- Humana (Phoenix, AZ)
- …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 (Phoenix, AZ)
- …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 (Phoenix, AZ)
- …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 (Phoenix, AZ)
- …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
- Molina Healthcare (Phoenix, AZ)
- …for key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities. ... Please have that experience updated on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions / QI Compliance contributes to one… more
- Public Consulting Group (Phoenix, AZ)
- 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 (Phoenix, AZ)
- …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 (Phoenix, AZ)
- …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 (Phoenix, AZ)
- **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
- Evolent Health (Phoenix, AZ)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... This individual will spearhead the requirements management for implementation projects across our client and Evolent organizations. By driving Evolent's mission,… more
- Humana (Phoenix, AZ)
- …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 (Phoenix, AZ)
- …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 (Phoenix, AZ)
- **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
- CVS Health (Scottsdale, AZ)
- …HEDIS, improving measure results, closing gaps in care, and more. + Support business growth and positive external business relationships for Covered CA through ... additional state responsibilities to be added in the future to address business needs. + Ensure specific QIS requirements for Covered California are implemented,… more
- Prime Therapeutics (Phoenix, AZ)
- …to develop detailed design specifications according to standards. **Job Description** The Business Analyst will support the Colorado Medicaid Pharmacy Benefits ... and requests for ad hoc reports to support sales, implementation , new product development, specials. + Queries data warehouse...to adjust focus **Reporting Structure** + Could report to Business Analyst Lead, Manager, Director, Sr Director,… more
- Humana (Phoenix, AZ)
- …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
- Molina Healthcare (Phoenix, AZ)
- …include support of provider data requirements, vendor data interfaces, Ohio Dept of Medicaid data interfaces, and be a technical resource that can liaison between OH ... discussions and love work collaboratively with other teams and with senior leadership. This role involves research, root cause analysis, sharing recommendations,… more
- Humana (Phoenix, AZ)
- …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
- Humana (Phoenix, AZ)
- …. + Strong analytical and strategic thinking skills, with the ability to influence senior leaders across both the business and technology. + Proven track record ... devises an effective strategy for executing and delivering on IT business initiatives. The Associate VP, Technology Solutions requires a in-depth understanding… more
- Humana (Phoenix, AZ)
- …experience. The individual in this role will lead Humana network infrastructure implementation for Google Cloud. The Lead Cloud Solutions Engineer (Network) performs ... to ensure an integrated architecture across interdependent technologies. Works with senior executives to develop and drive segment or enterprise-wide functional… more