- Humana (St. Paul, MN)
- …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 (St. Paul, MN)
- …a part of our caring community and help us put health first** Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy ... to support the strategic direction and growth of the Medicaid and Duals lines of business. This is a...benefits to market with experience/training in agile delivery and project management + Experience designing benefit packages to help… more
- Humana (St. Paul, MN)
- …a part of our caring community and help us put health first** The Medicaid Actuary role is responsible for providing actuarial support for multiple states in ... are the specific day to day responsibilities of the Medicaid Actuary role: + Frequent analysis of actual experience...of technical experience + 2 or more years of project leadership experience **Scheduled Weekly Hours** 40 **Pay Range**… more
- Humana (St. Paul, MN)
- …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
- Public Consulting Group (St. Paul, MN)
- …partners + Understand and continually monitor Federal, state, and local Medicaid School-Based program policies + Leverage client communication and management tools, ... retained, highly satisfied, and can serve as references + Uphold strong project and change management practices, both internally and externally + Communicate with… more
- Highmark Health (St. Paul, MN)
- …underlying systems that support the respective business platforms for the Medicaid Business Unit market served by Highmark. Performs configuration change management ... the most complex issues in order to understand capability needs, gather project specifications, create business cases and cost sheet analysis, translate high-level… more
- Humana (St. Paul, MN)
- …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 (St. Paul, MN)
- …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 (St. Paul, MN)
- …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 (St. Paul, MN)
- …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 (St. Paul, MN)
- …+ Master's Degree or higher in Computer Science or a related field + Associate or Professional level solution architecture certification in Azure, GCP and/or AWS. + ... in Enterprise Architecture repository tools like iServer + 2+ years of project leadership and consulting experience. + Health Care Business Domains - Medicare,… more
- Humana (St. Paul, MN)
- …influencing the department's strategy by making decisions on technical approaches for project components. + Maintain the health of over 1,000 databases and implement ... with SQL servers + 2 or more years of project leadership experience. + Experience integrating new technologies with...(125% match for the first 6% contributed by an associate ), etc. **Your Whole Health -** Humana's health products… more
- Humana (St. Paul, MN)
- …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 (St. Paul, MN)
- …us put health first for our members, providers and ourselves. Desired Lead Associate to lead and manage the enterprise framework to facilitate and document ... critical thinker with strong problem-solving skills + 2 + years of project leadership experience + Knowledge of regulations governing the health care industry… more
- Humana (St. Paul, MN)
- …moderately complex to more complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable ... equivalent + 8+ years of technical network engineering experience + 5+ years of project leadership experience. + 8+ years of Layer 2/ Layer 3 network architectural… more
- Humana (St. Paul, MN)
- …requests for proposals (RFPs)/request for renewals (RFRs) including full-scale project management, written narratives, and production necessary for final external ... multiple activities + Experience with public sector contract review + Project Management experience + Group Medicare experience is preferred **Additional… more
- Humana (St. Paul, MN)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. This individual exercises ... Advanced Degree + Back-Office forecasting experience + Prior experience in Process or Project Management **Additional Information** + Flexible Start Time - 9 AM to… more
- Humana (St. Paul, MN)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... + Understanding of data center technology and IT infrastructure. + Program or Project Management experience in Agile framework. + Experience in problem analysis and… more
- Humana (St. Paul, MN)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... decisions on moderately complex to complex issues regarding technical approach for project components + Must be passionate about contributing to an organization… more
- Humana (St. Paul, MN)
- …economics, finance, or business-related field + Technical cybersecurity experience + Project leadership experience + Ability to manage multiple tasks and deadlines ... run large-scale, highly visible programs with responsibility for multiple project team **Additional Information** Remote/WAH requirements: + WAH requirements: Must… more