- The Cigna Group (St. Louis, MO)
- **POSITION SUMMARY** The Medicaid /Marketplace Client Strategy Senior Advisor serves as the primary contact for Medicaid /Marketplace strategic initiatives and ... market development. You will become a subject matter expert (SME) on Medicaid /Marketplace pharmacy benefits, Express Scripts Programs and Products, and State and… more
- Highmark Health (Tallahassee, FL)
- …Business Solutions leadership in strategic activities to expand IT capabilities for Medicaid growth in the dental market by: Applying SME knowledge to analytical ... strategic thinking to identify business needs for growing and sustaining the Medicaid business. Apply SME knowledge and oversee multiple teams' activities related to… more
- Molina Healthcare (Fort Worth, TX)
- …accuracy and auditing configuration and outgoing payments + Focuses on process improvement , organizational change management, program management and other ... : + 3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft… more
- Highmark Health (Pittsburgh, PA)
- …solutions with seamless omni-channel handoffs. As a key leader of the Medicaid Clinical organization, role is responsible for maximizing and optimizing value of ... operational excellence/administrative cost management. This requires the incumbent to lead their team through the implementation of alternative resourcing strategies… more
- Humana (Louisville, KY)
- …insights relevance, and impact on Stars and other quality metrics. + Lead continuous improvement initiatives, leveraging data analytics and customer feedback ... and help us put health first** Humana seeks a strategic and results-driven Lead Product Manager to oversee the end-to-end lifecycle of the Patient Experience Survey… more
- Centene Corporation (Dover, DE)
- …Purpose:** Oversee all related activities for the Quality Improvement functions. Lead and direct process improvement activities for more efficient ... of QM/QI health care experience, including HEDIS data collection, implementing rapid-cycle process improvement principles and using study design and evaluation… more
- Humana (Frankfort, KY)
- …Power Platform (Power BI, Power Automate, & Power Apps) + Knowledgeable in process improvement and metrics development + Knowledgeable in regulations governing ... community and help us put health first** The DSNP Encounters Data Management Lead supports the Encounter Data Management team within the Healthcare Quality Reporting… more
- Molina Healthcare (Dayton, OH)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits,… more
- Humana (Richmond, VA)
- …of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid , and other health plans to millions. By integrating insurance with care ... role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of the company's...experience to join this team. As an Insurance Strategy Lead , you will directly contribute to high-impact strategy projects,… more
- ChenMed (Miami, FL)
- …resolve credentialing related questions and issues from markets. + Identifies process improvement opportunities and presents recommendations to Credentialing ... in this role is also responsible for assessing and providing continuous improvement recommendations to the provider enrollment process , co-facilitating … more