- Humana (Richmond, VA)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business ... complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new states. The business needs of… more
- Highmark Health (Richmond, VA)
- …leverages significant independent judgment and discretion to collaborate extensively with business stakeholders and technical teams. They function as a pivotal ... bridge, translating high-level **clinical and utilization management software** business needs into detailed technical requirements for new capabilities and… more
- Highmark Health (Richmond, VA)
- …ensure product capability development aligns with customer needs and defined business objectives. + Ensure compliance for required standards and all ... the product management lifecycle, within a sub-product scope (one or more business application components). Uses regular judgement and discretion to collaborate with… more
- Highmark Health (Richmond, VA)
- …prioritizing data and information requirements. The incumbent provides analysis in the development and support of projects and data analysis. Determines how decision ... support systems will provide information required to make effective business decisions; translates requirements into applications that employ appropriate decision… more
- SHI (Richmond, VA)
- …and analysis, risk management, penetration testing, and cryptography. + Knowledge of compliance obligations (GDPR, HIPAA , ITAR/EAR). + Experience with cloud ... help the Fortune 1000 transform the way they use technology to advance the business , generate revenue, and respond quickly to market demands. We call it Digital… more
- Highmark Health (Richmond, VA)
- …**Preferred** + Masters degree in Industrial and Organizational Psychology, Organizational Development , Human Resources, Business , or a related field ... in the organization and supporting the most complex changes impacting business outcomes by leading complex, cross-functional change strategies that drive enterprise… more
- Humana (Richmond, VA)
- …a pioneering force, driving AI innovation across our Insurance and CenterWell business segments. By collaborating with world-leading experts, we are at the forefront ... our team (known internally as Lead, IT Product Management) to lead the development and execution of enterprise-wide AI use cases and platforms. The ideal candidate… more
- Highmark Health (Richmond, VA)
- …reports and documents for renewal and sales presentations. + Participate in product development and prepare business programs (ie territory specific action plans ... This job is responsible for managing a book of business and the business relationship as a...experiences. Our culture is built on your growth and development , collaborating across our organization, and making a big… more
- Highmark Health (Richmond, VA)
- …job collaborates with internal stakeholder to understand moderate to complex business requirements and processes related client, product, and benefits configuration ... create remarkable health experiences. Our culture is built on your growth and development , collaborating across our organization, and making a big impact for those… more
- Highmark Health (Richmond, VA)
- …efforts for the organization. Directs the coordination of involvement of all business area Subject Manager Experts (SMEs) and other staff members. Promotes the ... of applications; as well as the promotion of enterprise-wide thinking among business and technical areas. Responsible for defining, documenting, and making available… more