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The Principal, Capture Management will lead the development and execution of strategies to capture growth opportunities for Humana’s Medicaid products. Responsibilities include market research, coordinating operational teams, and designing operating models for new markets. This role requires a strong focus on Medicaid managed care operations and cross-functional leadership.
The Senior STARS Improvement Consultant will manage large-scale Pharmacy initiatives, coordinate with physician groups, analyze data for performance gaps, and develop presentations for strategy execution. Responsibilities also include fostering collaborations within teams and promoting the organization's quality performance metrics.
The STARS Improvement Analyst develops and implements Medicare/Medicaid Stars programs, focusing on quality improvement initiatives. Responsibilities include data analysis, report creation, and communication of program results, while collaborating with various departments to identify gaps in care.
As a Senior TBM Analyst, you will develop and maintain the TBM cost and data model in Apptio, collaborate with cross-functional teams, analyze financial and technology data, and drive cost accountability within the organization. The role involves providing insights into IT cost and identifying process improvement opportunities while ensuring data governance.
The Acquisition Integration Advisor manages the integration of acquired entities through mergers and separations. Responsibilities include leading Integration Management Offices, collaborating with leadership for strategic alignment, planning execution, advising on value capture and risk management, and working with minimal supervision on complex issues.
As a Case Manager, you'll provide comprehensive social service care management to elderly and disabled members in the Wisconsin Family Care program. Your responsibilities include assessing member needs, coordinating care plans, supporting community integration, and documenting activities. You'll work collaboratively with health professionals and may need to travel to provide services in members' homes.
The Software Engineer develops and tests software applications, ensuring quality assurance standards are met. Responsibilities include debugging, upgrading frameworks, integrating security measures, and contributing to code reviews within an Agile environment.
As a Strategy Advancement Advisor, you will create and align IT strategies with business needs, deliver executive presentations, engage with technology leaders, and coach team members. You will work to enhance consumer experiences and stay updated on emerging technologies within the healthcare sector.
The Transition Coordinator evaluates members' needs, assists in planning and follow-up care during transitions, and ensures continuity in Medicaid programs. They guide members towards appropriate resources and coordinate care with healthcare professionals to maintain optimal well-being.
The Functional Screen Specialist assesses the functional status and eligibility of Family Care members using a State health tool. Responsibilities include scheduling, conducting face-to-face interviews, maintaining documentation, and coordinating with Member Support Coordination staff. This role also involves crisis intervention referrals and participation in quality assurance activities.
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