- Humana (Trenton, NJ)
- …health first** Humana Healthy Horizons is seeking exceptional candidates to join our Medicaid Product Strategy Organization to advance Humana's Medicaid ... to support the strategic direction and growth of the Medicaid and Duals lines of business. This is a...growth partners across the enterprise and industry to accelerate product strategy and define the operating model for new… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Senior IT Product Owner (PO) role is responsible for managing and communicating the ... IAM work area professional concepts/standards, regulations, strategies, and operating standards. The Senior IT Product Owner (PO) role is responsible for… more
- Humana (Trenton, NJ)
- …put health first** Humana's Corporate Marketing organization is looking for a Technical Senior Product Owner that is Salesforce Marketing Cloud Email Specialist ... may be the role for you! As the Technical Senior Product Owner, you will support a...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc.… more
- Humana (Trenton, NJ)
- … Business Intelligence Engineer position will be supporting BI work for our Medicaid organizations. The ** Senior Business Intelligence Engineer** : + Develops ... interactive reports using Power BI, Qlik, Tableau and/or similar product + Intermediate skills in Power Apps and Power...in Power Apps and Power Automate + Knowledge of Medicaid and/or Medicare services + Advanced data analytics skills… more
- Deloitte (Princeton, NJ)
- …Actuary - Senior Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice, you will assist Deloitte Managers, Senior Managers, and ... health plan/ insurance company experience + 1 years' experience with Medicaid managed care capitation rate development and/or fee-for-service rate development +… more
- Humana (Trenton, NJ)
- …help us put health first** Humana's Marketing organization is seeking a Senior Business Intelligence Engineer, Measurement Strategy & Marketing Performance to join ... leadership and Humana standards. This role works closely with Marketing & Product Analytics teams to provide data-driven guidance for marketing efforts. The ideal… more
- Ascendis Pharma (Princeton, NJ)
- …programs focused on making a difference in people's lives. Three of our product candidates are currently in clinical development. Ascendis is a dynamic place for ... rates, and actual GTN deductions. + Support the pricing committee with key product pricing decisions; work closely and support Market Access team in the development… more
- Ascendis Pharma (Princeton, NJ)
- …Princeton, NJ three (3) days/week and will report directly to the Senior Director, Pricing and Contracting Strategy. Key Responsibilities: + Contract Management: ... departments and vendors to ensure favorable terms and conditions for product access, reimbursement, and pricing. Ensure alignment with corporate goals, profitability… more
- Humana (Trenton, NJ)
- …user applications and delivering comprehensive productivity solutions. This role works with senior executives and technical leaders to develop and drive segment or ... Advises one or more areas, programs or functions and provides recommendations to senior executives on matters of significance. This role is considered an advanced… more
- Deloitte (Princeton, NJ)
- …Work you'll do As a Deloitte Consulting Health Actuary Manager in the Insurance practice of Deloitte's Human Capital group, you will assist Deloitte Managers, ... Senior Managers and Partners in providing strategic and technical...reduce selection + Price alternative plan designs and define product strategy + Identify strategies to reduce enterprise costs… more
- Highmark Health (Trenton, NJ)
- …integration into the overall Enterprise strategy through collaboration with Senior -level internal/external stakeholders. Ensures a high degree of development, ... strategic direction. Collaborate with PNR stakeholders to incorporate VBR into product , network, and provider integration.Liaison with Enterprise & P&L leaders on… more
- Merck (North Wales, PA)
- …health care systems. Responsibilities in understanding Centers for Medicare & Medicaid Services (CMS)and US policies, Food and Drug Administration Modernization Act ... colleagues to lead critical access pillars throughout commercial plans and senior management reviews, plan budgets and track commercial launch/competitive landscapes… more
- Humana (Trenton, NJ)
- …products, agent recruitment and retention objectives, and revenue generation from non-Humana product sales through the IFG Brokerage. The AVP will be responsible for ... this position will work directly with the Segment President, Senior Vice Presidents, and Vice Presidents to influence enterprise...or be able to obtain a Health & Life Insurance and all appropriate state licenses **Preferred Qualifications** +… more
- Cardinal Health (Trenton, NJ)
- …a greater connection to the customer experience and better control of product success. Personalized service and creative solutions executed through a flexible ... discretion including prescriptions, personal information, date of birth, financials and insurance information. + Escalates highly complex and difficult issues as… more
- Cardinal Health (Trenton, NJ)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager ... These steps include patient referral intake, investigating all patient health insurance benefits, identifying & initiating prior authorization and step therapy… more
- Humana (Trenton, NJ)
- …us put health first** This Actuary role is a role within the Senior Products Actuarial Compliance team focused on special Medicare Advantage programs, including ... Value Based Insurance Design (VBID), Special Supplemental Benefits for the Chronically...compliant submission of bids to support Humana's pricing and product development of Medicare Advantage and Prescription Drug Plans… more
- Highmark Health (Trenton, NJ)
- …and deliver reports and presentations on various subjects within the health insurance industry. The work will support strategic initiatives and priorities for ... product development and implementation and/or market and competitive intelligence....such as competitors (ex. health, dental, vision and multi-line insurance carriers), topics (ex. technology, virtual health, industry trends),… more
- Genesis Healthcare (Wyncote, PA)
- …DEI is a part of our company's DNA.*Health, Dental, Vision, Company-paid life insurance , 401K, Paid Time OffWe also offer several voluntary insurances such as:*Pet ... Insurance *Term and Whole Life Insurance *Short-term Disability*Hospital Indemnity*Personal...Position Highlights*Manage the overall process and tracking of all Medicare/ Medicaid case-mix documents to assure appropriate reimbursement for services… more
- Humana (Trenton, NJ)
- …rate filing, reporting & analysis, reserving or trending) and more than one product . + Must be passionate about contributing to an organization focused on ... and human capital + Emotional intelligence + Presence - comfortable with senior leaders and other functional areas + Persuasive - effectively communicates trade-offs… more