- Humana (Providence, RI)
- …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
- Elevance Health (Smithfield, RI)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... Date:** 2024-09-19 **Position Title:** Audit & Reimbursement III - Medicare Cost Report Audit **Job Description:** **Audit & Reimbursement...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
- Elevance Health (Smithfield, RI)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Anticipated End Date:** 2024-09-17 **Position Title:** Audit & Reimbursement Senior- Medicare Cost Report Audit **Job Description:** **Audit & Reimbursement Senior… more
- Elevance Health (Smithfield, RI)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Anticipated End Date:** 2024-09-30 **Position Title:** Audit & Reimbursement III- Medicare Cost Report Appeals **Job Description:** **Audit & Reimbursement III- … more
- Elevance Health (Smithfield, RI)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Anticipated End Date:** 2024-09-23 **Position Title:** Pharmacy Account Director, Medicare **Job Description:** A proud member of the Elevance Health family of… more
- Humana (Providence, RI)
- …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 (Providence, RI)
- …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 (Providence, RI)
- …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
- Humana (Providence, RI)
- …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 (Providence, RI)
- …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
- Humana (Providence, RI)
- …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 (Providence, RI)
- …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 (Providence, RI)
- …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
- Prime Therapeutics (Providence, RI)
- …cost saving opportunities; support rebate related product development and implementation + Lead and coordinate work for Prime's Medicare Center of Excellence, ... passion and drives every decision we make. **Job Posting Title** Trade Client Strategy Director - Remote **Job Description** The Trade Client Relations Director is… more
- Humana (Providence, RI)
- …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 (Providence, RI)
- …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 (Providence, RI)
- …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
- Humana (Providence, RI)
- …part of our caring community and help us put health first** At Humana, a Lead Enterprise Architect is a seasoned IT professional who is a good listener, strategic ... thinker and collaborator who is effective at understanding our business strategy and providing pragmatic ways to deliver through technology. This architect plays a… more
- Humana (Providence, RI)
- …caring community and help us put health first** Join our innovative team as a Lead SRE Application Architect, where you will play a pivotal role in the strategic ... of architectural design and provide strategic input on technical design strategy for implementations. + Performs technical planning, architectural review of… more
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Lead , Copy Editor's focus is reviewing written content to ensure readability, edit for accuracy ... support to writers and Proposal Operations in a SharePoint environment. The Lead , Copy Editor contributes to the development of content for Medicaid Requests… more