- Humana (Raleigh, NC)
- …campaigns that engender preference and advocacy for Humana amongst agents + Lead strategy and content assets for Humana's proprietary sales portal ... your skills to make an impact** **Key Responsibilities** This incumbent will specifically lead the Sales Enablement and Engagement, Group Medicare and Group… more
- Humana (Raleigh, NC)
- …caring community and help us put health first** Come join our IT Strategy team! We design and activate strategies to address healthcare opportunities and challenges ... team operates at the evolving and mission-driven intersection of strategy , technology, and healthcare. This role offers you the...healthcare. This role offers you the chance to help lead and grow as we transform the information technology… more
- Humana (Raleigh, NC)
- …of our caring community and help us put health first** The Strategy Advancement Advisor provides data-backed strategic direction to identify and address business ... questions while getting experience and exposure across the enterprise. The Clinical Strategy team employs a rigorous process to set specific clinical priorities for… more
- Humana (Raleigh, NC)
- …leader to join our team as the Provider Reconciliation Program (PRP) Lead within the Healthcare Quality Reporting and Improvement (HQRI) organization. HQRI ... Stars team centralizes quality improvement and governance processes targeting Humana's Medicare Advantage members while also managing compliant data submissions to… more
- Wolters Kluwer (Raleigh, NC)
- …part of the **Wolters Kluwer Health Clinical Effectiveness team** , the Lead **Technology Product Manager** **- Commercial Drug Information** role for **Medi-Span** ... data and solutions that support Payers, PBMs, Life Sciences and Medicare /Medicaid programs. **Wolters Kluwer Health** is an established, fast-growing, and… more
- Humana (Raleigh, NC)
- …the reliability and availability of critical systems and services. The SRE Lead Technology Leadership Professional leads the technical and process strategy ... Apigee, and Gemfire), Clinical, Provider, Pharmacy, Corporate and Security. Drives the strategy for and leads major tower initiatives such as Cloud Transformation… more
- Humana (Raleigh, NC)
- …minimum of 25% travel and at times, short notice travel. ** The Lead Technology Support Specialist enables a reliable technology experience for Humana's senior ... leaders (C-suite, SVPs, etc.) and their staff members. The Lead Technology Support Specialist maintains, repairs, and troubleshoots desktop hardware, software… more
- Humana (Raleigh, NC)
- …to qualified candidates based anywhere in the US **Key Role Functions** + Lead communications strategy for various initiatives within the Finance team, ... Communications expert to join our internal communication team. As the Associate Communications Lead , Finance, you will have the opportunity to step into the position… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Lead , SIEM & Detection Engineer position is responsible for SIEM engineering, alerting and ... detection strategy team for Humana systems. This role works closely...as well as other enterprise information security teams. The ** Lead , S** **IEM & Detection Engineer** role is responsible… more
- Humana (Raleigh, NC)
- …the enhanced track Medicare Shared Savings Program (MSSP) + Designs a strategy for the care coordination team to identify high risk patients + Communicate with ... (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus… more
- Humana (Raleigh, NC)
- …rationalization and the business value defined by the business vision and strategy . + Lead Application modernization initiatives including rearchitecting legacy ... us put health first** Are you interested in leveraging technology and business strategy to deliver improved member & patient experiences and health outcomes? Are you… more
- Mathematica (Raleigh, NC)
- …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 (Raleigh, NC)
- …Director, High Risk Patient Management. Responsibilities will include: + Lead comprehensive clinical pharmacy service development, execution, and operations in ... clinical leadership (including Chief Medical Officer, Complex Care clinical strategy team, Clinical Excellence/Quality, and other areas), practice operations,… more
- Humana (Raleigh, NC)
- …help us put health first** Humana is seeking an experienced management professional to lead the Pharmacy Stars team. In this role, the selected candidate will be ... responsible for the strategy , opportunity evaluation, planning oversight, coordinating the development and...positive performance of medication adherence, statin use, polypharmacy, and Medicare Plan Finder measures for Pharmacy by influencing both… more
- Humana (Raleigh, NC)
- …work stream tasks/milestones + Look for enhancements to the messaging to achieve the strategy /goal + Structure, plan and lead design sessions + Collaborate with ... line of business by leading journeys, campaigns, or communications with business strategy and consults on marketing and communication delivery strategy . **Key… more
- Humana (Raleigh, NC)
- …Work with various stakeholders to build an enterprise alignment around technology strategy , standards, roadmaps, and terminology + Facilitate the creation of clear, ... provide engineering teams with tactical direction for achieving the enterprise tech strategy . + Clearly communicate and evangelize the value associated with adhering… more
- American Institutes for Research (Chapel Hill, NC)
- …experience with federal agencies, including but not limited to the Centers for Medicare and Medicaid Services (CMS). Candidates hired for the position may work ... beyond legal compliance to its full integration in our strategy , operations, and work environment. At AIR, we define...and implementation of quality measures for Federal programs. + Lead the development of measure specifications. + Lead… more
- Prime Therapeutics (Chapel Hill, NC)
- …the management of all client specific clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug ... all provider and member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to the… more
- Humana (Raleigh, NC)
- …functional strategies (often segment specific) on matters of significance Could lead multiple managers or highly specialized professional associates. **Use your ... health care operations, project/program management, implementation and/or consulting, corporate strategy , acquisition experience - and ability to "flex" between what… more
- Humana (Raleigh, NC)
- …management and measurement, and process-driven systems requirements. Job Responsibilities: + Lead and develop assigned recruiting systems strategy and functional ... candidate and recruiter technology processes. Working autonomously, driving department strategy with benchmarking, business process analysis and re-engineering, change… more