- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director, and ... Other Administrators. Provider Performance Enablement (PPE) is...interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of… more
- The Cigna Group (Atlanta, GA)
- …Georgia market, incumbent candidate will work from local office 3 days per week.** The Provider Performance Enablement Advisor is an integral part of a ... groups. The role of Senior Advisor with the Provider Performance Enablement team takes...members contribute to the growth and profitability of the Medicare Advantage business in their market in the following… more
- The Cigna Group (Denver, CO)
- …primary conduit to the providers and the individual that represents Cigna Medicare Advantage. The Provider Performance External Representative's ... Advantage business in their market in the following aspects: **Growing the Medicare Advantage** **Business** The Provider Performance External Representative… more
- Baylor Scott & White Health (Dallas, TX)
- …and commercially available for B2B customer channels. - Achieve breakeven or better performance on Medicare Advantage line of business with demonstrably better ... Reporting to the EVP, Chief Financial Officer, the SVP Value-based Care Enablement & Employer Solutions will be responsible for providing strategic direction and… more
- The Cigna Group (Philadelphia, PA)
- …choosing)** **Summary:** This position will focus on Stars and Risk Adjustment (RA) performance and solution enablement activities, with an emphasis on process ... workflow redesign, and staffing requirements. + Assist in driving Cigna Medicare interoperability advancement, working with Stars and RA leadership to identify… more
- Humana (Washington, DC)
- …seeking a strategic and results-driven Associate Vice President, IT Transformation and Enablement , to lead one of the company's highest-profile programs. The goal is ... IT Strategy and Transformation and will lead the AI Enablement Office, serving as the enterprise coordination function for...organization. + Establish and track key metrics for monitoring performance of AI models + Partner with Enterprise AI… more
- Humana (Frankfort, KY)
- …and direction. The candidate will be a member of the Procurement Center of Enablement 'C4E' team and will be responsible for the following: + Lead/manage the ... arise, deliver guidance / training on processes and systems, provide subject matter expertise and insight on future projects...internet expense. + A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is… more
- Humana (Columbus, OH)
- …us put health first** The Associate Vice President (AVP) of Sales, Group Medicare and Specialty Marketing and Enablement plans and executes marketing campaigns ... an impact** **Key Responsibilities** This incumbent will specifically lead the Sales Enablement and Engagement, Group Medicare and Group Specialty and Individual… more
- CVS Health (New Albany, OH)
- …will focus on HEDIS Hybrid, STARS, Performance Improvement Plans, provider & member enablement , regulatory and accreditation compliance. This individual ... experience in healthcare/managed care leadership roles with experience in HEDIS/Medicaid/ Medicare /Duals/IFP Quality program performance management, analytics, reporting… more
- Conviva (Tallahassee, FL)
- …of the divisional teams through use of people, processes, and technology enablement (including Annual Proof of Documentation (APD) tool) + Responsible for ... performance management and strategy development for PCO risk adjustment...establish risk adjustment analytics to identify coding improvement opportunities, provider coding improvement opportunities, risk score trending and tracking.… more
- CenterWell (Jackson, MS)
- …of the divisional teams through use of people, processes, and technology enablement (including GenAI) + Responsible for performance management and strategy ... to establish risk adjustment analytics to identify coding improvement opportunities, provider coding improvement opportunities, risk score trending and tracking. +… more
- Humana (Louisville, KY)
- …Management, Configuration, Availability and Change management routines. This leader will provide the vision, plan, and governance to guide the IT organization ... fast incident resolution, effective problem root cause analysis, and seamless change enablement - all delivered with industry-leading stability. Reports to the VP of… more
- Humana (Columbus, OH)
- …our caring community and help us put health first** The Humana Enterprise Operations Enablement (EOE) - CPSS Data & Analytics - BI (Business Intelligence) team is a ... Business Intelligence Engineer position will be supporting BI work for our Medicare organizations. The **Senior Business Intelligence Engineer** : + Develops and… more
- Public Consulting Group (Columbus, OH)
- …streamline operations and achieve strategic goals to serve the public better. We provide the full spectrum of technology consulting services to help state and local ... user base. Services: + Strategy, Architecture, Planning, and Procurement + Business Enablement + Business Solutions + Project Assurance The Medicaid marketplace is… more
- Humana (Columbus, OH)
- …to enable federated Enterprise API development + Lead and coach others towards enablement of contemporary integration and agile practices + Drive improvement in the ... be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet… more
- The Mount Sinai Health System (New York, NY)
- …accelerate biomedical discovery and translation through collaborative research using high- performance computing, biomedical informatics and data science. We enable ... this role will implement the accompanying processes and procedures, working with key enablement areas such as data delivery and service teams, computational and AI… more