- The Cigna Group (Tampa, FL)
- A member of the Cigna Medicare Business Operational Excellence Process Engineering team. This role will lead, facilitate, and drive business process ... coordinate business projects, including: + Define the business case, guide chartering, apply proper project ...changes into implementation plans (DFSS and DMAIC preferred) + Medicare Operations experience preferred. + Bachelors Degree… more
- UCLA Health (Los Angeles, CA)
- …and more at UCLA Health. As a key member of our Medicare Advantage Operations team, you will partner with business and technical teams as well as product ... achieve project objectives and deliverables that include project schedule management, scope, IT and business ...of 5 years' experience with CMS processes in a Medicare or Managed Care environment required + Project… more
- USAA (Phoenix, AZ)
- …what makes us so special! **The Opportunity** We are currently seeking a talented ** Business Process Owner I** that will support Medicare Supplement Claims for ... end-to-end claims process. This role will work with our third-party supplier and key business partners supporting our Medicare Supplement Claims. As business … more
- Centene Corporation (East Syracuse, NY)
- …care operations , compliance, auditing, project management, or business analysis experience, preferably within the Medicare field. Previous experience ... assure vendor performance consistently meets regulatory requirements and internal business objectives + Monitor vendor performance, including subsidiaries and… more
- St. Luke's University Health Network (Allentown, PA)
- … is responsible for managing and directing key operations and business -related projects. Leads and oversee multiple project strategic network initiatives ... align with network strategy. JOB DUTIES AND RESPONSIBILITIES: + Create detailed project plans, gather and document business requirements with intended outcomes,… more
- LA Care Health Plan (Los Angeles, CA)
- Technical Project Analyst II Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services Location: Los Angeles, CA, US, ... Project Analyst (TPA) II will support projects with Project Managers and/or business partners to ensure...and meaningful business and functional requirements for business and technical partners. Analyze operations and… more
- LA Care Health Plan (Los Angeles, CA)
- …definitive project execution plans. Applies subject expertise in evaluating business operations and processes. Identifies areas where technical solutions ... would improve business performance. Consults across business operations...business and technology communities to accomplish expected committed project outcomes. Proven ability to understand healthcare technology architecture… more
- Waystar (Louisville, KY)
- …position are expected to have or develop a specific knowledge of Waystar's business , industry, and operations , including an intimate understanding of healthcare ... **ABOUT THIS POSITION** The Strategic Project Manager is responsible for the successful implementation of Waystar solutions by leading the team and the client … more
- Humana (Columbus, OH)
- …leader ready to support projects and products in support of Humana Government Business (HGB). The Senior Project Manager will manage assignments that involve ... key associates to meet the goals of Humana Government Business . **KEY ACCOUNTABILITIES** 50% ** Project Execution** :...5 or more years' experience in the fields of operations , organizational development or customer service + Lean; Six… more
- Medical Mutual of Ohio (Toledo, OH)
- **_The Operations Data Analyst II position allows you the_** **_flexibility to work a hybrid schedule (on-site and at home)_** **_as long as you reside within a ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s… more
- STERIS (Brooklyn Park, MN)
- Project Quality Engineer Req ID: 44399 Job Category: Quality Brooklyn Park, MN, US, 55445 Description: At STERIS, we help our Customers create a healthier and safer ... Part 820. This role supports complaint/CAPA investigations, supplier quality improvement, operations production and process controls, and product and service quality… more
- AdventHealth (Altamonte Springs, FL)
- …enrollment and obtains necessary supportive documentation. . Actively participates in business acquisitions. . Prepares/updates project and facility data ... enrollment and obtains necessary supportive documentation. o Actively participates in business acquisitions. o Prepares/updates Project and Facility spreadsheets… more
- Martin's Point Health Care (Portland, ME)
- …of Support Services in preparation of information and reports and other business management activities related to departmental facilities operations as well ... to Work" since 2015. Position Summary The Manager, Facility Operations and Capital Projects is responsible for the oversight...timelines, outcomes, and assessments of the projects to maintain project schedules and keeps the business informed… more
- CVS Health (Phoenix, AZ)
- …account team dedicated to serving a large federal client with employer, and Medicare /EGWP prescription benefit offerings. The role will be responsible to support the ... clinical benefit and formulary documentation and reporting needs across all lines of business offered by the client. + Ensuring all relevant activities are at… more
- Trinity Health (Canal Winchester, OH)
- …, a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and ... and addresses opportunities and barriers as they arise. 11. Provides regular project status updates to customers and leadership especially when there are delays… more
- Ascendis Pharma (Princeton, NJ)
- …skills. Ascendis Pharma is looking to hire an experienced Director, Contract Operations to join our team. Responsibilities will include implementing market access ... ability to be both strategic and tactical, demonstrating strong leadership, project management, and communication skills. As the Director, Contracting Operations… more
- Mathematica (Columbus, OH)
- …with knowledge of key organizations bringing value to the Innovation Center * Project leadership experience with the Center for Medicare and Medicaid Innovation ... a visionary, passionate leader to be the Director for business development and client relationship building for our work...relationship building for our work with the Centers for Medicare & Medicaid Services' (CMS), Center for Medicare… more
- Kepro (Springfield, IL)
- …vital partner for health solutions in the public sector. Acentra is looking for an Operations Manager to join our growing team. *This is a hybrid role that requires ... up to 50% of the time Job Summary: The Operations Manager is responsible for managing the Operations.... Handles work situations that deal regularly with future business issues, maintaining a focus on business … more
- MetroLink (Los Angeles, CA)
- …II, Program Management will lead, plan, direct, and manage the activities and operations of Business Development initiatives and programs for the Authority. ... Disadvantaged Business Enterprise (DBE) Liaison Officer Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4526225) Apply Disadvantaged Business … more
- Medical Mutual of Ohio (Brooklyn, OH)
- …ongoing assistance for achieving sales goals. Manages daily Annual Enrollment Period (AEP) operations .** + **Works closely with key business areas to understand ... skills, including the ability to collaborate, make effective presentations, and utilize business judgment/analysis + Knowledge of Medicare products. + Knowledge… more