- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex… more
- Humana (Trenton, NJ)
- …first** Humana Healthy Horizons is seeking exceptional candidates to join our Medicaid Product Strategy Organization to advance Humana's Medicaid products and ... to support the strategic direction and growth of the Medicaid and Duals lines of business. This is a...research, data-driven insights, strategic planning, structured problem solving, and project management rigor. We are a diverse set of… more
- Humana (Trenton, NJ)
- …This role will work horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts to synthesize, ... growth partners to design and optimize clinical operating model blueprints for viable Medicaid health plans that meet the needs of state clients and populations… more
- Humana (Trenton, NJ)
- …help us put health first** Humana Healthy Horizons is seeking a Lead, Medicaid Provider Services Implementation, for new market rollouts across the enterprise who ... to assigned health plan and specialty companies relative to Medicaid implementation, operations, contract compliance, and federal contract application submissions.… more
- Humana (Trenton, NJ)
- …help us put health first** Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional to drive best in class provider experience for ... Humana's Medicaid segment. This Professional will update content and complete...best in class provider experience. + Regular meetings with project teams to understand their provider training and education… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Senior Project Manager manages all aspects of a project , from start to finish, so that ... it is completed on time and within budget. The Senior Project Manager work assignments involve moderately complex to complex issues where the analysis of situations… more
- Evolent Health (Trenton, NJ)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Project Manager on the Medical Policy team, you will work closely with Medical Policy ... to providing the best clinical guideline product. **Collaboration Opportunities:** The Project Manager will partner most closely with Medical Policy teammates and… more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Associate Actuary role is a role within the Insurance Products Actuarial Medicare Advantage ... ad hoc projects and analysis to help enhance Part D accuracy. The Associate Actuary, Pricing work assignments involve moderately complex to complex issues where the… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** Associate Director of Digital Experience Solutions (DES) Architecture In support of our vision ... goals, and to enable effectiveness and efficiency of technology decisions. The Associate Director of Digital Experience Solutions (DES) Architecture is a highly… more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Medicaid Long-Term Supports and Services (LTSS) Process Improvement Lead analyzes and measures the ... diverse scope and complexity ranging from moderate to substantial. The LTSS Medicaid Process Improvement Lead researches best business practices within and outside… more
- Humana (Trenton, NJ)
- …of the managed care industry including Medicare Advantage, Managed Medicaid , or other Medical management organizations, hospitals/ Integrated Delivery Systems, ... medical management review organization, such as Medicare Advantage and managed Medicaid + Physical Medicine and Rehabilitation, Internal Medicine, Family Practice,… more
- Humana (Trenton, NJ)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Trenton, NJ)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Trenton, NJ)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Trenton, NJ)
- …cloud native architectures and agile delivery **Preferred Qualifications** + Associate or Professional level solution architecture certification in Azure, GCP ... Cloud technologies, Cloud migration or Enterprise Architecture. + 2+ years of project leadership and consulting experience. + Health Care Business Domains -… more
- Humana (Trenton, NJ)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... will:** + Support the discipline of portfolio planning and management for project selection and execution in TechStrat towards agreed upon milestones + Collaborate… more
- Humana (Trenton, NJ)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... experience + Strong business and financial acumen + Experience leading cross-functional project team(s) by building and motivating team members to meet project… more
- Humana (Trenton, NJ)
- …pharmacy transition point of sale claims. Works closely on cross collaborative project teams, with internal and external partners, to identify impact, ensure ... appropriate project requirements and test projects end to end. Ensures...(collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and… more
- Humana (Trenton, NJ)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... in cloud technologies (ie AWS Certified Big Data, Azure Data Engineer Associate , GCP Data Engineer) + Experience with CI/CD pipelines and DevOps practices… more
- Humana (Trenton, NJ)
- …of how we work in Provider Process and Network Operations (PPNO). As an Associate Vice President of Transformation, this leader won't just be leading a team, but ... management, change management and training across the organization and will be responsible for project management. We are looking for a leader who can help us build… more