- LA Care Health Plan (Los Angeles, CA)
- Medicare Advantage Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, ... $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...to achieve that purpose. Job Summary The Product Solutions Manager II is responsible for working within the Product… more
- AmeriHealth Caritas (Newtown Square, PA)
- ** Medicare Vendor Program Manager ** Location: Newtown Square, PA Primary Job Function: Medicare ID**: 37979 Your career starts now. We are looking for the ... AmeriHealth Caritas, we are passionate about helping people get care , stay well, and build healthy communities. As one...growth, new market entry, and general plan performance. The Medicare Vendor Program Manager plays a vital… more
- The Cigna Group (Morris Plains, NJ)
- **POSITION SUMMARY** The Medicare Client Strategy Senior Manager is accountable for and provides leadership to a team of Medicare Strategists and is ... Medicare strategic initiatives and market development. The Medicare Client Strategy Senior Manager plays a...Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase… more
- Point32Health (Canton, MA)
- …presenting findings in a team environment. + Strong understanding of the managed care industry, preferably Medicare Advantage plans. + Experience in Product ... a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are… more
- CVS Health (Southfield, MI)
- …* Lead and implement an effective Compliance Program as described in CMS Medicare Managed Care Manuals and applicable Medicaid rules including risk assessment, ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- The Cigna Group (Columbus, OH)
- **Regional Marketing Manager (Senior Advisor), Medicare (TX/OK/AZ) - Remote** Reporting into the Senior Manager , Regional Marketing this role will have ... skills and executive presence + Excellent attention to detail + Health care /Health insurance/ Medicare experience preferred. -or experience working in a highly… more
- Centene Corporation (Tallahassee, FL)
- … business department initiatives that promote, quality, network safety and cost of care opportunity. + Develop Medicare strategies to improve quality of ... solution development and implementations necessary to ensure the performance of the Medicare line of business. + Identifies key performance metrics and ensures the… more
- The Cigna Group (Nashville, TN)
- …helping people improve their health, well-being and sense of security. But we don't just care about your well-being, we care about your career health too. That's ... about the role:** **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and broker… more
- The Cigna Group (Austin, TX)
- …cross functional teams and business partners. Performs actuarial analyses for Medicare Advantage business, including, but not limited to: medical expense analyses ... and projections, financial forecasts, Medicare Part C bid development, regulatory (CMS) bid submissions,...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- CVS Health (Richmond, VA)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Summary: This is...commutable distance of an Aetna/CVS office location. The Senior Manager of Provider Sales is responsible for defining and… more
- CVS Health (Carson City, NV)
- …**Qualified Candidates will sit in the Las Vegas Nevada area** Aetna is looking for a Medicare Sales Broker Manager to join the Nevada sales team that drives and ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- UCLA Health (Los Angeles, CA)
- …next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct management to a team ... of UM coordinators and nurses. You'll work closely with Medicare Advantage leadership to plan, execute, and manage various initiatives related to UM administrative,… more
- The Cigna Group (Birmingham, AL)
- Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement ... new business pricing strategy to drive profitable growth in the Medicare Supplement marketplace. Effectively communicate pricing strategy, positions, and changes to… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …all equipment issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application process + Ensures prospective members ... performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling...for Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan and/or any upcoming… more
- Medical Mutual of Ohio (OH)
- …remote opportunity_** . **_Eastern & Central Time Zones preferred. Extensive Medicare Part D experience is highly sought after._** **Responsibilities** ** Medicare ... to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare Part...focus on member experience. Conducts outreach to Pharmacy Benefit Manager (PBM) for refills, claim reprocessing and to members… more
- Molina Healthcare (Spartanburg, SC)
- **JOB DESCRIPTION** Case Manager RN will support our Medicare Population in the state of South Carolina. Case Manager will be required to communicate ... telephonically with our members completing assessments, care plans, and coordinating care . You will participate in interdisciplinary care team meetings for… more
- Elevance Health (Columbus, OH)
- …lasting pharmacy care . In this pivotal role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account Director is tasked with ... preserving and deepening relationships with clients which include Elevance Health Medicare Health Plans. This position, structured around geographic regions and… more
- The Cigna Group (Sunrise, FL)
- …conduit to the providers and the individual that represents Cigna Medicare Advantage. The Provider Performance Enablement Lead Analyst's responsibilities include: + ... provider group improvement plans autonomously, with expert-level technical support from manager . + Knowledge of quality and affordability metrics and tools;… more
- The Cigna Group (Seattle, WA)
- …with assigned provider groups and their staff (eg physicians, practice managers, care coordination teams), as well as executing with provider group on initiatives ... creating and delivering presentations. + Collaborating with Provider Performance Senior Manager / Manager on strategic plans on growth, development, and vision… more
- The Cigna Group (Denver, CO)
- …Data Science Analytics team for Medicare Strategic Analytics. Reporting to the Manager of Care Management Analytics, the lead analyst will analyze healthcare ... and analytical support to our partners to improve customer care and affordability for Cigna Medicare . This role will help us accomplish this through reporting,… more