- CVS Health (Dallas, TX)
- …/ Wednesday /Thursday) in the Austin or Dallas office **Preferred Qualifications** + Medicaid product pricing + Health Plan Operations + Provider contracting and ... P&L/cost center owner level reporting, membership and/or expense forecasts, product reporting and balance sheet reporting. + Collaborate with...reimbursement methodologies + Medicaid , Medicare or Commercial health insurance products… more
- BlueCross BlueShield of North Carolina (NC)
- …The Chief Financial Officer (CFO) of Healthy Blue's North Carolina Medicaid Managed Care Program drives financial performance by enabling market leadership ... with prescriptive feedback on product performance, business initiative value, and cost efficiency while ensuring seamless cross-functional connectivity. +… more
- CVS Health (Blue Bell, PA)
- …actuarial team supporting CVS Health and Aetna's exciting and growing Medicaid business. Support CVS Health's financial integrity with sound reserving and ... risk management practices as well as product designs that meet customer needs and pricing that...be leading Actuarial market support for the Southeast region's Medicaid contracts (KY, LA, OHRISE, WV, & VA). Within… more
- Humana (Columbus, OH)
- …us put health first** Humana's Corporate Marketing organization is looking for a Senior Product Owner that is Salesforce Marketing Cloud Email Specialist ... just may be the role for you! As the Senior Product Owner, you will support Humana's...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc.… more
- HealthEdge Software Inc (Columbus, OH)
- **Overview** **Position** **Overview:** As a Senior Product Manager, within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... add significant value to our customers. Working directly with customers, other product owners, agile engineering teams, and internal functions you will create… more
- J&J Family of Companies (Raritan, NJ)
- Senior Analyst, Government Rebate Operations (GRO) - 2406214136W **Description** Johnson & Johnson Health Care Systems, part of the Johnson & Johnson family of ... companies, is recruiting for a ** Senior Analyst, Government Rebate Operations (GRO)** , located in...ensuring efficient and compliant participation in base and supplemental Medicaid , Medicare Part D Coverage Gap Discount Program (CGDP)… more
- Guidehouse (Mclean, VA)
- …industry + Knowledge of state health agencies and healthcare reform, eg, Medicaid , public health, health insurance , and health reform organizations (legislative, ... None **What You Will Do** **:** We are seeking Senior Consultants with experience and knowledge of national healthcare...of national healthcare reform and its impact on state Medicaid , public health or state and local health and… more
- Fallon Health (Worcester, MA)
- …hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive ... NaviCare** : Fallon Health is a leader in providing senior care solutions such as NaviCare, a Medicare Advantage...enrollee inquires, including but not limited to Medicare and Medicaid benefit handling prospect inquires + To serve as… more
- Arvinas (New Haven, CT)
- …Summary** As a key member of the Market Access Leadership team, the Senior Director, US Pricing & Contracting Strategy will lead the function developing and ... role include, but are not limited to: + Provides senior management and cross functional team members with relevant...capability and organization to prepare for current and future product launches. + Design and develop pricing models to… more
- CVS Health (Lansing, MI)
- …to make health care more personal, convenient and affordable. **Position Summary** The Senior Medical Director, Health Equity will report to the VP and Chief Health ... implementation of health equity into programs, products, and services. The Senior Medical Director will also support successful engagement with internal colleagues,… more
- Deloitte (Pittsburgh, PA)
- …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 (Columbus, OH)
- …Framework (SAFe) methods in a way that adds both speed and value to product delivery. The Senior Release Train Engineer performs moderately complex to complex ... caring community and help us put health first** The Senior Release Train Engineer (RTE) has Comprehensive, end-to-end responsibility...program level processes and executes across several scrum and product teams -Work with Product and Solution… more
- Trinity Health (Livonia, MI)
- …impact on the member organizations of major changes in Medicare and Medicaid policies. Assists in related advocacy efforts regarding such regulatory changes. ... to federal, state and other third-party reimbursement regulations. Prepares Annual Medicare, Medicaid , Blue Cross and Tricare cost reporting for the Trinity Health… more
- Centene Corporation (Jefferson City, MO)
- …for translating these state policy trends into sustainable business practices + As a Senior Director, this position would serve as a subject matter expert for health ... partners to provide policy expertise and consultation on issues pertaining to Medicaid , managed care, payment models, pharmacy, and other emerging state issues +… more
- HCA Healthcare (Nashville, TN)
- …and integrity. We care like family! Jump-start your career as a Senior Business Analyst today with Parallon HCA Healthcare. **Benefits** Parallon HCA Healthcare ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- AmeriHealth Caritas (Newtown Square, PA)
- …modeling experience. + Strong preference for experience in a large, multi-market, multi- product health insurance company, including Medicaid financial ... ** Senior Vice President Financial Planning & Analysis** Location:...Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day… more
- Humana (Columbus, OH)
- …utilize to reduce administrative cost and improve the customer's experience. The Senior Business Intelligence Engineer position will be supporting BI work for our ... Medicare organizations. The ** Senior Business Intelligence Engineer** : + Develops and maintains...interactive reports using Power BI, Qlik, Tableau and/or similar product + Intermediate skills in Power Apps and Power… more
- Humana (Columbus, OH)
- …our caring community and help us put health first** Humana is seeking a Senior Economist to lead the development and management of advanced econometric models to ... forecast and understand drug utilization trends and costs. As a Senior Economist, you will use open-source programming languages (R or Python) in Databricks to… more
- General Dynamics Information Technology (Fairfax, VA)
- …**Experience:** 9 + years of related experience **Job Description:** Quality Analyst Senior **JOB PROFILE SUMMARY:** At GDIT, people are our differentiator. We are ... seeking a Senior Quality Analyst to join our team to support...join our team to support Centers for Medicare and Medicaid Services (CMS) activities remotely (centered in the DC-MD-VA… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Senior Software Engineer solves complex business problems and issues using data from internal and ... incorporates principles of Scrum Agile, dedicated Partnership Leaders, and collective Product Ownership to deliver integrated risk adjustment (RA) and quality… more