- The Cigna Group (Bloomfield, CT)
- …internal and external partners to improve Cigna's Medicare Star Ratings. The Business Analytics Advisor will analyze data including healthcare claims, ... **Summary** The Stars Business Analytics Advisor will...HEDIS Stars measures. This position is located within the Medicare Stars Analytics team, who's function is… more
- The Cigna Group (Plano, TX)
- …will be accountable for the financial results and medical cost savings of Medicare Advantage payment integrity programs. Work with business partners to identify ... with Contracting, Coverage Policy Unit, Commercial Payment Integrity, Compliance, Network Analytics , Claim, and other business areas to accomplish goals… more
- The Cigna Group (Bloomfield, CT)
- …to internal and external partners to improve Cigna's Medicare Star Ratings. The Business Analytics Senior Advisor will lead development of data analyses ... **Summary** The Part D Stars Business Analytics Senior Advisor ... Advisor will be responsible for leading the analytics strategy for Cigna Healthcare within the Medicare… more
- The Cigna Group (Atlanta, GA)
- …All market team members contribute to the growth and profitability of the Medicare Advantage business in their market in the following aspects: **Growing ... physician education, training and provision of reporting and using analytics resources to identify key opportunities for utilization and...the MA Business ** : The Provider Performance Senior Advisor … more
- Humana (Augusta, ME)
- …customer needs resulting in successful customer adoption for achieving positive business outcome. The AVP, Product Management requires an in-depth understanding of ... Once products are launched, monitors efficacy of products and uses customer and business partner feedback to ensure products are meeting customer needs across each… more
- CVS Health (Springfield, IL)
- …Medical and Aetna Medical. + Medicaid PA & Appeals Operations. + Medicaid and Medicare Data Entry Operations for partially delegated clients. + Pharmacy Advisor ... of approximately 2000+ CGSO colleagues in multiple lines of business (LOB) across all CVS Health locations and work...rigorous government standards required by both the Center for Medicare & Medicaid Services (CMS) and Affordable Care Act… more
- Humana (Sacramento, CA)
- …tools, and digital in CenterWell Pharmacy marketing efforts + Serves as an advisor of the Technology, Measurement, & Optimization Leader in crafting the technology ... and data strategies for the organization + Ensuring alignment with business objectives and compliance with legal and regulatory requirements such as GDPR and CCPA +… more