• Medicare Provider Performance

    The Cigna Group (Sunrise, FL)
    …providers and the individual that represents Cigna Medicare Advantage. The Provider Performance Enablement Lead Analyst's responsibilities include: + ... **Role Summary** The Provider Performance Enablement Lead...to develop solutions for strategic business needs + May provide guidance to others in the department **Role Components**… more
    The Cigna Group (10/03/24)
    - Save Job - Related Jobs - Block Source
  • Medicare Provider Performance

    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 (08/27/24)
    - Save Job - Related Jobs - Block Source
  • Medicare Provider Performance

    The Cigna Group (Atlanta, GA)
    The Provider Performance Enablement (PPE) Manager is a key member of a cross-functional, collaborative organization (which includes Market Provider ... Relations, and Network Development & Solutions). Reporting to the Provider Performance Senior Manager/Operations Director/Operations Senior Director (Market… more
    The Cigna Group (10/25/24)
    - Save Job - Related Jobs - Block Source
  • Medicare Provider Performance

    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
    The Cigna Group (08/24/24)
    - Save Job - Related Jobs - Block Source
  • Medicare Provider Performance

    The Cigna Group (Seattle, WA)
    **Role Summary:** The Provider Performance Lead Analyst is a key member of the market that assists in the growth and development of the provider network. The ... providers and the individual that represents Cigna MA. The Provider Performance Lead Analyst's responsibilities include: +...members contribute to the growth and profitability of the Medicare Advantage business in their market in the following… more
    The Cigna Group (10/26/24)
    - Save Job - Related Jobs - Block Source
  • SVP Value-based Care Enablement & Employer…

    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
    Baylor Scott & White Health (10/11/24)
    - Save Job - Related Jobs - Block Source
  • Associate Vice President, IT Transformation…

    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 (10/24/24)
    - Save Job - Related Jobs - Block Source
  • Medicare Advantage Market…

    The Cigna Group (Bloomfield, CT)
    Performance Advisor is cross-functional, collaborative role designed to connect Market Provider Performance Enablement field teams with internal ... functions to transfer experience and information among teams and within the Performance Operations department. The Market Performance Advisor supports the… more
    The Cigna Group (10/26/24)
    - Save Job - Related Jobs - Block Source
  • VP, Payment Integrity

    Molina Healthcare (Lexington, KY)
    …focused on driving efficiencies, identifying new concept opportunities, and technology enablement to meet goals, minimize administrative expense, and improve ... performance . **Job Duties** * Lead Molina's Payment Integrity Content...core claims operations. * Determines strategy for outsourcing, technology enablement and process efficiencies to effectively meet goals and… more
    Molina Healthcare (10/17/24)
    - Save Job - Related Jobs - Block Source
  • Medical Coding Director - Florida

    Conviva (Tallahassee, FL)
    …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
    Conviva (08/13/24)
    - Save Job - Related Jobs - Block Source
  • AVP, IT Service Management

    Humana (Columbus, OH)
    …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 (10/16/24)
    - Save Job - Related Jobs - Block Source
  • Senior Business Intelligence Engineer

    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 ... data analysis to identify trends, patterns, and insights that drive business performance improvements + Presents findings and recommendations to leadership in a… more
    Humana (10/04/24)
    - Save Job - Related Jobs - Block Source
  • Software Development Engineer in Test- SDET

    Humana (Columbus, OH)
    …ensure alignment and integration of best practices across development projects. + Provide expert guidance and support in the selection and implementation of ... automated packaging, and deployment standards. + Partner with the Quality Enablement team to drive continuous improvement initiatives and implement strategic quality… more
    Humana (10/15/24)
    - Save Job - Related Jobs - Block Source
  • Medicaid Certification Consultant

    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
    Public Consulting Group (10/16/24)
    - Save Job - Related Jobs - Block Source