- Highmark Health (Camp Hill, PA)
- …projects and change initiatives involved in the design and delivery of business process solutions, implementation strategies, and control measures, including ... significant amounts of information and analyzes processes to support business unit needs, specifically those related to Medicaid...+ 5 - 7 years of experience in a Business Analyst or Business Process … more
- Humana (Charleston, WV)
- …officer if needed. **Responsibilities** As a Senior Compliance Professional for our Medicaid business , you will be part of a fast-growing team who develops ... data requires an in-depth evaluation of variable factors. The Senior Compliance Professional will analyze business requirements,... results, you will: + Support implementation of new Medicaid contracts end to end, which could include serving… more
- Humana (Baton Rouge, LA)
- …a part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will ... contact for Louisiana Department of Health (LDH) and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities in… more
- Corewell Health (Grand Rapids, MI)
- Job Summary The Senior Operations Specialist works independently and autonomously to identify, lead, drive and manage work that supports the strategies, initiatives, ... needs as well as the strategic goals of the business . Essential Functions + Provides operational leadership for new...and other reports as required. + Collects and analyzes process , productivity, value and quality related data to initiate,… more
- Humana (Columbus, OH)
- …are in significant conflict with Humana IT's development timelines + Serves as the " Senior Business Architect" for Medicaid , with a strong understanding of ... Solutions devises an effective strategy for executing and delivering on IT business initiatives. The Lead, Technology Solutions works on problems of diverse scope… more
- BlueCross BlueShield of North Carolina (NC)
- …senior management on diverse issues of laws that arise in the Company's Medicaid business operations; researches and prepares legal memoranda and opinions to ... team as an Associate Counsel for our Health Blue Medicaid line of business . In this role,...accommodation for any part of the application or hiring process , please notify HR at ###@bcbsnc.com . **For most… more
- Prime Therapeutics (Cheyenne, WY)
- …decision we make. **Job Posting Title** PBM Contract Representative Sr - LA Medicaid **Job Description** The Senior Contract Representative is responsible for ... contract administration and ensuring process adherence in support of Prime's contracting efforts with...adherence in support of Prime's contracting efforts with Louisiana Medicaid PBM business . This position is responsible… more
- Molina Healthcare (New York, NY)
- …writing and is responsible for preparing the executive summary for review by senior leadership. May serve as owner of RFx section(s). Ensures high engagement and ... matter experts (SMEs). Conducts peer review and coaching for junior and senior writers. Executes tasks independently and reliably, with ability to interpret… more
- Molina Healthcare (Columbus, GA)
- …**Job Duties** * Develops understanding of company, Medicaid / government business and the RFP process to create responses that accurately represent ... knowledge and requirements into clear, concise communications, while emphasizing Molina's business value. Execute tasks with support and direction from leadership to… more
- Providence (Portland, OR)
- …to brand guidelines, standardization of deliverables and overall go-to-market process . Additionally, the Director, Marketing will be responsible for helping ... assigned market. + Works in partnership with strategy and business development teams to understand business and...improve or further these metrics. + Partnering with the Senior Director, Marketing, monitors market and industry to understand… more