- LA Care Health Plan (Los Angeles, CA)
- Medicare Advantage Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: ... net required to achieve that purpose. Job Summary The Product Solutions Manager II is responsible for...product agnostic initiatives as well as strategic partnerships. Medicare : Required Medicare Advantage , with… more
- Point32Health (Canton, MA)
- …+ Strong understanding of the managed care industry, preferably Medicare Advantage plans. + Experience in Product Development. + Experience with applicable ... are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Manager of Product Implementation and Administration will have two… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …with Product team colleagues to support the development and execution of Medicare Advantage product strategy and corresponding benefits. The Analyst will ... Products Analyst plays an integral role in the product development of the Medicare Advantage...building of plan benefit packages (PBPs), working with the Product Manager and market leadership to balance… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …throughout the five (5) boroughs. Territory Management + Maintain CPHL MAP and Medicare Advantage Plan visibility in the community by monitoring multiple ... Advisor Primary Responsibilities: + Educate prospects on CPHL MAP product designed for Full Medicaid and Medicare ...issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application… more
- CVS Health (Carson City, NV)
- …- Travel as needed (majority within local area) **Preferred Qualifications** Experience with Medicare Advantage , SSI or Medicaid product sales or operations. ... 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 achieves sales results… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. IT Project Manager I Assists in leading ... status and track and report major issues. IT Project Manager II - III Manages enterprise projects and teams...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Point32Health (Canton, MA)
- …strategies, ensuring adherence to Federal Medicare and State requires related to Medicare Advantage and Prescription Drug Plans and Dual Programs (SCO and ... click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Compliance Senior Manager will report to the Government Programs Compliance Officer. This… more
- VNS Health (Manhattan, NY)
- …grievances and appeals across our Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health product lines. * Ensure Compliance: Stay ahead ... of healthcare? VNS Health Plans is seeking a dedicated Manager , Grievance and Appeals (RN)to lead the daily operations...product lines - Managed Long Term Care (MLTC), Medicare Advantage (MA), Part D, or Select… more
- ChenMed (Metairie, LA)
- …+ Direct-to-patient sales and marketing experience preferred. + Experience within the Medicare Advantage population strongly preferred. Experience working for a ... we need great people to join our team. The Manager , Market Sales is responsible for leading a team...personal contact and rapport with key local communities serving Medicare -eligible seniors. Leverages connections to increase community events and… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Depending on ... **Sr. Project Manager (temporary assignment)** **Location: Remote** Founded in 1934,...of project communications and work with project sponsors or product owners to resolve issues, address changes and identify… more
- CVS Health (Overland Park, KS)
- …all four of Aetna's major lines of business (Commercial Group, Commercial Individual, Medicare Advantage , and Medicaid). This position will support a wide range ... across all four major lines of business (Commercial Group, Commercial Individual, Medicare Advantage , and Medicaid); this suite of reporting includes Executive… more
- Robert Half (Boston, MA)
- …services or industry. + Knowledge of healthcare payer regulatory requirements, including Medicare Advantage . + Proficiency in Microsoft Office suite applications ... JOB REQUISITION Risk and Compliance - Healthcare - Senior Manager LOCATION BOSTON ADDITIONAL LOCATION(S) NEW YORK CITY, SAN FRANCISCO, SEATTLE JOB DESCRIPTION You… more
- Magellan Health Services (San Diego, CA)
- …Requirements Responsibilities Knowledge of HIPAA, federal and state regulatory processes. Medicare Advantage and/or Medicaid managed care experience preferred ... Serves as the compliance and privacy manager for assigned areas of the company or...from diverse operational groups and organizations into a written product . Excellent verbal and written communication skills. 5-8 years… more
- The Cigna Group (Denver, CO)
- …Claims FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and paid on a ... is expected to be the largest focus for the manager in the medium and long term. This individual...including, but not limited to FP&A centralization, Market Finance, Product , Pricing, Reserving, Operations, and external Audit Firms. Given… more
- CVS Health (Springfield, IL)
- …are deployed to manage members delegated to our risk-bearing entity. These members are Medicare Advantage members in one of our contracted geographies and don't ... ensuring our delegated members are receiving high-quality and cost-effective care. The Manager , Medical Cost Management reports to the Vice President, Medical Cost… more
- Point32Health (Boston, MA)
- …Pricing work. The key responsibilities for this role are pricing, rate filing ( Medicare Advantage Bid) development, strategic analysis, and other ad hoc ... you will be doing** + Support the preparation, analysis, and submission of Medicare Advantage bids, ensuring compliance with CMS regulations. + Maintain current… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Medical Mutual' ... offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Our plans… more
- Boehringer Ingelheim (Ridgefield, CT)
- …a comprehensive discount accrual forecasts and by providing support for Managed Care / Medicare Part D group efforts as required in order to support the Contracting ... performance results. The individual will also assess administrative feasibility of product and contract strategies, enhance performance metrics and monitor ongoing… more
- Molina Healthcare (Syracuse, NY)
- …human service worker, Sales, Navigator, Assistor, Connecter, Promotora, Marketing, Growth, Manager , Supervisor, Leader, Management, Medicare Advantage , Pay ... for all product lines. + Demonstrates thorough understanding of Molina's product lines, Medicaid, CHIP, Medicare SNP, Marketplace, MMP, etc **JOB… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Medical Mutual' ... cross-functional Scrum team under the direction of the IT Manager . Translates user stories and customer acceptance criteria of...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and… more