• Medicare Strategy Lead

    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
    Humana (09/06/24)
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  • Audit & Reimbursement Senior- Medicare Cost…

    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 (09/11/24)
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  • Audit & Reimbursement III - Medicare Cost…

    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** **_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 (09/11/24)
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  • Audit & Reimbursement III- Medicare Cost…

    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
    Elevance Health (09/11/24)
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  • Behavioral Health Medical Director…

    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
    Humana (08/07/24)
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  • Managing Director, Medicare & Debt…

    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
    Travelers Insurance Company (07/18/24)
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  • Capture Lead , Medicaid Clinical…

    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 (08/15/24)
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  • Strategy Advancement Lead - Clinical…

    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 (09/04/24)
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  • Advisor, Medicaid Provider & Network…

    Humana (Des Moines, IA)
    …caring community and help us put health first** The Advisor, Medicaid Network Strategy will be accountable for leading the development of Humana Healthy Horizon's ... (Medicaid) network development market entry strategy for its Medicaid growth markets.... for its Medicaid growth markets. This strategist will lead data-driven research oriented strategic advisement in the development… more
    Humana (09/11/24)
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  • Director, Medicaid Product Management and Wellness…

    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 (09/11/24)
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  • Strategy Advancement, Principal…

    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 (07/25/24)
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  • Lead Security Architect(remote)

    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 (09/11/24)
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  • Internal Communications Lead , IT

    Humana (Des Moines, IA)
    …to work Eastern Standard Time business hours.** **Key Role Functions** + Lead communications strategy for various initiatives within Humana IT, implementing ... first** Humana's Corporate Communications organization is seeking an Internal Communications Lead who will support IT to join the Internal Communications Team.… more
    Humana (09/13/24)
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  • Lead Google Cloud Solutions Engineer,…

    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 (08/20/24)
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  • Lead Application Architect (Integrated…

    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 (07/04/24)
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  • Lead Enterprise Architect

    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 (08/20/24)
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  • SRE Lead Architect

    Humana (Des Moines, IA)
    …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 (09/11/24)
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  • Audit & Reimbursement Senior- Appeals

    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. ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
    Elevance Health (09/11/24)
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  • Associate VP, B2B and Specialty Solutions…

    Humana (Des Moines, IA)
    …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
    Humana (06/24/24)
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  • Delaware Valley ACO Fellowship/Provider Engagement…

    Humana (Des Moines, IA)
    …the enhanced track Medicare Shared Savings Program (MSSP) + Designs a strategy for the care coordination team to identify high risk patients + Communicate with ... (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus… more
    Humana (06/24/24)
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