- USAA (San Antonio, TX)
- …**The Opportunity** We are currently seeking a talented ** Business Process Owner I** that will support Medicare Supplement Claims for USAA Life Company ... business partners supporting our Medicare Supplement Claims. As business process owner , the employee will lead planning for complex processes… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …: The Medicare MAP Advisor- Will promote and sale MAP and Medicare Line of Business , maintains relationships, services our existing customers and secures ... LHCSA's + Develops and nurtures relationship with prospective members, community leaders, owner hospitals, community partners and current business partners. +… more
- LA Care Health Plan (Los Angeles, CA)
- Medicare Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... support achievement of product and enterprise goals. The position works with management, business owners and other key stakeholders to develop and manage the product… more
- Banner Health (AZ)
- …other resource managers /change agents to identify opportunities for significant process enhancements. Recommends changes that impact strategic business ... team as the **Telehealth Services - Sr. IT Solution Owner ** , where you will spearhead the development and...of the company's infostructure and infrastructure. CORE FUNCTIONS 1. Business Outcomes: Relentless focus on delivering outcomes and value… more
- Banner Health (AZ)
- …other resource managers /change agents to identify opportunities for significant process enhancements. Recommends changes that impact strategic business ... in support of the company's infostructure and infrastructure. CORE FUNCTIONS 1. Business Outcomes: Relentless focus on delivering outcomes and value to our … more
- Centers Plan for Healthy Living (Bronx, NY)
- …+ Develops and nurtures relationship with prospective members, community leaders, owner hospitals, community partners and current business partners. + ... all equipment issued by Centers Plans for Healthy Living Advantage Care Medicare HMO Plan. Enrollment application process + Ensures prospective members… more
- Humana (Columbus, OH)
- …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...is a joint venture among three stakeholders: Humana (majority owner ), Main Line Health System, and Jefferson Health System.… more
- Geisinger (Danville, PA)
- Job Summary Provides application support to the Retail Sales (Individual and Medicare ) lines of business , which includes Inside and Field Sales staff. Provides ... Acquires, maintains and articulates a thorough understanding of the business ' functional process and data requirements. +...the initial point of contact for the Commercial and Medicare Sales end user community by providing first-level support… more
- Commonwealth Care Alliance (Boston, MA)
- …Attend with department staff, communicating key compliance requirements and hearing out business owner concerns + Communicate research requests to Compliance's ... MS entities. + Provides support for quarterly FDR MS business owner group meeting, including but not...as needed to assist departments with regulatory projects and process implementation + Support business units in… more
- Healthfirst (Enfield, NY)
- …members, community leaders, owner hospitals, community partners, and current business partners. Must generate referrals to the Medicare Advantage and ... is responsible fordeveloping and maintaining relationships, leads, and new business using consultative selling/marketing. This role serves as thekey player… more
- LA Care Health Plan (Los Angeles, CA)
- …Manager works collaboratively with leadership, management and other stakeholders including Business Owner (s), Investment Review Board, intake and program/project ... training, testing, and implementation plans and schedules are followed. Meets with Business Owner (s) and Project Managers/teams on a regular basis, weekly… more
- Commonwealth Care Alliance (Boston, MA)
- …8+ years' experience that has served in multiple roles such as product owner , configuration lead, product management, and/or business consultant. + Experience in ... operational process change + 5+ years leadership experience driving business solutions and configuration utilizing + 5+ years implementing technical solutions +… more
- General Dynamics Information Technology (Fairfax, VA)
- …impact as a **Senior/Lead Salesforce Developer (LWC/Aura)** supporting the **Centers for Medicare & Medicaid Services (CMS).** GDIT is your place to make meaningful ... Search language (SOQL and SOSL)** + Support the Product Owner in gathering requirements by providing solution options and...SOQL, and SOSL etc. + Lead the complete development process from requirement analysis to deployment + Review and… more
- ICF (Reston, VA)
- …Our team supports the development and maintenance of the Centers for Medicare & Medicaid Services' (CMS) End-Stage Renal Disease Quality Reporting System (EQRS) ... APIs to develop robust and scalable applications that support the Centers for Medicare and Medicaid Services (CMS) as we develop a next-generation analytics and… more
- Publix (Lakeland, FL)
- …a great place to work and shop. It's satisfying to work for - and be an owner in - a Fortune 100 company that is widely recognized as a leader in the supermarket ... Reviewing and analyzing negotiation/settlement claim details, complying with federally mandated Medicare reporting on settled claims. + developing an action plan for… more
- Highmark Health (Pittsburgh, PA)
- …governmental products where Risk Adjustment methodologies apply. Functions as the business owner of the risk adjustment process as well as identifying and ... Support VP Revenue Program Management in identifying, promoting and executing process improvement strategies and programs to ensure maximum efficiencies, accuracy… more
- Humana (Columbus, OH)
- …acquisition, HR, finance, and other support teams to ensure seamless consultative approach to business leaders. + As process owner , guide leaders and HR ... first** The CenterWell Primary Care Compensation Principal collaborates with aligned business leaders, the compensation team, and human resources partners to create,… more
- CVS Health (Dallas, TX)
- …with executive leadership to define and align technology strategy with overall business goals. + Identify emerging technologies, and trends to maintain a competitive ... that promote best practices, minimize complexity and architectural layers, and deliver business value. + Collaborate with the Information Security team to implement… more
- Waystar (Atlanta, GA)
- …+ Unit tests all changes on development, and then works with the appropriate Business and/or Technology Owner (s) to ensure that the developed solution meets the ... are responsible for working with the Technology and the Business teams to design, build, and implement amazing web...teams to design, build, and implement amazing web and process applications. These Team Members are also charged with… more
- Molina Healthcare (Lexington, KY)
- …goals into functional requirements. + Works with operational leaders within the business to provide recommendations for process improvement opportunities. + ... teams of subject matter experts, delivering products from the design process to completion. + Manages programs providing ongoing communication of goals,… more