- Humana (Des Moines, IA)
- …with an emphasis on Medicare Advantage strategy development. As a Medicare Strategy Lead , you will deconstruct issues and challenges, perform ... largest health benefits organizations in the country. Location: remote The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This… more
- CVS Health (Des Moines, IA)
- …implementation and milestone tracking for business plans as Part of the Medicare benefit and product cycle. Directs the strategic development and implementation of ... large product initiatives, including new products and product enhancements for Medicare formularies, UM and clinical tools for Medicare PDP, MAPD and employer… more
- Elevance Health (West Des Moines, IA)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Audit & Reimbursement Senior -** ** Medicare Cost Report Audit** **Locations:** _This is a...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
- Elevance Health (West Des Moines, IA)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Audit & Reimbursement III- Medicare Cost Report Audit** _This is a United...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
- Elevance Health (West Des Moines, IA)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Audit & Reimbursement III- Medicare Cost Report Appeals** **Location** : This is...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
- Humana (Des Moines, IA)
- …Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments ... other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and/or Medicaid requirements, and will understand how… more
- Travelers Insurance Company (Des Moines, IA)
- …strategies for addressing and resolving various types of debt, including Medicare , to deliver positive financial outcomes. This role requires leveraging economic ... at industry related conferences and forums. **What Will You Do?** + Claim Strategy : + For specific national line of business initiatives develops and directs… more
- Humana (Des Moines, IA)
- …and Medicare integration, D-SNPs, and Self-Directed Services. The Capture Lead , Medicaid Clinical & Population Health Strategy key responsibilities include: ... and help us put health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy , to lead initiatives developing… more
- Humana (Des Moines, IA)
- …of our caring community and help us put health first** The Strategy Advancement Advisor provides data-backed strategic direction to identify and address business ... issues and opportunities related to the high-needs Medicare Advantage (MA) and Special Needs Plan (SNP) populations that benefit from payer led clinical services.… more
- Humana (Des Moines, IA)
- …and reducing unnecessary costs from the healthcare system. The Utilization Management Strategy Lead role works closely with internal and external stakeholders, ... (3) achieve these outcomes while driving operating efficiency. The Utilization Management Strategy Lead will bring deep expertise in utilization management (ie,… more
- Elevance Health (West Des Moines, IA)
- …and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Lead ** will support our Medicare Administrative Contract (MAC) with the ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...creating a culture that is designed to advance our strategy but will also lead to personal… more
- Humana (Des Moines, IA)
- …Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy Organization to support the strategic direction and growth of the Medicaid ... opportunities and works across the Company to set actionable product strategy and accelerate development of novel solutions through ideation, concept development… more
- Humana (Des Moines, IA)
- …and help us put health first** Humana Healthy Horizons is seeking a Strategy Advancement Principal for Long Term Supports and Services (LTSS). The Strategy ... quality improvements, establishing long range goals, objectives, and plans. The Strategy Advancement, Principal is an experienced healthcare strategist with broad,… more
- Humana (Des Moines, IA)
- …part of our caring community and help us put health first** The Strategy Advancement Advisor plays a crucial leadership role that provides data-driven strategic ... guidance to deliver a consistent and best-in-class Clinical function. The Strategy Advancement Advisor also enhances operational stability and effectiveness for… more
- Humana (Des Moines, IA)
- …security architecture to ensure the enterprise can achieve the enterprise security strategy . The Lead Security Architect will work with stakeholders and ... of our caring community and help us put health first** The Lead Security Architect determines security architecture requirements by evaluating business strategies… more
- Humana (Des Moines, IA)
- …our caring community and help us put health first** The Organization Effectiveness Lead optimizes the effectiveness of a company, business unit, or team. Analyze the ... employee work output and effectively utilize employee skills. The Organization Effectiveness Lead works on problems of diverse scope and complexity ranging from… more
- Humana (Des Moines, IA)
- …a part of our caring community and help us put health first** The Lead Cloud Solutions Engineer (Network) is responsible for the planning, design, and engineering of ... infrastructure and platforms related to cloud network & cloud computing. The Lead Cloud Solutions Engineer (Network) provides strategic advice and guidance to… more
- Humana (Des Moines, IA)
- …vision resonates with you, we would like to talk to you! The Lead Application Architect designs and develops IT applications architecture solutions to business ... problems in alignment with the enterprise architecture direction and standards. The Lead Application Architect works on problems of diverse scope and complexity… more
- Humana (Des Moines, IA)
- …part of our caring community and help us put health first** At Humana, a Lead Enterprise Architect is a seasoned IT professional who is a good listener, strategic ... thinker and collaborator who is effective at understanding our business strategy and providing pragmatic ways to deliver through technology. This architect plays a… more
- Humana (Des Moines, IA)
- …a part of our caring community and help us put health first** The Lead Product Manager - Provider Directory helps identify, validate, and implement improvements to ... time, you will work cross-functionally with various stakeholders to drive the strategy to promote top-performing providers while ensuring members can easily find and… more