- CVS Health (Hartford, CT)
- …part in protecting Aetna's financial integrity and ensuring the health of the Medicaid business . The role will align actuarial policies and procedures with ... do + Monthly, determine required actuarial liabilities for the Medicaid business . + Transition the existing ...Adept at execution and delivery skills + Adept at business intelligence + She/he is collaborative. She/he… more
- Humana (Columbus, OH)
- …Horizon's ( Medicaid ) provider & network market entry strategy for its Medicaid growth markets. This strategist will lead data-driven research oriented ... community and help us put health first** The Advisor, Medicaid Provider & Network Strategy will be accountable for...Serves as the market subject matter expert to assist business development in developing provider & network request for… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Business Intelligence Lead solves complex business problems and issues using ... Humana's Medicare Limited Income NET (LI NET) program. The Business Intelligence Lead makes decisions...analytics solutions for various healthcare sectors + Experience in Medicare/ Medicaid , CMS (Centers for Medicare & Medicaid … more
- CenterWell (Columbus, OH)
- …us put health first** Our CenterWell Pharmacy Digital Performance team is looking for a Business Intelligence Lead to join us in transforming healthcare. In ... this role, the Business Intelligence Lead will identify...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Associate Director, Business Intelligence for CPSS Data and Analytics will support the account ... the business and drive results. **Responsibilities** The Associate Director, Business Intelligence will utilize various tools, technologies, applications and… more
- General Dynamics Information Technology (MD)
- …Waste and Abuse (FWA) analytics, collaborating with FWA Subject Matter Experts and Business Intelligence Developers to develop to develop FWA models and ... of Data Scientists, embedded within a multi-disciplinary organization of Data Scientists, Business Intelligence Analysts and FWA Subject Matter Experts. Our team… more
- Serco (Washington, DC)
- **Position Description** Serco is seekinga motivated Communication Lead to join our talented and fast-paced Public Sector Solutions team in supporting CMS' ... of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's Health Insurance Program (CHIP) improper payment estimates as… more
- Humana (Frankfort, KY)
- …a crucial role in applying the latest data science applications to business operations. Your responsibilities will include overseeing and guiding both senior and ... Additionally, you will collaborate with key client stakeholders to identify business challenges and establish solution requirements. Your role will involve… more
- General Dynamics Information Technology (Fairfax, VA)
- …General Ledger Accounting System (HIGLAS) project with the Centers for Medicare & Medicaid Services (CMS) program. As the ** Lead DBA, HOM** (Hosting, Operations, ... to Obtain:** None **Job Family:** Database Analysis/Design **Skills:** Leadership,Oracle E- Business Suite,Oracle Federal Financials **Experience:** 10 + years of… more
- CVS Health (Scottsdale, AZ)
- …of shared accountability via reporting and analytics dashboards, supporting key business KPIs and distributing actionable intelligence to senior management ... as Director, Financial Performance Reporting. This is a newly created role that will lead and continue to build a best-in-class reporting team. CVS Health strives to… more
- CVS Health (Frankfort, KY)
- …of new Medicaid lines of business , expanding existing business , and market development. Through market intelligence , research, and engagement, the ... a growth strategy with the goal of expanding the Medicaid business . The Senior Manager will be...top of mind at all times. Primary Responsibilities: + Lead the end-to-end project management function for Medicaid… more
- HealthEdge Software Inc (Columbus, OH)
- …upstream, and all aspects of claims operations are centralized for comprehensive business intelligence . The complete suite of solutions fromHealthEdgedelivers a ... **Overview** **Overview:** The Business Consultant leads and mentors the Service Delivery team in all Tier 1 (Basic) and Tier 2 (Intermediate) consulting… more
- Highmark Health (Pittsburgh, PA)
- …activities essential to Government Market Growth in support of Medicaid membership and margin goals. Strategy Partners provide analytical/strategic-thinking and ... Highmark, (2) prioritize potential opportunities and (4) support development of business cases to facilitate decision to move forward with opportunities. Strategy… more
- Humana (Frankfort, KY)
- …brief complex intelligence topics to wide range of leaders and business lines throughout the enterprise + Strong background in producing strategic ... Security Professional 1 will conduct open-source monitoring in alignment with intelligence collections requirements to identify potential risk events or incidents… more
- Development InfoStructure (Arlington, VA)
- …development community, multiple civilian agencies and the nation's defense and intelligence communities. Our focused research, services and products include complex ... across multiple federal agencies, research and development for Signal Intelligence (SIGINT), Command, Control, Communications, Computers and Intelligence … more
- Magellan Health Services (Newtown, PA)
- …Suite power user; Expert level knowledge of SQL, Qlikview, Tableau or similar business intelligence tools. General Job Information Title Sr Mgr, Clinical ... + Lead and manage the data analytics team, providing...hours. Manages primary data and analytics support for assigned business unit, working closely with national and local leadership… more
- Commonwealth Care Alliance (Boston, MA)
- …The Senior Vice President, Internal Audit & Enterprise Risk Management (Remote) will lead the company's Internal Audit Program and activities as well as the ... built, implemented, operationalized, led, and administered in a strategic, business -minded and -enabling, consultative, and collaborative manner that supports and… more
- Development InfoStructure (Arlington, VA)
- …development community, multiple civilian agencies and the nation's defense and intelligence communities. Our focused research, services and products include complex ... across multiple federal agencies, research and development for Signal Intelligence (SIGINT), Command, Control, Communications, Computers and Intelligence … more
- CareOregon (Portland, OR)
- …Job Title IS Development Manager - EDI Exemption Status Exempt Department Business Intelligence Manager Title Director, Claims Systems and Electronic Data ... effectiveness. + Work collaboratively with other teams within Information Systems Business Intelligence (ISBI) to provide expertise, support, and capacity… more
- Development InfoStructure (Arlington, VA)
- …development community, multiple civilian agencies and the nation's defense and intelligence communities. Our focused research, services and products include complex ... across multiple federal agencies, research and development for Signal Intelligence (SIGINT), Command, Control, Communications, Computers and Intelligence … more