + Assist Product & Strategy ...contribute individually and as part of a team + Lead and quickly demonstrate credibility as a subject matter… more
- Humana (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …includes the following key responsibilities: + Develop product strategy for annual Medicare Advantage plan filings + Lead the expansion and support for ... record of driving operational performance improvement + Proven experience developing multi-product strategy at the market level or higher. + Excellent verbal and… more
- The Cigna Group (Philadelphia, PA)
- …advertising and broker sales support. Play a pivotal role in driving marketing strategy and initiatives with a strong focus on data-driven decision-making and a deep ... with other channels, meet brand standards and can positively impact Cigna's Medicare PDP growth goals. **Responsibilities** + Partner to provide the strategic… more
- The Cigna Group (Philadelphia, PA)
- …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 (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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
- Highmark Health (Pittsburgh, PA)
- …play a supportive role in planning, communicating, and managing the enterprise strategy . **ESSENTIAL RESPONSIBILITIES** + Lead or support key strategic ... supports the leadership of Highmark, or its affiliates, with a range of strategy activities essential to Government Market Growth in support of Medicaid membership… more
- The Cigna Group (Philadelphia, PA)
- …Leadership, and Drive for Results. This Micromarket BFO role will oversee financial strategy , lead planning & analysis, enable growth, and be engaged in ... The Healthcare Financial Analyst Lead Analyst will support the Business Financial Officer...Officer (BFO) team within a highly complex and regulated Medicare Advantage business. The individual hired to this position… more
- CVS Health (Blue Bell, PA)
- …new and exciting ways every day. Aetna is recruiting for an AVP, Quality Strategy & Initiatives who is accountable for the achievement of quality performance and ... leadership of Aetna's quality government programs ( Medicare , Medicaid, IFP, Duals). This leader will focus on HEDIS Hybrid, STARS, Performance Improvement Plans,… more
- Humana (Harrisburg, PA)
- …caring community and help us put health first** The Advisor, Medicaid Network Strategy will be accountable for leading the development of Humana Healthy Horizon's ... (Medicaid) network development market entry strategy for its Medicaid growth markets.... for its Medicaid growth markets. This strategist will lead data-driven research oriented strategic advisement in the development… more
- Humana (Harrisburg, PA)
- …Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy Organization to support the strategic direction and growth of the Medicaid ... opportunities and works across the Company to set actionable product strategy and accelerate development of novel solutions through ideation, concept development… more
- Humana (Harrisburg, PA)
- …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
- The Cigna Group (Philadelphia, PA)
- **POSITION SUMMARY** The Medicaid/Marketplace Client Strategy Senior Advisor serves as the primary contact for Medicaid/Marketplace strategic initiatives and market ... State and Federal Regulations. Responsible for contributing and driving the client strategy to ensure continuous improvement and enhancement of the support model.… more
- The Cigna Group (Philadelphia, PA)
- …Pharmacy line of business is a critical driver of enterprise earnings and ongoing Medicare growth. The Medicare Part D Actuarial organization currently drives a ... to extend and enhance that work to drive insights that span across the Medicare Part D landscape. As a dedicated analytics partner for the Government Pharmacy team,… more
- Humana (Harrisburg, PA)
- …security architecture to ensure the enterprise can achieve the enterprise security strategy . The Lead Security Architect will work with stakeholders and ... of our caring community and help us put health first** The Lead Security Architect determines security architecture requirements by evaluating business strategies… more
- Humana (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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