- The Cigna Group (Franklin, MA)
- …for reporting and analytics related to the clinical programs in support of the Medicare Clinical Strategy . **Responsibilities** + Lead a team of analysts to ... **Summary** The Medicare Advantage Clinical Analytics team's mission is to...judgment in planning and delivering initiatives + Provide expert content/ professional leadership, understanding business strategy , to best… 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 ... conferences and forums. **What Will You Do?** + Claim Strategy : + For specific national line of business initiatives...Support: + Partners with the Field, Claim Resources and Senior Leadership to identify and improve Claim processes and… more
- Humana (Providence, RI)
- …part of our caring community and help us put health first** The Senior Workforce Management Professional applies and integrates advanced and predictive analysis, ... and development, talent management, diversity and human resource compliance). The Senior Workforce Management Professional work assignments involve moderately… more
- Humana (Providence, RI)
- …part of our caring community and help us put health first** The Senior IT Business Performance/Process Improvement Professional monitors and measures relevant ... resources and optimizes performance through process improvement activities. The Senior IT Business Performance/Process Improvement Professional work assignments… more
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... situations or data requires an in-depth evaluation of variable factors. The Senior Compliance Professional develops and/or evaluates compliance policies and… more
- Humana (Providence, RI)
- …part of our caring community and help us put health first** The Senior Workforce Management Professional applies and integrates advanced and predictive analysis, ... and development, talent management, diversity and human resource compliance). The Senior Workforce Management Professional work assignments involve moderately… more
- Humana (Providence, RI)
- …of our caring community and help us put health first** The Senior Provider Reimbursement Professional performs research, analysis, documentation, and ... reimbursement programs for an organization that provides health insurance. The Senior Provider Reimbursement Professional work assignments involve moderately… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Senior Vendor Management Professional is part of the Service Excellence team within ... Resources Shared Solutions Guidance Center, and Human Resources Core Services. The Senior Vendor Management Professional works as liaison between vendors,… more
- Humana (Providence, RI)
- …us put health first** Are you interested in leveraging technology and business strategy to deliver improved member experiences and health outcomes to Humana's 26 ... million members? Are you IT Professional obsessed with a business-centric outlook? At the Humana...member experience by bringing forth the alignment of business strategy to technology strategy , enabling the effective… more
- Humana (Providence, RI)
- …of EIP technical solutions, projects, and programs based on the EIP Strategy , Strategic Roadmap, and available and prioritized Program- and Department-level budgets. ... are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. **Equal… more
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Senior Portfolio Management Professional collaborates with the business portfolio team to align ... the IT portfolio and demand. The Senior Portfolio Management Professional work assignments involve...organizes and prioritizes projects and programs based on IT Strategy , strategic roadmap, available and prioritized budgets, changes schedules… more
- Humana (Providence, RI)
- …our caring community and help us put health first** Humana is seeking a Senior Enterprise Architect who is smart, curious and loves the challenge of solving problems ... across the organization at multiple levels. **Join Our Trailblazing Team as a Senior Enterprise Architect** At Humana, we're not just building systems; we're shaping… more
- Humana (Providence, RI)
- …passion for optimizing technology investments, we want to hear from you. The Senior IT Portfolio Management Professional is accountable for driving technology ... put health first** We're seeking a strategic and dynamic Senior Portfolio Manager to support our Associate End User...and supporting large agile organizations + Advance skills in strategy and communication for executive alignment + Accountable for… more
- Humana (Providence, RI)
- …part of our caring community and help us put health first** The Senior Network Engineer designs, analyzes, plans and modifies network components supporting customer ... communication implementation activities. The Senior Network Engineer work assignments involve moderately complex to complex issues where the analysis of situations… more
- Humana (Providence, RI)
- …caring community and help us put health first** Humana Wellness is seeking a Senior Application Architect who is smart, curious and loves the challenge of solving ... user stakeholders to define and advance Integrated Health architecture and technology strategy . Ensure alignment with the broader Wellness Solution and North Star… more
- CenterWell (Providence, RI)
- …for Humana's Primary Care Organization. The Patient Assessment and Navigation Professional contributes to business strategy by understanding benefit offerings ... community and help us put health first** The Patient Assessment and Navigation Professional oversees the enrollment, education, engagement, and activation duties… more
- CenterWell (Providence, RI)
- …to a Conviva/CenterWell market location(s) + Experience working in a value-based care, senior care, and/or Medicare managed care **Workstyle** This is a remote ... clinical leadership (including Chief Medical Officer, Complex Care clinical strategy team, Clinical Excellence/Quality, and other areas), practice operations,… more
- Humana (Providence, RI)
- …us put health first** The Associate VP, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. The Associate VP, ... VP, Technology Solutions works across business and IT to define effective strategy for executing and delivering critical initiatives. The Associate VP, Technology… more
- Mathematica (Providence, RI)
- …include:* * As part of the AI Health Outcomes Challenge held by Centers for Medicare and Medicaid Services, members of this team developed a cloud data pipeline and ... to make predictions with a large multiyear sample of Medicare beneficiaries with detailed claims data about millions of...Building for Public Health Analysts in the Overdose Response Strategy , where the team designed, developed, and secured a… more
- CenterWell (Providence, RI)
- …The Care Delivery Tele Sales Agent is responsible for converting Medicare eligible callers to patients through telephonic conversations, proactively anticipate ... with prospects and patients, understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.… more