- Humana (Washington, DC)
- …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
- Humana (Washington, DC)
- …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 (Washington, DC)
- …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 (Washington, DC)
- …includes the following key responsibilities: + Develop product strategy for annual Medicare Advantage plan filings + Lead the expansion and support for ... record of driving operational performance improvement + Proven experience developing multi-product strategy at the market level or higher. + Excellent verbal and… more
- CareFirst (Washington, DC)
- …The Senior Public Policy Analyst monitors, evaluates, and provides recommendations on strategy and communications regarding federal and state public policy issues in ... The incumbent will have primary responsibility for issues related to Medicare / Medicare Advantage, prescription drugs, utilization management, and behavioral… more
- Humana (Washington, DC)
- …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 (Washington, DC)
- …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 (Washington, DC)
- …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
- Humana (Washington, DC)
- …the performance of strategic initiatives and business areas, refreshing the Medicare Advantage growth strategy , and identifying improvement opportunities for ... our caring community and help us put health first** The Growth Strategy Program Management Consultant provides data-based strategic direction to identify and address… more
- Humana (Washington, DC)
- …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 (Washington, DC)
- …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 (Washington, DC)
- …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 (Washington, DC)
- …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 (Washington, DC)
- …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 (Washington, DC)
- …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 (Washington, DC)
- …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
- Abbott (Washington, DC)
- …division. As the Government Affairs Director for Corporate Reimbursement, you will develop, lead and execute the strategy , capabilities and action plans to ... support clinical, administrative and/or market development, health policy and publication strategy initiatives. + Lead Government Affairs initiatives to protect… more
- Humana (Washington, DC)
- …caring community and help us put health first** Join our innovative team as a Lead SRE Application Architect, where you will play a pivotal role in the strategic ... of architectural design and provide strategic input on technical design strategy for implementations. + Performs technical planning, architectural review of… more
- Humana (Washington, DC)
- …campaigns that engender preference and advocacy for Humana amongst agents + Lead strategy and content assets for Humana's proprietary sales portal ... your skills to make an impact** **Key Responsibilities** This incumbent will specifically lead the Sales Enablement and Engagement, Group Medicare and Group… more
- American Institutes for Research (Washington, DC)
- …care quality initiatives. Ideally, the candidate will have experience with the Medicare Access and CHIP Reauthorization Act (MACRA) and the Quality Payment Program ... (QPP). The policy analyst will lead tasks related to AIR Health's work with the Centers for Medicare & Medicaid Services (CMS). In addition, the candidate will… more