- Humana (Denver, CO)
- …health insurance for vulnerable populations? If so, you may be a fit for Humana's Senior Associate , Medicaid . Humana is a $100+ Billion, Fortune 50, ... help deliver on this mission, we are seeking a Senior Associate to develop breakthrough campaigns to...develop breakthrough campaigns to drive member engagement in our Medicaid portfolio. This role is ideal for a strategic… more
- OhioHealth (Columbus, OH)
- …Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position will be ... responsible for ensuring the appropriate governmental (Medicare and Medicaid ) reimbursement is received for OhioHealth. * This position is primarily responsible for… more
- Humana (Nashville, TN)
- …and/or other Behavioral Health contracts and agreements within the Virginia Medicaid space. The Senior Provider Contracting Professional work assignments ... a part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital,… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... coordination of analytical processes, investigation and interpretation of Maryland Medicaid risk score methodology, risk score calculation, submissions, enrollment,… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Senior Data and Reporting Professional generates ad hoc reports and regular datasets or report ... system tools and database or data warehouse queries and scripts. The Senior Data and Reporting Professional work assignments involve moderately complex to complex… more
- Humana (Springfield, IL)
- …vulnerable populations? If so, you may be a fit for Humana's Principal, Medicaid Product Marketing. Humana is a $100+ Billion, Fortune 50, healthcare leader ... solutions. To help deliver on this mission, we are seeking a Principal, Medicaid Product Marketing to lead the development of marketing strategies that support… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. The DSS Accountability Office (DSS-AO) is responsible for ... also responsible for evaluating and assessing the resources of Medicaid Nursing Home residents through computer bank matches. Claims...the allowable levels. C&C is recruiting for (1) one Associate Fraud Investigator II to function as a Group… more
- Humana (Lansing, MI)
- …Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Michigan Medicare - Medicaid health plan. The individual leverages a broad understanding of managed care ... public relations strategies. + Develops corporate communications to be shared with senior leadership. + Supports trend management by conducting analysis of drug… more
- Humana (Nashville, TN)
- …-focused health insurance products? If so, you may be a fit for Humana's Senior Associate , Sales Enablement. Humana is a $100+ Billion, Fortune 50, healthcare ... data-driven solutions. To help deliver on this mission, we are seeking a Senior Associate to develop breakthrough, business-moving campaigns to help agents sell… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Senior Associate Insights supports the design, execution, and analysis of market research ... for research or in person strategy **Preferred Qualifications** + Experience in senior healthcare and/or Medicaid + Formal qualitative (1:1 interviews, focus… more