- The Cigna Group (Plano, TX)
- …will be accountable for the financial results and medical cost savings of Medicare Advantage payment integrity programs. Work with business partners to identify ... with Contracting, Coverage Policy Unit, Commercial Payment Integrity, Compliance, Network Analytics , Claim, and other business areas to accomplish goals… more
- The Cigna Group (Houston, TX)
- **Summary** The Cigna Medicare Strategic Analytics Team (MSAT) offers solutions which provide actionable insights to internal and external business partners ... health costs, improve outcomes, provide financial security and measure and forecast business performance. This position is a hands-on role responsible for providing… more
- The Cigna Group (Plano, TX)
- …internal and external partners to improve Cigna's Medicare Star Ratings. The Business Analytics Advisor will analyze data including pharmacy claims, ... **Summary** The Part D Stars Business Analytics Advisor will...Part D measures. This position is located within the Medicare Stars Analytics team, who's function is… more
- Humana (Austin, TX)
- …management + Experience in technology and/or digital transformation + Expertise in business analytics and/or financial management + Familiarity with the ... caring community and help us put health first** The Strategy Advancement Advisor works closely with CenterWell and Corporate Services Technology leadership to… more
- CVS Health (Austin, TX)
- …Medical and Aetna Medical. + Medicaid PA & Appeals Operations. + Medicaid and Medicare Data Entry Operations for partially delegated clients. + Pharmacy Advisor ... of approximately 2000+ CGSO colleagues in multiple lines of business (LOB) across all CVS Health locations and work...rigorous government standards required by both the Center for Medicare & Medicaid Services (CMS) and Affordable Care Act… more
- Humana (Austin, TX)
- …tools, and digital in CenterWell Pharmacy marketing efforts + Serves as an advisor of the Technology, Measurement, & Optimization Leader in crafting the technology ... and data strategies for the organization + Ensuring alignment with business objectives and compliance with legal and regulatory requirements such as GDPR and CCPA +… more