- 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
- 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
- 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
- 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
- General Dynamics Information Technology (Fairfax, VA)
- …on a Sr./ Lead Salesforce Developer joining our team to support Centers for Medicare & Medicaid Services (CMS) activities. This position is 100% remote with work ... 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
- Humana (Columbus, OH)
- …work activities and monitoring progress towards schedules/goals and is the primary administrative owner of a main process , program, product, or technology. + ... work required on rotating basis, 9:00am-5:30pm EST based on business needs. A 5% shift differential will be added...strongly preferred + Previous experience processing medical claims + Medicare experience **Work at Home Guidance** To ensure Home… more
- The Cigna Group (Bloomfield, CT)
- …quality and customer satisfaction. Essential Functions . Serve as business owner to necessary client work that involves Medicare operational and ... implementation benefits changes, as well as other non- Medicare LOBs . Understand client's existing clinical benefit and business philosophy to help avoid… 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
- 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
- Humana (Columbus, OH)
- …innovation opportunities, and translates ideas into actionable and profitable business . The Director, Innovation Portfolio Strategy requires an in-depth ... MarketPoint. The Director, Broker Digital Sales (Innovation Portfolio Strategy) defines business innovation objectives while understanding existing market needs and … 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 ... business requirements + Communicates the development progress daily to...estimates and daily progress as part of the SDLC process , and actively works to resolve issues blocking progress… more
- Waystar (Louisville, KY)
- …+ 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 ... Engineer will design, build, and implement amazing web and process applications for our internal customers. They will also... business requirements + Communicates development progress daily to the… more
- Fallon Health (Worcester, MA)
- …communicating with all stakeholders, provide timely and accurate reporting to business owner (s) and senior leadership, while fostering relationships and ... of Work (SOW), purchase orders (PO) and invoices related to project costs + Support business owners during project intake process to build their business … more
- Humana (Columbus, OH)
- …designs meet clinical requirements and enterprise standards. + Technical owner of the Operational Excellence deliverables for projects transitioning from ... emphasis on people, choice, well-being, and innovation guide our business practices and culture. We're not just a health...secure website. **Interview Format:** As part of our hiring process for this opportunity, we will be using an… more