- Humana (Columbus, OH)
- …on problems of diverse scope and complexity ranging from moderate to substantial. The Medicaid Lead , Technology Solutions builds strategic partnerships ... caring community and help us put health first** The Lead , Technology Solutions devises an...IT strategy. **Responsibilities** + **This State Technology Lead role will exclusively cover the Ohio Medicaid… more
- Public Consulting Group (Columbus, OH)
- …+ Strategy, Architecture, Planning, and Procurement + Business Enablement + Business Solutions + Project Assurance The Medicaid marketplace is changing, and ... Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with...Medicaid Consultant to join our team and help lead our growth efforts. Deep Medicaid experience… more
- Public Consulting Group (Columbus, OH)
- …children's behavioral health services. _Key responsibilities include:_ _Project Management_ + Lead the planning, execution, and monitoring of Medicaid consulting ... plan amendments, demonstration projects, managed care) + Strong grasp of key Medicaid concepts, present-day challenges, and emerging solutions . + Experience with… more
- Humana (Columbus, OH)
- …strategies, defining world-class solutions , improve operational efficiencies, and support technology governance. The Lead Solutions Architect represented ... serving 10 million customers to 18 million, expanded our Medicaid presence from one state to more than a...thought are required in terms the business and information technology can understand. The Lead Solutions… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medicaid Value Based Contracts Lead is responsible for ensuring Medicaid ... negotiation processes. This important role serves as the subject matter expert on Medicaid VBP, partnering effectively within the team, with Medicaid markets,… more
- Humana (Columbus, OH)
- …If you feel you can excel in enhancing the service and support for enterprise-wide technology and productivity solutions , then this is the role for you. We are ... and innovation? Have you led a broad range of technology products through design, delivery, and support? Do you...seeking a dynamic and experienced Lead Product Manager to lead our self-service… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Lead Automation Engineer identifies and implements solutions (hardware and software) for ... ability to learn and support both custom built and vendor-sourced platform solutions . **Key Responsibilities:** + ** Lead Initiatives:** Direct the design,… more
- Humana (Columbus, OH)
- …community and help us put health first** Are you passionate about applying technology solutions towards the mission of transforming health care delivery? As ... the Lead DevOps Engineer within the Clinical IT - Operational...will need to have a passion for creating innovative solutions using technology and excels at adapting… more
- Humana (Columbus, OH)
- …put health first** Humana Healthy Horizons is seeking a Data and Reporting Lead (Value-Based Programs) who will generate ad hoc reports and regular datasets and/or ... value-based payment (VBP) model design and administration. The Data and Reporting Lead integrates data from multiple sources to produce requested or required data… more
- Humana (Columbus, OH)
- …help us put health first** Humana's Clinical Analytics Team is seeking a Lead Research Scientist (Remote). Healthcare is rapidly changing, and our members are living ... more chronic conditions. The Clinical Analytics team identifies opportunities and build solutions to improve clinical outcomes and lower costs for millions of… more
- Humana (Columbus, OH)
- …scientists, actuaries, subject matter experts, and business owners across Humana to drive solutions forward. In this role you will lead quantitative and ... cost of care. We are seeking a Clinical Strategy Lead to build-out our strategy and approach to ensure...diverse teams across the enterprise to develop strategies and solutions that will work. + **You are curious** -… more
- Humana (Columbus, OH)
- …Development and Execution:** Directs lifecycle activities of contracts, identifies new technology solutions , and collaborates with internal business partners to ... is seeking a proactive self-starter who embodies a can-do attitude, focusing on solutions rather than limitations. As a foundational team player within our team, the… more
- Humana (Columbus, OH)
- …and flows and uses that knowledge to design and implement master data management solutions . The Lead , Data Quality/Integrity works on problems of diverse scope ... on the Quality Systems Integration (QSI) team, the QSI Data Quality/Integrity Lead will leverage their Humana, clinical data, market, and healthcare expertise to… more
- Humana (Columbus, OH)
- …and help us put health first** The Stars Program Delivery Lead strategically identifies, develops, and implements programs that influence providers, members ... or market leadership towards improved quality metrics. The Program Delivery Lead partners with leaders across Health Quality & Stars to develop, implement, and… more
- Humana (Columbus, OH)
- …of results of key initiatives across the Enterprise. The **Business Intelligence Lead ** solves complex business problems and issues using data from internal and ... external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of diverse scope and complexity ranging from moderate to… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** CenterWell's Home Solutions Organization is a leading provider of home-based care and post-acute value-based ... infusion services. The Value-Based finance team is seeking a Financial Analytics Lead . The position will work directly with senior management, including the Segment… more
- Humana (Columbus, OH)
- …and initiatives across our interoperability products. As an Interoperability Strategy Lead , you will deconstruct issues and challenges, perform targeted research and ... analysis, and craft sound, logical solutions and recommendations. You will also shape implementation considerations,...for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making… more
- HealthEdge Software Inc (Columbus, OH)
- …(from basic to advanced features/functionality), payment methodologies/policies (Medicare, Medicaid , and commercial), payment integrity, and healthcare plan ... and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for… more
- Humana (Columbus, OH)
- …artifacts for existing end-user technology product catalogs. **Areas of influence:** + Lead Solutions and Systems Engineers + Principal Solutions and ... for highly complex and critical systems design. + Provides guidance and coaching to Lead Solutions and Systems Engineers across the organization. + Serve as… more
- Public Consulting Group (Columbus, OH)
- …practical guidance and support to management and consultants in compliance areas including Medicaid regulations. + Take a lead role in compliance investigations ... Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human… more