- The Cigna Group (Bloomfield, CT)
- …for the ongoing needs of CMS Medicare Risk Adjustment processes and systems. The ** Medicare Risk Adjustment Analytics Advisor ** would be a member of the ... team that provides support by leveraging multiple data domains to answer important business questions. This position is connected with multiple teams to ensure that… more
- The Cigna Group (Atlanta, GA)
- …All market team members contribute to the growth and profitability of the Medicare Advantage business in their market in the following aspects: **Growing ... physician education, training and provision of reporting and using analytics resources to identify key opportunities for utilization and...the MA Business ** : The Provider Performance Senior Advisor … more
- The Cigna Group (Bloomfield, CT)
- …reduction initiatives. Reporting to the Affordability Analytics Senior Manager, the Business Analytics Senior Advisor will work in a cross-functional ... team's mission is to improve customer value and affordability across Cigna Medicare . We accomplish this through data-informed analytics , strategic insights, and… more
- The Cigna Group (Springfield, IL)
- The **Provider Contracting Advisor ** serves as an integral member of the Provider Contracting Team and reports to the **Provider Contracting Senior Manager** . This ... * Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. * Initiates and… more
- The Cigna Group (Philadelphia, PA)
- **Profile Summary:** Individual & Family Plans (IFP) is a fast-paced Cigna Healthcare business unit serving the Affordable Care Act (ACA) market. In this role within ... Evernorth, you will join the IFP Analytics team responsible for identifying and sizing new risk...Responsibilities:** + Consult independently with stakeholders across the IFP business to prioritize, define, and conduct key strategic analyses… more
- The Cigna Group (Bloomfield, CT)
- **Job Profile: Provider Contracting Senior Advisor ** **Location:** Position will cover the Eastern Region, Preferred Work Location: Maryland, Washington DC, ... Required: Up to 25% - local and some overnight regional travel. The Medicare Advantage Value-Based Contracting Regional Director serves as an integral member of the… more
- The Cigna Group (Birmingham, AL)
- The Financial Analysis and Modeling Advisor position within the Medicare Advantage Revenue Finance Team is an opportunity to support our quarterly financial ... set, and measured on a routine basis. This role requires independence, analytics , critical thinking, creativity, business acumen, and relentless problem solving… more
- The Cigna Group (Nashville, TN)
- **Position Overview:** The Senior IT Service Advisor will be a member of 3rd Party Service Management team working directly with vendors in an account management ... the principal point of contact for the vendor and will coordinate communication between Business , IT, Compliance, and Vendor. The Senior IT Service Advisor will… more
- Humana (Columbus, OH)
- …and address business issues and opportunities related to the high-needs Medicare Advantage (MA) and Special Needs Plan (SNP) populations that benefit from payer ... us put health first** The Strategy Advancement Advisor provides data-backed strategic direction to identify...key stakeholders from across the enterprise (clinical, quality, operations, analytics , and business ) and leading the end-to-end… more
- Humana (Columbus, OH)
- …customer needs resulting in successful customer adoption for achieving positive business outcome. The AVP, Product Management requires an in-depth understanding of ... Once products are launched, monitors efficacy of products and uses customer and business partner feedback to ensure products are meeting customer needs across each… more
- Humana (Columbus, OH)
- …and safe data use practices. Facilitate valuable relationships across the data and analytics teams and business leaders, driving to the right questions that ... individual will collaborate with senior stakeholders across Technology and all business units to influence enterprise-wide change while building and coaching her/his… more
- HealthEdge Software Inc (Columbus, OH)
- …them: NCQA (National Committee for Quality Assurance), CMS (Centers for Medicare & Medicaid Services), URAC (Utilization Review Accreditation Commission) and other ... maintain compliance for our customers. + Act as the subject matter expert and advisor on relevant legislation and regulations that apply to compliance and how this… more
- Cardinal Health (Columbus, OH)
- …regarding managed care contracts. This includes coordination of commercial, Medicare Advantage, Managed Medicaid and other third-party managed care contracts ... contracts and operations. This position is responsible for administrative, strategic, business development, and contracting activities related to the Managed Care… more
- Merck (Columbus, OH)
- …a customer-centric approach by leveraging emerging digital technologies and data analytics to better understand our patients' needs and design ingenious solutions ... for customers and meet with key stakeholders to understand practice structure, business model, and key influencers, while building relationships and trust to uncover… more