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Lead Product Manager (Medicaid)

Humana
Saint Paul, MN
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**Become a part of our caring community and help us put health first**Humana ...
Details
Summary
About the job:
is seeking a highly skilled Lead Product Manager to own and advance the intake process and facilitate key Lean Portfolio Management (LPM) ceremonies for the Medicaid portfolio. The Lead Product Manager will be responsible for optimizing intake workflows, driving cross-functional collaboration, and managing vital meetings such as the Medicaid Triage and Product Standup.+ Oversee, maintain, and continuously improve the Medicaid intake process, ensuring requests are efficiently captured, prioritized, and assigned in...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
General and Operations Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Value Based Programs Business Intelligence Lead

Humana
Saint Paul, MN
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**Become a part of our caring community and help us put health first**Join ...
Details
Summary
About the job:
Humana-recognized as a Fortune Top Company and one of the Best Places to Work-as a Value Based Programs Business Intelligence Lead. In this impactful position, you will play a key role in shaping and scaling innovative value-based programs across diverse markets. You will leverage your expertise to design and build sophisticated data models, ensuring accurate member-to-provider attribution and delivering actionable insights to evaluate program effectiveness.This is a unique opportunity to lead strategic decision-making...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Business Intelligence Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Detailed Job Information

Actuarial Analyst 2, Pricing

Humana
Saint Paul, MN
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**Become a part of our caring community and help us put health first**The ...
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About the job:
Actuarial Analyst 2, Pricing is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new plans and benefit changes. Provides guidance to Product Development on new product/benefit cost impacts. Develops and maintains pricing tools that price standard and custom benefits. The Actuarial Analyst 2, Pricing work assignments are varied and frequently require interpretation and independent...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Actuaries
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
Actuarial Exams
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Detailed Job Information

Senior Tech Lead - SRE

Humana
Saint Paul, MN
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**Become a part of our caring community and help us put health first**Humana ...
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Summary
About the job:
is seeking an experienced Senior Tech Lead for our Site Reliability Engineering (SRE) team. This role will champion reliability, scalability, and performance of our critical systems. The ideal candidate will demonstrate strong technical leadership, mentor team members, and collaborate across engineering and business units to drive best practices in reliability and DevOps.**Key Responsibilities:**+ Lead SRE team initiatives focused on system reliability, automation, and operational excellence.+ Architect and implement...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Software Developers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Detailed Job Information

Quality Audit Professional

Humana
Saint Paul, MN
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**Become a part of our caring community and help us put health first**The ...
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About the job:
Quality Audit Professional 2 analyzes and investigates quality issues. The Quality Audit Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.The Quality Audit Professional 2 supports the Healthcare Quality Management Team in administering and implementing the Clinical Quality Management Program (CQMP) in support commitment to quality healthcare for beneficiaries. The Quality Audit Professional 2 collects and reviews records,...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
US.jobs
Certifications / Licenses:
National Committee for Quality Assurance
Security clearance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Detailed Job Information

Code Edit Disputes Medical Coder

Humana
Saint Paul, MN
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**Become a part of our caring community and help us put health first**Code ...
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Summary
About the job:
Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.**Where you Come In**The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
US.jobs
Certifications / Licenses:
Certified Medical Coder
Certified Professional Medical Auditor
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Lead Project Manager-Clinical Operations

Humana
Saint Paul, MN
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**Become a part of our caring community and help us put health first**The ...
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Summary
About the job:
Lead Project Manager-Clinical Operations is essential for ensuring the successful execution of complex initiatives. This individual oversees program and project management from initiation to closure, handling multiple concurrent initiatives that encompass operations, compliance, quality, implementations and member experience. This role demands strong leadership skills, independent judgment, and the ability to navigate ambiguity while delivering results in a fast-paced and highly regulated healthcare environment.**Key...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Project Management Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
Project Management Professional
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Lead Software Engineer- IVR & Omnichannel APIs

Humana
Saint Paul, MN
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**Become a part of our caring community and help us put health first**Humana ...
Details
Summary
About the job:
is seeking a self-driven and collaborative Lead Software Engineer to join our Interactive Voice Response (IVR) team. In this role, you will deliver innovative IVR solutions and develop robust omnichannel APIs for our enterprise platforms. You will have the opportunity to drive the success of a high-impact, customer-facing application within a Fortune 50 company, working closely with multiple teams throughout the software development lifecycle (SDLC).**Lead Software Engineer - IVR & Omnichannel APIs**Humana is seeking...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Software Developers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Provider Analytics and Insights Professional

Humana
Saint Paul, MN
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**Become a part of our caring community and help us put health first**The ...
Details
Summary
About the job:
Senior Provider Analytics and Insights Professional (Senior Value-Based Programs Professional) works on the Value Based Analytics and Insights Team and supports successful value-based provider relationships. This position will have a focus on creating actionable analytics to inform Humana's provider strategy, improve provider performance, and achieve shared enterprise goals.The Senior Provider Analytics and Insights Professional on the Value-Based Analytics and Insights Team will be responsible for creating and...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Market Research Analysts and Marketing Specialists
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medicaid Reconciliation Professional II

Humana
Saint Paul, MN
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**Become a part of our caring community and help us put health first**The ...
Details
Summary
About the job:
Medicaid Process Improvement Professional 2 is responsible for analyzing and evaluating the effectiveness of existing Medicaid business processes, with a focus on eligibility, enrollment, claims, and compliance workflows. This role develops sustainable, repeatable, and measurable improvements that align with Medicaid program requirements and regulatory standards.Assignments are varied and often require interpretation of Medicaid-specific policies and data. The role demands independent judgment to determine the most...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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