- Elevance Health (Smithfield, RI)
- **Audit & Reimbursement Senior -** ** Medicare Cost Report Audit** **Locations:** _This is a United States based, virtual position._ **National Government ... to transform federal health programs. The **Audit and Reimbursement Senior ** , will support our Medicare Administrative...strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Somatus (Mclean, VA)
- …Sr. Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of the organization's Risk Adjustment Programs to optimize the ... coverage (medical, dental vision) + Flexible Paid Time Off (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting… more
- Humana (Oklahoma City, OK)
- …us put health first** Humana Healthy Horizons in Oklahoma is seeking a Senior Encounter Data Management Professional who develops business processes to ensure ... proudly serve. Are you Caring, Curious and Committed? If so, apply today! The Senior Encounter Data Management Professional : + Ensures data integrity for claims… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Senior Vendor Management Professional works as liaison between vendors and organization. The ... Senior Vendor Management Professional work assignments involve...contractual issues and resolve discrepancies. Begins to influence department's strategy . Makes decisions on moderately complex to complex issues… more
- Humana (Oklahoma City, OK)
- …a part of our caring community and help us put health first** The Senior Quality Compliance Professional uses quality compliance and improvement tools and ... close gaps in care for Oklahoma Medicaid enrollees. The Senior Quality Compliance Professional has proven data...analyze and interpret healthcare data/information in order to develop strategy and build interventions to close gaps in care.… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Senior Pharmacy Claims Professional adjudicates pharmacy claims and process pharmacy claims for ... payment. The Senior Pharmacy Claims Professional work assignments involve...and compliance and monitored regularly. Begin to influence department's strategy . Makes decisions on moderately complex to complex issues,… more
- Humana (Louisville, KY)
- …part of our caring community and help us put health first** The Senior M&A Professional identifies, researches, analyzes, makes recommendations and negotiates ... ensure the reliability of information provided by potential acquisition targets. The Senior M&A Professional work assignments involve moderately complex to… more
- Humana (Albany, NY)
- …of the Growth team's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Principal, you will lead small ... of our caring community and help us put health first** The Strategy Execution/Advancement Principal provides data-based strategic direction to identify and address… more
- Humana (Madison, WI)
- …part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex… more
- Humana (Columbus, OH)
- …level by driving real impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional , you will play a pivotal role in resolving ... lead on building solutions that make a difference! The Senior Pharmacy Claims Professional analyzes and answers...and building new processes. + Begins to influence department's strategy . + Makes decisions on moderately complex to complex… more
- Humana (Columbus, OH)
- …us put health first** Are you interested in leveraging technology and business strategy to deliver improved member experiences and health outcomes to Humana's 26 ... deliver a perfect member experience by bringing forth the alignment of business strategy to technology strategy , enabling the effective and efficient execution… more
- Martin's Point Health Care (Portland, ME)
- …certified as a "Great Place to Work" since 2015. Position Summary The Senior Director Clinical Programs provides oversight and coordination of care management and ... activities, objectives, and analysis for the Martin's Point Health Plan. The Senior Director is responsible for Care Management design, implementation and operations… more
- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The Senior Population Health Strategy Professional is responsible for improving the ... managing costs for a defined group of people. The Senior Population Health Strategy Professional ...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Deloitte (Pittsburgh, PA)
- …interested in working in a dynamic environment that offers opportunities for professional growth and new responsibilities? Are you interested in helping clients ... organizational performance. Work you'll do As a Government Health Actuary - Senior Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice,… more
- Brookings (Washington, DC)
- …communication, mutual respect, and a collaborative atmosphere that offers both professional and personal development opportunities, Brookings offers an inclusive and ... Island, and Washington. Responsibilities Ready to contribute to Brookings success? The Fellow/ Senior Fellow will lead the Hutchins Center's initiative to build a… more
- New York State Civil Service (Thiells, NY)
- …post-licensure experience as a physical therapist. Duties Description POSITION DESCRIPTION:A Senior Physical Therapist is a professional position requiring ... HELP Yes Agency People With Developmental Disabilities, Office for Title Senior Physical Therapist (NY HELPS) Occupational Category Health Care, Human/Social… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Senior IT Portfolio Management Professional collaborates with the business portfolio team to ... align the IT portfolio and demand. The Senior IT Portfolio Management Professional work assignments...organizes and prioritizes projects and programs based on IT Strategy , strategic roadmap, available and prioritized budgets, changes schedules… more
- New York State Civil Service (Albany, NY)
- …Technology Services, Office of Title Integrated Eligibility System (IES) Senior Technical Architect (Project Coordinator) ref# 8398 Occupational Category IT ... Engineering, Sciences Salary Grade NS Bargaining Unit PS&T - Professional , Scientific, and Technical (PEF) Salary Range From $127433 to $155130 Annually Employment… more
- Elevance Health (Columbus, OH)
- …designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. ... **Account Management Senior Advisor** Location: This position will work a...Experience in any of the following: healthcare industry, corporate strategy , capacity planning, data architecture and modeling, database design… more
- American Heart Association (Dallas, TX)
- …your career. The American Heart Association has an excellent opportunity for a ** Senior Health Care Quality Measures Manager** supporting our team at our National ... create and implement a specific HIT strategic plan supported by volunteers and Senior Management, aligning with Quality and Health IT's overall strategic plan. With… more