• Medicaid Operations Strategy

    Humana (Tallahassee, FL)
    …a part of our caring community and help us put health first** The Strategy Advancement Advisor provides data-based strategic direction to identify and address ... for business segments or the company at large. The Strategy Advancement Advisor works on problems of...and determining the best course of action. The National Medicaid Operations team serves as the guiding… more
    Humana (03/13/25)
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  • Strategy Advancement Advisor - Cost…

    Humana (Frankfort, KY)
    …caring community and help us put health first** The Home Health Cost Management Strategy Advancement Advisor will be a critical leader in delivering operational ... to quantifiable business value. The **Home Health Cost Management** ** Strategy Advancement Advisor** will be responsible for:... strategy consulting or 6 years of corporate strategy / operations work + Must have… more
    Humana (02/05/25)
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  • Strategy Advancement Advisor

    Humana (Frankfort, KY)
    …our caring community and help us put health first** The Home Health Strategy Advancement Advisor provides data-based strategic direction to identify and address ... to implementation, testing, and scaling. The **Home Health Strategic Advancement Advisor** will be responsible for: + Strategic initiative... strategy consulting or 6 years of corporate strategy / operations work + Must have… more
    Humana (02/05/25)
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  • Sr. Professional Network Strategy

    Humana (Richmond, VA)
    Medicaid Growth Market Network Strategic Plan, under the guidance of the Strategy Advancement Advisor. + Project manages the development of provider and ... Strategy will be accountable for supporting the development of Humana Healthy Horizon's Medicaid network strategy and market approaches in the Medicaid more
    Humana (03/06/25)
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  • Enrollment Specialist - Broad Street

    Trinity Health (Philadelphia, PA)
    …benefit package that complements this opportunity for personal growth and professional advancement . **Benefits of joining a winning team:** + Warm and supportive ... in various computer programs for tracking and reporting purposes. Assist with Medicaid financial application process. Reviews Medicaid eligibility and provides… more
    Trinity Health (01/08/25)
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  • Medical Specialist Principal - Life Company…

    USAA (Plano, TX)
    …claims payment accuracy in accordance with Centers for Medicare & Medicaid Services (CMS) guidelines. Additional responsibilities include: Regularly reviewing USAA ... and trains claim and special investigation unit investigators and aids in the continued advancement of their medical risk acumen. + Serves as the primary point of… more
    USAA (03/08/25)
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  • Director, Network

    ChenMed (Decatur, GA)
    …the business and clinical relationships partner to the Regional President, Market Operations and Clinical leaders, Specialty leaders, and Hospital and Community Care ... The Director, Network will collaborate with the Regional President, Market Operations & Clinical leadership, and Regional Field Finance leadership towards… more
    ChenMed (03/05/25)
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  • Growth Associate

    Genesis Orthopedics & Sports Medicine (Chicago, IL)
    …personalized treatment plans, and exceptional service, with a special focus on the Medicaid community. As we continue to expand our footprint in Chicago and beyond, ... growth initiatives. - Collaborate with cross-functional teams, including Marketing, Operations , and Clinical Staff, to align growth strategies with organizational… more
    Genesis Orthopedics & Sports Medicine (02/05/25)
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  • Clinical Education Coordinator

    HCA Healthcare (Houston, TX)
    **Description** Introduction Location: Center for Clinical Advancement Gulf Coast. 11200 Broadway Street, Building 200, Pearland TX 77584 Do you have the career ... administrator. **In this role you will:** + Coordinates the day-to-day operations of market Clinical Education Service Line, including coordinating nursing student… more
    HCA Healthcare (01/22/25)
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  • Manager Managed Care Contracting/Hybrid

    Henry Ford Health System (Troy, MI)
    …including direct to employer relationships and commercial, Medicare Advantage, Medicaid HMO, and other governmental payors. 4. Routinely evaluate current ... and progress. 7. Maintain contracts, prioritize negotiations, and implement contracting strategy . 8. Monitor marketplace for new contracting opportunities and make… more
    Henry Ford Health System (01/03/25)
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